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Examination of the urogenital system Hospital Department of Radiology Jablonec nad Nisou p.o.
MENŠÍKOVÁ, Věra
The bachelor thesis named Examination of the urogenital system Radiodiagnostics Hospital Jablonec nad Nisou c. o. deals with methods of examination of the genitourinary system and creates a list and description of each method, using at these examinations. A radiology assistant is a non medical healthcare expert who uses their theoretical and practical knowledge gained during their university study in the fields of radiodiagnostics, radiotherapy and nuclear medicine. Radiology assistants are erroneously perceived both by other medical personnel and by lay public as technical workers. However, they are also medics who must be able to manipulate with highly sophisticated equipment but also provide medical care to the patients in full scale. As regards radiodiagnostics, the radiology assistants' task is to carry out the examination itself and obtain graphic documentation thereof. Radiology assistants ensure examination and handling of the equipment and they assist the doctor radiologist during more exacting intervention procedures. Radiology assistants' job is highly erudite and people working with ionising radiation must strictly abide by the laws and regulations stipulating strict rules and requirements which each radiology assistant must meet when they want to perform this activity. Radiology assistants' approach must help reduce the radiation burden of the population. It is logical, that the technological development goes hand in hand with higher examination yield and the ALARA principle is generally adhered to and applied in all examinations. If we strive to decrease the radiation dose, it is necessary to use an optimum amount of contrast agents. At the beginning of the thesis, there is a detailed description of urogenital system anatomy and physiology whose knowledge is a must when one wants to work in this field. Imaging methods described in the thesis range from the simplest ones to the most complex ones, both as regards the examination time and pursuant to specifications associated with individual examination types. The examination should be carried out from the least invasive examination procedures to the most complex ones. The methodics is based on gathering, study and subsequent analysis of the obtained data. Data from years 2009 2013 obtained at the radiodiagnostic ward of Nemocnice Jablonec nad Nisou p.o. hospital was gathered for this purpose. Investigations are divided into a number of men and women undergoing these tests. Investigative methods are compared, and evaluated that prevail, and from which they are abandoned prevail and which are being gradually abandoned. For the purpose of my thesi. The gathered data was processed into tables and synoptic graphs. Information from expert books, articles and verified Internet sources were used in the bachelor thesis. Results of my study confirmed the research question, the number of patients who undergo examinations of the urogenital system Radiodiagnostics Hospital Jablonec nad Nisou after rising. Preference tests are noninvasive and greater diagnostic yield. It is also found, however, that certain examination still have their place and are being replaced by another method. This example of hysterosalpingography. The aim of the thesis was to create an overview and description of individual radiodiagnostic methods in uropoetic system examinations and analysis of data from radio diagnostic department Hospital Jablonec nad Nisou regarding the examination of the urogenital system. The number of examinations in the radiodiagnostic ward is rising and the demands placed on a radiodiagnostic assistant are also continuously increasing from both physical and mental point of view. Radiology assistants are obliged to improve their knowledge and skills actively by means of training sessions and self study.
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Diagnostic imaging methods in children with disorders of the lower urinary tract
VOLMANOVÁ, Martina
A large part of the population of all age groups suffers from the lower urinary tract diseases. The most reliable imaging methods proving the possible pathology not only in the field of urology are methods joint with the ionizing radiation. However this method has a negative impact on the human organism, especially in view of the ability of reproduction and possibility of tumorous disease occurrence. An especially risky group are patients of children´s age, on whom I concentrated in this thesis. Since the birth, various diseases of excretory system appear in children´s age group. Very frequent are urinary tract infections leading to the vesicoureteral reflux. In chapters of this thesis the methods are analyzed which could be taken in consideration for the diagnostics of the vesicoureteral reflux. The most frequently applied methods, i.e. X-ray methods and methods without ionizing radiation, which are the most suitable ones thanks to the absence of radiation load are compared here. The target of this thesis was to summarise the knowledge concerning the voiding cystourethrography in comparison with the methods without ionising radiation, i.e. the magnetic resonance imaging and ultrasonography, to define the diagnostic possibilities of the methods without ionising radiation and to recommend the way of their application. Moreover, I evaluated the work of radiological assistant during applying these methods. I performed an examination in the Radiological Department of the Hospital of České Budějovice a.s., where I collected the information concerning the diagnostics of the lower urinary tract and how the individual methods are applied. In 2009, 116 voiding cystourethrographies were performed here on 58 girls and 46 boys in the age ranging from 1 week to 18 years incl.. The most voiding cystourethrographies were performed on children up to 1 year of age. The same number of ultrasonographic examinations was performed, however, only as control examination after the voiding cystourethrography. The examination by means of the magnetic resonance imaging is not performed at all. During 116 examinations by the voiding cystourethrography, 42,3% pathologic findings were discovered, in the most cases vesicoureteral reflux. The activity of the radiological assistant was necessary only during the voiding cystourethrography. After examination of the individual methods I can conclude that the X-ray voiding cystourethrography is unambiguously the {\clqq}golden``, i.e. most common standard in the diagnostics of the vesicoureteral reflux and further pathologic phenomena causing the lower urinary tract diseases.
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