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Table 15 Section 7: Whole Body CT – Special protocols, key issue 1: CT—urography

From: European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

Key question: What are the indications for extended imaging of the urinary tract?
No Statement(s) Cons Grade Cons
7.1.1 The indications should be taken in conjunction with the guideline from the European Society of Urogenital Radiology (ESUR) 100%
strong
GPP
A
86%
normal
7.1.2 A urographic phase should not delay other immediately necessary life-sustaining therapy 100%
strong
GPP
A
100%
strong
7.1.3 If necessary, a urographic phase may be considered up to a few hours after the initial CT without further injection of contrast media 100%
strong
GPP
0
100%
strong
7.1.4 If in situ, a bladder catheter should be clamped first before performing the urographic phase 100%
strong
GPP
A
100%
strong
7.1.5 In case of unclear findings of the bladder and urethra, an additional retrograde filling may be considered 100%
strong
GoR
0
100%
strong
Literature: detected = 2639, excluded = 2615, full-text: rated = 24, excluded = 15, included = 9 (guideline: [15, 19, 113,114,115,116,117,118]; level 3: [100])
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