Renal Enhancement Phases

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Questions and Answers

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

  • Excretory phase
  • Late arterial (corticomedullary) phase (correct)
  • Nephrographic phase
  • Equilibrium phase

In which renal CT imaging phase do both the renal cortex and medulla exhibit a similar degree of contrast enhancement?

  • Early arterial phase
  • Late arterial (corticomedullary) phase
  • Excretory phase
  • Nephrographic phase (correct)

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

  • Excretory phase (correct)
  • Late arterial (corticomedullary) phase
  • Nephrographic phase
  • Venous phase

What is the typical scan delay for acquiring the late arterial (corticomedullary) phase in renal CT imaging?

<p>45 seconds (D)</p> Signup and view all the answers

The nephrographic phase of renal CT imaging is typically acquired after a scan delay of how many seconds?

<p>90-200 seconds (C)</p> Signup and view all the answers

What is the approximate range of scan delays (in minutes) for optimal opacification of the collecting system during the excretory phase?

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

If a renal CT scan is performed with a 60 second delay, which phase is most likely represented?

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

A radiologist wants to assess a suspected ureteral obstruction. Which phase of renal CT imaging would be most beneficial?

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

What is the primary characteristic that distinguishes the late arterial (corticomedullary) phase from the nephrographic phase?

<p>The degree of enhancement in the renal medulla (C)</p> Signup and view all the answers

A renal CT scan is performed and the images show contrast filling the renal pelvis and ureters. Which phase of imaging is most likely represented by these images?

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

Flashcards

Late arterial (corticomedullary) phase

Renal cortex is well enhanced, while the medulla is poorly enhanced.

Nephrographic phase

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

Excretory phase

Optimal opacification of the collecting system; useful for evaluation of the collecting system.

Study Notes

  • Late arterial (corticomedullary) phase occurs with a 45-second delay.
  • In the late arterial phase, the renal cortex enhances well, while the medulla enhances poorly.
  • The nephrographic phase occurs with a 90-200 second delay.
  • In the nephrographic phase, the renal cortex and medulla enhance similarly.
  • The excretory phase, useful for evaluating the collecting system, occurs with a 3-15 minute delay (more than 200 seconds).
  • The scan delay for optimal opacification of the collecting system in the excretory phase is variable.

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