Pyelography - Interventional Radiography
In radiology Intravenous Pyelogram is the radiographic examination of renal pelvis using contrast media. Because pyelo mean renal pelvis. The common x-ray examination of the urinary system is the intravenous urogram.The intravenous urogram visualizes the minor and major calyces, renal pelvis, ureters and urinary bladder with the help of radiographic dye (contrast media). This examination is a true functional test because contrast media molecules are quickly removed from the bloodstream and excreted totally by our normal kidney.
The common term for this examination in radiology department is intravenous pyelogram (IVP) but this term is not accurate because this procedure because intravenous urogram (IVU) visualizes more than just the renal pelvis.
What is the Purpose of Intravenous Pyelogram / Intravenous Urogram?
- To opacify the urinary system's collecting portion.
- To access the functional ability of the two kidneys.
- Evaluate a pathology or anatomic anomalies in the urinary system.
Contraindication of Intravenous Pyelogram:
 |
| 15 Minutes Interval |
- Hyper sensitivity to iodinated contrast media.
- Anurea
- Multiple Myeloma
- Diabetes
- Severe hepatic or renal disease
- Congestive heart failure.
- Pheochromocytoma
- sickle cell anemia
- Renal Failure acute ot chronic
- Taking the following medicines: metformin, Glucophage, Avandament, Glucovance Diofen, Fortament, Riomet, Actosplus Met, Diabex or Metagrip. This medication must not take for 48 hours after the completion of the iodinated contrast media study.
- Take Clinical History of Patient
- Sensitivity Test of Contrast Media
- Take Scout Film Radiograph
- Inject The Contrast Media
- Start the time of injection, time and amount of contrat media
BASIC IMAGING ROUTINE ON INTRAVENOUS PYELOGRAM (IVP)
- 1 Minute - Nephrogram or Nephrotomogram
- 5 Minutes - AP Supine
- 10 to 15 Minutes - AP SUPINE
- 20 Minutes - Posterior Obliques (RPO and LPO)
- Postvoid - It can be taken prone or erect.
