ABSTRACT
We present a case of urinary tuberculosis investigated initially by ultrasound and multidetector computed tomography (MDCT). The MDCT-derived volumetric data were used to generate virtual cystoscopy (VC) images, which revealed a bladder ulcer. The presence of this ulcer was confirmed by conventional cystoscopy-guided biopsy and there was good agreement regarding various features of the ulcer, such as the site, size and shape, as detected by virtual and conventional cystoscopies. VC, a result of simple postprocessing of preacquired MDCT data, proved valuable in the characterization of the bladder lesion in conjunction with CT and ultrasound images. Although a larger study is warranted, in our case these en face VC representations of the ulcer served as useful precursors to conventional cystoscopic biopsy.
Subject(s)
Adult , Cystoscopy/methods , Female , Humans , Tomography, X-Ray Computed , Tuberculosis, Urogenital/diagnostic imaging , Urinary Bladder Diseases/microbiology , User-Computer InterfaceABSTRACT
AIM: Intravenous Urography (IVU) as a diagnostic modality has limitations in patients of obstructive uropathy with impaired renal function. Our aim was to study the technique and diagnostic accuracy of Magnetic Resonance Urography (MRU) in obstructive uropathy and to correlate the findings with IVU. METHODOLOGY: Forty-eight patients, selected over a six-month period, based on mild to severe pelvicalyceal dilatation on screening ultrasonography, underwent an IVU; those having non-obstructive dilatation were excluded (18 patients). Thirty patients (age range 10 to 75 years) with definite obstructive dilatation underwent MRU. These were obtained using an open MRI unit (Siemens Magnetom Open Viva) with low-dose gadolinium-DTPA (0.01 mmol/kg body weight) using various MRI sequences. MRU studies were classified as 'excellent' or 'diagnostic' and data generated was compared with that of IVU. RESULTS: MRU studies were 'excellent' in twelve and 'diagnostic' in eighteen patients. Of the sixty pelvicalyceal systems (PCS) evaluated in thirty patients, there were thirty-seven calculi, nine pelvi-ureteric junction (PUJ) obstructions, six with impaired renal function, four malrotated kidneys and one each of horseshoe kidney, pancake kidney, pelvic mass (endometriomas), duplex moieties, ureterocele and vesico-ureteric reflux. MRU better depicted moderate-severe PCS dilatation, staghorn and urethral calculi, impaired renal function, extrinsic ureteric and PUJ obstruction. IVU better depicted small calculi and mild PCS dilatation. CONCLUSIONS: In these thirty patients of obstructive uropathy, low magnetic field, open MRI units and low-dose Gd-DTPA provided cost-effective MRU studies with excellent diagnostic utility. MRU scored over IVU in patients with moderate-severe dilatation, staghorn and urethral calculi, impaired renal function, extrinsic ureteric and PUJ obstruction.
Subject(s)
Adolescent , Adult , Aged , Child , Contrast Media , Female , Gadolinium DTPA/diagnosis , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Prospective Studies , Sensitivity and Specificity , Urography , Urologic Diseases/diagnostic imagingABSTRACT
Rhizobium sp. sesbania strain SRS 78, a Hup wild type carrying three plasmids was mutagenised using Tn5-sac BR cassette and clones carrying Tn5 insertion in plasmids were identified on the basis of transfer frequency of Tn5-sac BR labelled plasmids from Rhizobium to A. tumefaciens. Neomycin sensitive (Nms) clones were isolated from clones containing Tn5 labelled plasmids by plating on sucrose (5%). Nms clones did not show loss of hup activity. Preliminary results on curing studies indicated that hup genes are located on chromosome. These results were later confirmed by southern hybridization using plasmid pKHT30 containing hup genes of Azotobacter chroococcum. None of the three plasmids showed hybridization with hup gene probe while chromosomal DNA left in the wells showed positive signal.