[Uro-CT protocol for the diagnosis of small urothelial neoplasms of urinary tract by quantitative analysis of contrast enhancement and correlation to the histological grading]. / Protocollo uro-TC per la diagnosi di piccole formazioni eterotransizionali delle vie urinarie con analisi quantitativa dell'enhancement e correlazione al grading istologico.

ABSTRACT

In the study of urinary tract, traditional imaging modalities still play a vital role in the diagnosis of urothelial tumors of the upper urinary tract; however, the introduction of multidetector computed tomography has greatly changed the way of evaluation of urological patients. In fact, by means of a multiphasic study protocol is possible to recognize with high sensitivity small urothelial lesions and, moreover, to perform at the same time, an evaluation of local and metastatic extension also. The evaluation of the pattern of contrast enhancement in addition, allows a judgement of biological aggressiveness related to tumor grading.