{"id":5133,"date":"2015-12-18T11:57:11","date_gmt":"2015-12-18T11:57:11","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=5133"},"modified":"2016-01-20T11:55:21","modified_gmt":"2016-01-20T11:55:21","slug":"irm-in-patologia-renala","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/irm-in-patologia-renala\/","title":{"rendered":"IRM \u00een patologia renal\u0103"},"content":{"rendered":"<p style=\"text-align: justify;\">IRM \u0219i CT renal prezint\u0103 o acurate\u021be asem\u0103n\u0103toare \u00een detectarea \u0219i caracterizarea majorit\u0103\u021bii leziunilor renale. At\u00e2t IRM c\u00e2t \u0219i CT pot evalua corespunz\u0103tor patologia tumoral\u0103 \u0219i infec\u021bioas\u0103 renal\u0103. UroIRM este o metod\u0103 neinvaziv\u0103 de vizualizare a \u00eentregului aparat excretor (rinichi, uretere, vezic\u0103 urinar\u0103). IRM are o senzitivitate crescut\u0103 fat\u0103 de CT \u00een evaluarea chistelor complicate sau a invaziei timpurii a nodulilor limfatici datorit\u0103 contrastului tisular superior pe care \u00eel ofer\u0103. Rezonan\u021ba magnetic\u0103 este util\u0103 \u00een caracterizarea unor leziuni cu caracter incert la CT, leziuni mici (sub 1 cm) a c\u0103ror iodofilie este dificil de apreciat tomografic \u0219i \u00een diferen\u021bierea unui chist complicat (hemoragic, infec\u021bios) de o leziune solid\u0103 renal\u0103. IRM renal prezinta unele avantaje\u00a0 morfologice \u0219i func\u021bionale fa\u021b\u0103 de urografia conven\u021bional\u0103. Cu toate aceste, rolul pricipal al IRM \u00een imagistica renal\u0103 r\u0103m\u0103ne \u00een continuare acela de a diferen\u021bia leziunile maligne de cele benigne \u00een cazul rezultatelor neconcludente la examinarea CT sau \u00een cazul pacien\u021biilor cu alergie sever\u0103 la substan\u021ba de contrast iodat\u0103, cu disfunc\u021bii renale severe sau pentru care examinarea CT nu este indicat\u0103 (copii, femei \u00eens\u0103rcinate).<\/p>\n<p style=\"text-align: justify;\">Odat\u0103 cu introducerea urografiei RM se poate evalua \u0219i patologia sistemului excretor renal. Este indicat\u0103 \u00een diagnosticarea \u0219i stadializarea cancerului care implic\u0103 rinichii, vezica sau prostata, dar \u00een cazul calculilor renali r\u0103m\u00e2ne inferioar\u0103 examin\u0103rii CT. Sistemul pielocaliceal \u0219i ureterele sunt vizibile \u00een secven\u021bele T1 WI cu substan\u021b\u0103 de contrast sau \u00een secven\u021bele T2 ponderate, unde urina este este hiperintens\u0103 din cauza timpului lung de relaxare T2, \u00een timp ce \u021besuturile \u00eenvecinate apar hipointense.<\/p>\n<p style=\"text-align: justify;\">Urografia RM este util\u0103 \u00een evaluarea obstruc\u021biilor suspecte ale tractului urinar , hematuriei \u0219i anomaliilor congenitale.<\/p>\n<p style=\"text-align: justify;\"><strong>IRM \u00een evaluarea func\u021biei renale<\/strong><\/p>\n<p style=\"text-align: justify;\">Testarea creatininei serice aduce informa\u021bii referitoare la func\u021bia renal\u0103, dar nu diferen\u021biaz\u0103 func\u021bionarea fiec\u0103rui rinichi \u00een parte, scintigrafiei renale \u00eei lipsesc detalii anatomice, iar CT are dezavantajul iradierii \u0219i a utiliz\u0103rii substan\u021bei de contrast cu poten\u021bial nefrotoxic care poate cauza deterior\u0103ri ale func\u021biei renale \u00een cazul unor rinichi deja afecta\u021bi. IRM\u00a0 are avantajul de a furniza at\u00e2t informa\u021bii anatomice c\u00e2t \u0219i func\u021bionale pentru fiecare dintre rinichi.<\/p>\n<p style=\"text-align: justify;\">De\u0219i imagistica IRM nu are \u00eenc\u0103 suficiente aplica\u021bii clinice \u00een cazul afec\u021biunilor renale, este de asteptat ca dezvoltarea tehnicilor func\u021bionale precum DWI (Diffusion Weighted Imaging) \u0219i\u00a0 DCE (Dynamic Contrast Enhanced) s\u0103 cresc\u0103 rolul IRM func\u021bional \u00een managementul pacien\u021bilor cu afec\u021biuni renale.<\/p>\n<p style=\"text-align: justify;\">Dr. Mircea MEDREA,<\/p>\n<p style=\"text-align: justify;\">MEDINST Diagnostic<br \/>\nRom\u00e2no-German<\/p>\n<p style=\"text-align: justify;\"><a href=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/MEDinst-logograma-claim_4c_P2945.jpg\" rel=\"attachment wp-att-4113\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-4113\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/MEDinst-logograma-claim_4c_P2945-300x90.jpg\" alt=\"MADinst\" width=\"300\" height=\"90\" srcset=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/MEDinst-logograma-claim_4c_P2945-300x90.jpg 300w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2015\/02\/MEDinst-logograma-claim_4c_P2945.jpg 800w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p style=\"text-align: justify;\"><strong>Medinst Diagnostic Rom\u00e2no-German func\u021bioneaz\u0103 din anul 1997 \u00een cadrul Institutului Na\u021bional de Neurologie \u0219i Boli Neurovasculare Bucure\u0219ti.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>IRM \u0219i CT renal prezint\u0103 o acurate\u021be asem\u0103n\u0103toare \u00een detectarea \u0219i caracterizarea majorit\u0103\u021bii leziunilor renale. At\u00e2t IRM c\u00e2t \u0219i CT pot evalua corespunz\u0103tor patologia tumoral\u0103 \u0219i infec\u021bioas\u0103 renal\u0103. UroIRM este [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":5243,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[33,154],"tags":[442],"class_list":["post-5133","post","type-post","status-publish","format-standard","has-post-thumbnail","category-articole","category-urologie","tag-medinst"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>IRM \u00een patologia renal\u0103 - Jurmed - Medici<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/irm-in-patologia-renala\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"IRM \u00een patologia renal\u0103 - Jurmed - Medici\" \/>\n<meta property=\"og:description\" content=\"IRM \u0219i CT renal prezint\u0103 o acurate\u021be asem\u0103n\u0103toare \u00een detectarea \u0219i caracterizarea majorit\u0103\u021bii leziunilor renale. At\u00e2t IRM c\u00e2t \u0219i CT pot evalua corespunz\u0103tor patologia tumoral\u0103 \u0219i infec\u021bioas\u0103 renal\u0103. 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At\u00e2t IRM c\u00e2t \u0219i CT pot evalua corespunz\u0103tor patologia tumoral\u0103 \u0219i infec\u021bioas\u0103 renal\u0103. 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