On this page:
The kidneys filter wastes and fluids to produce urine. The urine travels from the kidneys down two narrow tubes called the ureters. The urine is then stored in a hollow, muscular, balloon-shaped organ called the bladder. When the bladder empties, urine flows out of the body through a tube called the urethra at the bottom of the bladder.
Imaging is a general term for techniques used to create pictures. In medicine, imaging produces pictures of bones, organs, and vessels inside the body. Imaging helps health care professionals see the cause of medical problems. Imaging techniques include
Imaging could be required for symptoms such as
Your health care professional might also order urinary tract imaging to pinpoint a problem. That’s important because different urinary tract problems may share the same symptoms. For example, a urinary blockage can be caused by a kidney stone or an enlarged prostate.
Imaging can also help your health care professional identify, evaluate, follow up, and monitor problems such as
Before ordering imaging tests, your health care professional will consider your general medical history, including any major illnesses or surgeries, perform a physical exam, obtain blood test results, and may ask
Your health care professional can use several different imaging techniques, depending on factors such as your general medical history and urinary tract symptoms.
X-rays of the urinary tract can help highlight and monitor a kidney stone or tumor that could be blocking the flow of urine and causing pain.
Conventional x-rays involve some exposure to ionizing radiation, a type of radiation strong enough to damage some cells.
Two common x-ray procedures used for urinary tract imaging include
Ultrasound uses a hand-held device, called a transducer, that bounces safe, painless sound waves off organs to create an image of their structure. The health care professional can move the transducer at different angles to examine different organs.
This procedure is painless, poses no risk of radiation, needs no anesthesia, and allows you to return to daily tasks immediately.
Health care professionals use specific types of abdominal ultrasounds to look at different parts of the urinary tract.
Magnetic resonance imaging (MRI) takes pictures of the body’s internal organs and soft tissues without using x-rays. MRI machines use radio waves and magnets to produce detailed pictures of the body’s internal organs and soft tissues. During an MRI, a special dye known as a contrast medium may be injected into the blood before the test, usually intravenously (IV) through a vein in the hand or forearm. The dye helps the radiologist see certain areas more clearly.
Magnetic resonance angiography (MRA). An MRA is a type of MRI that provides the most detailed view of kidney arteries, which are the blood vessels that supply blood to your kidneys. An MRA can also show renal artery stenosis.
Magnetic resonance urography (MRU). An MRU is a type of MRI used to evaluate patients with blood in the urine, known as hematuria. MRU is also used when following up with patients who have a history of urinary tract cancers and to identify abnormalities in patients with recurrent urinary tract infections.
A CT scan combines x-rays with computer technology to create three-dimensional (3-D) images. These scans can show stones in the urinary tract, as well as obstructions, infections, cysts, tumors, and traumatic injuries. Imaging for urinary stone disease can be done with low or ultra-low dose CT scans.
A radionuclide scan, also called a nuclear scan or radioisotope scan, detects small amounts of radiation after radioactive material is injected into the blood. This scan provides information about how your kidneys function and helps health care professionals diagnose many conditions, including cancers, injuries, and infections.
Renal scan, also called kidney scan. Your health care professional might use a renal scan to check your kidneys and the urinary system. This type of exam includes injecting a small amount of radioactive material into the blood and using a special camera and computer.
There are different types of renal scans, and they can be used to check the kidneys along with other imaging methods such as ultrasound, CT scans, and MRIs. Sometimes they can provide unique information that is hard to get from other imaging procedures. A health care professional determines which method will provide the best information about your kidneys and urinary system.
PET scan. A positron emission tomography (PET) scan is a type of imaging that uses a small amount of radioactive material, a special camera, and a computer to help health care professionals see how the organs and tissues are working. PET scans are sometimes performed on combined PET/CT scanners.
How you prepare for an imaging test will depend on the test’s purpose and type. Your health care professional will give you instructions. Listen carefully and ask questions if you don’t understand. You might be asked to
After most imaging tests, you can go home and resume normal activity. Some tests that involve catheters may cause minor discomfort. Tests that include medication, dyes, or sedatives occasionally trigger allergic reactions.
Tests that may cause discomfort include
If you have a catheterization, your health care professional may prescribe an antibiotic for 1 or 2 days to prevent an infection. If you have any signs of infection, including pain, chills, or fever, call your health care professional immediately.
Tests that may cause an allergic reaction include
A test that uses a special dye, known as contrast medium, can cause kidney damage in people with certain conditions, such as impaired kidney function or diabetes. In most people, there is no damage or damage is minimal and temporary, healing on its own within a week or so. In rare cases, contrast medium can cause lasting kidney damage. Drinking plenty of fluids before and after a CT scan with radiocontrast will dilute the dyes and help your body remove them faster, reducing the risk of kidney injury.
Kidney damage or reduced kidney function is usually diagnosed by lab testing.
For simple tests, such as x-rays and abdominal ultrasounds, you can discuss the results with your health care professional soon afterward. Results of other tests, such as MRIs or CT scans, may take several days to become available, and you may need a separate appointment to discuss your results.
The NIDDK conducts and supports clinical trials in many diseases and conditions, including urologic diseases. The trials look to find new ways to prevent, detect, or treat disease and improve quality of life.
Clinical trials—and other types of clinical studies—are part of medical research and involve people like you. When you volunteer to take part in a clinical study, you help doctors and researchers learn more about disease and improve health care for people in the future.
Researchers are studying many aspects of imaging procedures to diagnose and treat different urinary tract diseases. For example, researchers are studying
Watch a video of NIDDK Director Dr. Griffin P. Rodgers explaining the importance of participating in clinical trials.
You can view a filtered list of clinical trials on urinary tract imaging that are open and recruiting at www.ClinicalTrials.gov. You can expand or narrow the list to include clinical studies from industry, universities, and individuals; however, the National Institutes of Health does not review these research studies and cannot ensure they are safe. Always talk with your health care professional before you participate in clinical research.
This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases
(NIDDK), part of the National Institutes of Health. The NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other experts.
The NIDDK would like to thank:
Ann E. Stapleton, M.D., FACP, FIDSA University of Washington School of Medicine