To assess the role of computed tomography virtual cystoscopy(CTVC) in detection of bladder neoplasms. Investigating possible applications of CTVC as an alternative method for detection of urinary bladder neoplasms and to compare CTVC at convention and reduced milli ampere second setting. Assesment of utility of virtual cystoscopy performed using volume rendering algorithm performed with multidetector computed tomography compared to conventional cystoscopy.

Urinary bladder neoplasm is the most common neoplasm of urinary system.Several risk factors have been being involved in pathogenesis such as cigarette smoking,nitogen fertilizers,cyclophosphamide,human papilloma virus,chronic cystitis,schistosomiasis and genetic predisposition. Gross painless hematuria is the classical clinical sign. Computed tomography virtual cystoscopy(CTVC) is minimally invasive and allows imaging of urinary bladder in multiple planes. Number, size, location and morphological features of the lesions will be studied in transverse and virtual images obtained with patient in supine and prone position. CTVC conveys to surgeon appropriate areas...

Detailed history taking,general, local examination,routine lab investigations such as urine analysis full blood picture and renal analysis to be done. For cases examined with air contrast in the bladder:- The urinary bladder is drained using a catheter and insufflated with 300- 500 ml of room air as per tolerance of the patient. A scout view of the bladder obtained and then helical CT scanning will be done using a single- detector row CT scanner with parameters: collimation 3 mm , pitch 1, tube current 250mAs,tube...

Urinary bladder carcinoma is the most common malignat neoplasm of urinary tract.Conventional cystoscopy represents the gold standard for detection of urinary bladder carcinoma.The results of conventional cystoscopy and virtual cystoscopy are comparable for detection of bladder masses. CTVC provides many advantages:- CTVC gives comprehensive information about the bladder tumours. Images can be stored in file and lesions could be compared in follow up period. Access to anterior wall of bladder or lumen of a diverticulum is not restricted by CTVC. The technique can be used...

Dr.B.Ashraf Ahmed MD.RD Associate Professor Dept of Radiology, Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research Melmaruvathur Kancheepuram District Tamilnadu -603319 India Dr.V.Anusha, M.B.B.S Final year postgraduste Dept of Radiology Chettinad Hospital & Research Institute Chennai Tamilnadu-603103 India Dr.F.Abubacker Sulaiman MD.RD,EDiR Professor & Head of Department Dept of Radiology Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research Melmaruvathur Kancheepuram District Tamilnadu -603319 India Dr.J.Viyango PandianMD.RD Assistant Professor Dept of Radiology Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research Melmaruvathur Kancheepuram District Tamilnadu -603319 India Dr.K.Saravannan...

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