Uroradiology | Radiology | Dartmouth-Hitchcock
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Uroradiology

The Uroradiology Division in recent years has seen significant increases in both patient volumes and in the variety and complexity of cases. We conduct exams in CT, MRI and Ultrasound. Advanced imaging in the division includes multi-phasic CT imaging, CT angiography, and CT urography. 3D CT reconstructions are a key facet in the pre-operative and diagnostic workup of the urology patient.

Much of the growth in uroradiology cases is driven by the expansion of the institution's Urology Section, which continues to add services and physicians. In 2005, a Pediatric Urology section was established, led by CHaD director, Dr. Paul A. Merguerian. With the addition of a third pediatric urologist in 2008, Dr. Leslie McQuiston, the new section has contributed to the steady increase in the number of pediatric patients seen in the Uroradiology Division.

The weekly uroradiology conference, used to review the diagnostic imaging and management strategies of urology patients, is a dynamic meeting between the two specialties. During this conference, various imaging studies are presented in an "unknown case" format to urology residents by radiology residents. Numerous facets of diagnosis and management are discussed, and treatment options are designed.

Over the past two years, a core series of uroradiology lectures has been developed. Repeated yearly, these lectures cover a wide range of topics, from intravenous urography techniques to the evaluation of adrenal masses and hysterosalpingography. Additional sessions for oral boards preparation are given in the spring. Though aimed at graduating seniors, "boards review" is often attended by junior residents who acquire a better sense for "taking the unknown case" by watching the seniors perform.

Services

  • Biopsies
  • Percutaneous nephrostomy catheters
  • Percutaneous placement of internal ureteral stents
  • Percutaneous access for stone removal
  • Radiofrequency ablation (RFA)
  • Cryoablation
  • Foreign body retrieval

Diagnostic Capabilities

  • CT, Ultrasound, and MR examinations
  • Multiphasic CT
  • CT angiography
  • MR angiography
  • CT urography
  • 3D CT and MR reconstructions
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