A study of Multidetector Computed Tomography Urography in Urinary Tract Abnormalities

Abstract

This prospective cross-sectional study evaluated the diagnostic accuracy and effectiveness of Multi-detector Computed Tomography Urography (MDCTU) in detecting and characterizing urinary tract abnormalities. Conducted over six months at Jain Hospital, Khanna, Punjab, the research involved 138 patients aged 10 years and above, referred for MDCTU due to clinical suspicion of urinary tract pathology. Results demonstrated a male predominance (64.5%), with the highest prevalence in the 61–70-year age group (27.5%). Right-sided involvement was most common (32.6%), followed closely by bilateral involvement (31.8%). The most frequently identified abnormality was kidney calculi (26.8%), followed by anomalies in the kidney (18.8%) and cortical cysts (15.2%). MDCTU’s multiphase imaging capability allowed detailed visualization of pathologies, supporting accurate diagnosis and treatment planning. Despite concerns about radiation exposure and contrast risks, the study confirmed MDCTU as an indispensable diagnostic tool in modern urology