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Test Details
Test Code:RA0186
Test Name:MR (Magnetic resonance) Urography
Test Details & Preparation
Magnetic resonance (MR) urography comprises an evolving group of techniques with the potential for allowing optimal non-invasive evaluation of many abnormalities of the urinary tract. MR urography is clinically useful in the evaluation of suspected urinary tract obstruction, hematuria, and congenital anomalies, as well as surgically altered anatomy, and can be particularly beneficial in paediatric or pregnant patients or when ionizing radiation is to be avoided. The most common MR urographic techniques for displaying the urinary tract can be divided into two categories: static-fluid MR urography and excretory MR urography.

Static-fluid MR urography makes use of heavily T2-weighted sequences to image the urinary tract as a static collection of fluid, can be repeated sequentially (cine MR urography) to better demonstrate the ureters in their entirety and to confirm the presence of fixed stenoses, and is most successful in patients with dilated or obstructed collecting systems.

Excretory MR urography is performed during the excretory phase of enhancement after the intravenous administration of gadolinium-based contrast material thus, the patient must have sufficient renal function to allow the excretion and even distribution of the contrast material.

Diuretic administration is an important adjunct to excretory MR urography, which can better demonstrate nondilated systems. Static-fluid and excretory MR urography can be combined with conventional MR imaging for comprehensive evaluation of the urinary tract. The successful interpretation of MR urographic examinations requires familiarity with the many pitfalls and artifacts that can be encountered with these techniques.

If you are scheduled to undergo MR urography, you may have contrast material injected intravenously for the exam. The radiologist may ask if you have asthma or allergies of any kind, such as an allergy to gadolinium drugs, certain foods or the environment. In order to distend your urinary bladder, you may be asked to drink water prior to the examination, and also not to urinate until after the scan is complete. However, guidelines about eating and drinking before an MRI exam vary with the specific exam and also with the facility. For some types of exams, you will be asked to fast for eight to 12 hours. Unless you are told otherwise, you may follow your regular daily routine and take medications as usual.
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