What is the role of upper urinary tract imaging in the diagnosis of bladder cancer?

Updated: Feb 23, 2021
  • Author: Kara N Babaian, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Upper urinary tract imaging:

  • Usually necessary for the hematuria workup, but may be omitted on the basis of risk stratification
  • American Urologic Association Best Practice Policy recommends computed tomography (CT) scanning of the abdomen and pelvis with contrast, with preinfusion and postinfusion phases
  • Imaging is ideally performed with CT urography, using multidetector CT
  • Ultrasonography is commonly used, but it may miss urothelial tumors of the upper tract and small stones

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