Other Contrast
 | 1. Do we ever use rectal contrast and if so when and why? |
| 2. What is virtual colonoscopy and what is the patient prep for the study? |
| 3. Do we ever place contrast in the bladder similar to a cystogram and if so why? |
| 4. What contrast do you put in the bladder (type and volume)? |
 | We drip in up to 530 cc of contrast (500 cc bag of saline mixed with 30cc of Omnipaque-350). The contrast is dripped in under gravity and when the patient has pain or the contrast runs out we will stop and then start the study. "Virtual Cystoscopy is more accurate than multiplanar reconstruction and source CT images for the detection of lesions in the bladder." Comparison of Virtual Cystoscopy, Multiplanar Reformation, and Source CT Images with Contrast Material Filled Bladder for Detecting Lesions Kim JK et al. AJR 2005; 185:689-696 "MDCT cystoscopy is an accurate technique for the detection of urinary bladder neoplasms in patients at high risk, yielding satisfactory results in the identification of lesions smaller than 0.5 cm." 16-MDCT Cystoscopy in the Evaluation of neoplasms of the Urinary Bladder Tsampoulas C et al. AJR 2008; 190:729-735 "Fifty-five (96%) of 57 urinary bladder lesions recognized at conventional cystoscopy were detected at MDCT cystoscopy. The size of the lesions ranged from 0.3 to 9.7 cm in diameter, including 18 lesions with a diameter of 0.5 mm or less. Transverse, multiplanar reformatted, and virtual images proved complementary for lesion detection" 16-MDCT Cystoscopy in the Evaluation of neoplasms of the Urinary Bladder Tsampoulas C et al. AJR 2008; 190:729-735 |