Haematuria is one of the commonest manifestation of urinary tract pathologies and requires thorough diagnostic workup. MDCT urography with its faster speed and multiplanar capabilities has become the investigation of choice in such cases. OBJECTIVES Our study was done with the aims of assessing the role of CT Urography in detecting the entire spectrum of urinary tract diseases causing haematuria and also to establish whether this single investigation suffices in directing the right management

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... rategy in all these patients. MATERIALS AND METHODS This prospective study of 105 patients presenting with haematuria was done at a tertiary care government hospital at Nagpur over a period of two years. Two phase acquisition protocol (Split Bolus technique) with saline distension was done in the majority of cases. Separate cortico-medullary phase images were acquired in cases of renal neoplasms for their better characterization. Images were viewed in axial as well as with 3D reformatted coronal planes. RESULTS Split bolus MDCT Urography with saline distension provided at least 50% opacification of urinary tract in about 94.8%. Major causes of haematuria in our study were urolithiasis (25.7%), Urothelial tract and bladder neoplasms (23.8%) followed by renal neoplasms (16.2%). Developmental anomalies, infections and trauma were some other aetiologies. The overall sensitivity for upper urinary tract evaluation was 100%, while that for lower urinary tract was 88.4%. The overall positive predictive value was 97.4% in diagnosing haematuria by MDCT Urography. CONCLUSIONS CT Urography is highly accurate in evaluation of haematuria and definitely has potential to be one stop shop in evaluation of patients with haematuria. With the use of properly tailored protocols, the issue of radiation exposure can be addressed.