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" Agreement between static MR Urography and diuretic renalscintigraphy in patients with ureteropelvic junction obstruction after pyeloplasty "
/Fatemeh Ghassemi
; Mehdi Karami, Hamid Mazdak
center
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Isfahan University of Medical Sciences
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Document Type
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Latin Dissertation
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Language of Document
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English
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Record Number
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103698
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Doc. No
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T15449
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Call number
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WJ141,G411a,2015
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Main Entry
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Ghassami, Fatemeh
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Title & Author
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Agreement between static MR Urography and diuretic renalscintigraphy in patients with ureteropelvic junction obstruction after pyeloplasty/Fatemeh Ghassemi
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College
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Schools, Medical
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Date
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, 2015
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Degree
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Radiolgy , Speciality
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Page No
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13 p.: Diag, tab.
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Note
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This thesis is a research project with project ID: 192056
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Note
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فاطمه قاسمی
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Abstract
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Background: Ureteropelvic junction obstruction (UPJO) is the most common cause of hydronephrosis within childhood that usually treat by surgery. According to anatomical variations in different individuals, scheduling similar procedures for all patients is not suitable and thus the best decision for an appropriate surgical technique should be considered separately for each patient. Regardless of the type of applied technique, creating a funnel-shape UPJ with a suitable size is a successful treatmentIn this context, the assessment of a successful surgical treatment in short term follow up means repairing revealed anatomical defects. The present study aimed to compare diagnostic value of static magnetic resonance urography (MRU) and diuretic-based renalscintigraphy (DRS) in patients with Ureteropelvic junction obstruction (UPJO) after pyeloplasty. Methods: Thirty consecutive patients with UPJO who underwent unilateral pyeloplasty between 2012 and 2013 were assessed. All subjects underwent DRS and also MRU about one month after the former procedure. Results: The Kendall’s tau Correlation showed a very strong correlation between results of magnetic resonance urography and diuretic renal scintigraphy (r = 0.932, p < 0.001). This strong correlation was also shown by Somers’d test (r = 0.932, p < 0.001) similarly. Conclusions: Our study shows a strong agreement between DRS and MRU to assess UPJO. MRUstatic fluid has a high accuracy for assessment of renal system anatomy. Due to the lack of dangerous consequences of contrast materials, MRU can be the best option instead of DRS
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Descriptor
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Urography
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Ureteral Obstruction
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Radionuclide Imaging
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Child
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Added Entry
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Karami , Mehdi, Supervisor
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Mazdak , Hamid, , Supervisor
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