MR Urography

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Magnetic Resonance Urography (MRU) is a specialized MRI scan used to evaluate the urinary tract, including the kidneys, ureters, and bladder. It provides detailed images without radiation and is often used to diagnose:

• Kidney stones
• Urinary tract obstructions
• Congenital kidney abnormalities
• Ureteral strictures (narrowing of the ureters)
• Vesicoureteral reflux (backflow of urine into the kidneys)
• Kidney tumors or cysts
• Hydronephrosis (swelling of the kidneys due to urine buildup)

MR Urography can be performed as:

1. Non-contrast MR Urography (relies on the body’s natural urine flow).
2. Contrast-enhanced MR Urography (uses gadolinium contrast dye to improve visualization).

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    Description

    Test Preparation

    To ensure accurate results, follow these preparation guideline:

    1. Pre-Test Guidelines:
    • Fasting:
    If contrast dye is required, you may need to fast for 4-6 hours before the test.
    If no contrast is used, fasting may not be necessary.
    • Hydration:
    You may be advised to drink plenty of water before the scan to ensure good urine flow for better imaging.
    • Medications:
    Inform your doctor about any medications, especially diuretics, kidney medications, or contrast allergies.
    If you have kidney disease, a kidney function test (creatinine test) may be required before contrast injection.
    • Allergy & Medical History:
    Notify your doctor if you have metal implants (pacemakers, artificial joints, aneurysm clips) as MRI uses strong magnetic fields.
    • Claustrophobia:
    If you are claustrophobic, discuss mild sedation options with your doctor before the test.

    2. On the Day of the Test:
    • Clothing & Accessories:
    Wear loose-fitting, comfortable clothing without metal parts (zippers, buttons, or wires).
    Remove jewelry, watches, hearing aids, and metallic objects before the test.
    • Bladder Preparation:
    You may be asked to arrive with a full or partially full bladder to enhance imaging quality.
    • Avoid Caffeine & Alcohol:
    Avoid caffeine and alcohol for 24 hours before the test, as they may affect kidney function.

    3. During the MR Urography Scan:
    • The test takes 30-60 minutes, depending on the imaging type.
    • You will lie still inside the MRI machine while images are taken.
    • If contrast dye is used, it will be injected through an IV line. You may feel a cool sensation when the dye enters your body.
    • The MRI machine makes loud knocking or buzzing sounds; earplugs or headphones may be provided.