Renal CT Scan Phases

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Questions and Answers

During which phase of renal CT imaging is the renal cortex highly enhanced while the medulla remains poorly enhanced?

  • Excretory Phase
  • Late Arterial (Cortico-medullary) Phase (correct)
  • Nephrographic Phase
  • Early Arterial Phase

What is the characteristic feature of the nephrographic phase in renal CT imaging?

  • There is no contrast enhancement in either the cortex or medulla.
  • The renal cortex shows minimal enhancement.
  • The renal cortex and medulla exhibit similar degrees of contrast enhancement. (correct)
  • The renal medulla is significantly more enhanced than the cortex.

Which of the following scan delay ranges is most appropriate for acquiring the nephrographic phase during renal CT imaging?

  • 10-30 seconds
  • 45 seconds
  • 90-200 seconds (correct)
  • 3-15 minutes

Which phase of renal CT imaging is most valuable for evaluating the collecting system?

<p>Excretory Phase (C)</p> Signup and view all the answers

What is the typical scan delay range (in minutes) for the excretory phase in renal CT imaging to achieve optimal opacification of the collecting system?

<p>3-15 minutes (B)</p> Signup and view all the answers

If a renal CT scan is performed 60 seconds after contrast injection, which phase is most likely being imaged?

<p>Nephrographic Phase (D)</p> Signup and view all the answers

A radiologist wants to optimize visualization of the renal collecting system. Which phase and scan delay would be most appropriate?

<p>Excretory phase, 5 minutes (B)</p> Signup and view all the answers

In which phase of renal CT imaging would you expect to see the most distinct difference in contrast enhancement between the renal cortex and medulla?

<p>Late arterial (cortico-medullary) phase (A)</p> Signup and view all the answers

A patient undergoes a renal CT scan. The images show that the renal cortex and medulla have almost identical levels of enhancement. Which phase of imaging does this finding correspond to?

<p>Nephrographic phase (C)</p> Signup and view all the answers

During a renal CT scan, images acquired at 3 minutes post-contrast injection primarily reflect which phase?

<p>Excretory phase (D)</p> Signup and view all the answers

Flashcards

Late Arterial (Cortico-Medullary) Phase

Renal cortex is well enhanced, medulla is poorly enhanced.

Nephrographic Phase

Renal cortex and medulla exhibit a similar degree of contrast enhancement.

Excretory Phase

Used to evaluate the collecting system, with scan delay from 3-15 minutes.

Study Notes

  • Late arterial (corticomedullary) phase: typically acquired after a 45-second delay.
  • In the late arterial phase, the renal cortex is well-enhanced, while the medulla is poorly enhanced.
  • Nephrographic phase: typically acquired after a 90-200 second delay.
  • In the nephrographic phase, the renal cortex and medulla exhibit a similar degree of contrast enhancement.
  • Excretory phase: the scan delay for optimal opacification of the collecting system is variable, ranging from 3-15 minutes (more than 200 seconds).
  • The excretory phase is useful for evaluation of the collecting system.

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