"The importance of radiology in understanding and recognising the acutely ill patient with urosepsis and the role of interventional radiologyin their management cannot be underestimated, and recognition of this will no doubt fuel interest in this comprehensive yet relatively concise book." (Dr Steven Kennish, RAD Magazine, March, 2019)
Part I: Clinicians’ Current Perspectives on Urinary Tract Infections.- Introduction to Urinary Tract Infections: An Overview on Epidemiology, Risk Factors, Microbiology and Treatment Options.- Uncomplicated and Complicated Urinary Tract Infections in Adults: The Infectious Diseases Specialist’s Perspective.- Perspective from the Urologist.- Perspective from the Andrologist.- Nothing is Simple in Acute Pyelonephritis: A Pragmatic, Semantic Nephrologist’s View.- Part II: Imaging of Upper Urinary Tract Infections.- Ultrasound of Upper Urinary Tract Infections.- Cross-Sectional Imaging of Acute Pyeloureteritis And Pyonephrosis.- CT Imaging and Differential Diagnosis of Acute Pyelonephritis.- Imaging of Extrarenal Spread, Fistulising and Atypical Pyelonephritis.- MRI and Diffusion - Weighted MRI of Acute Pyelonephritis.- Cross-Sectional Imaging of Renal Cyst Infection.- Nuclear Medicine in the Management of Patient with Kidneys Intracystic Infection.- Part III: Imaging of Lower Urinary and Male Genital Tract Infections.- Ultrasound Imaging of Lower Urinary Tract Infections.- Cross-Sectional Imaging of Urinary Bladder, Prostate and Seminal Vesicles Infections Prostatic and Seminal Vesicle Infections.- Cross-Sectional Imaging of Urethral, Penile and Scrotal Infections.- Part IV: Miscellaneous Topics.- Cross-Sectional Imaging of Urosepsis.- Modern Imaging of Urogenital Tuberculosis MI.- Imaging Infections in Transplanted Kidneys.- Interventional Radiology for Drainage of Urine.- Interventional Radiology in the Treatment of Abscess Collection.- Imaging of Urinary Tract Infections in Children.
Dr Massimo Tonolini is a radiologist at the “Luigi Sacco” University Hospital in Milan, and mainly specializes in gastrointestinal and urogenital imaging. He received the “Cum Laude” Award at the RSNA Congress in 2002. He has published more than 70 articles in scientific journals, the vast majority of them in peer-reviewed international journals. In addition, he has edited the following books with Springer: “Imaging of perianal inflammatory diseases” (2013), “Imaging of ulcerative colitis” (2014) and “Imaging complications of gastrointestinal and biliopancreatic endoscopy procedures” (2016).
Aimed at practicing clinicians and radiologists, this volume provides up-to-date, detailed information on potentially severe urinary tract infections (UTIs), which frequently require intensive in-patient antibiotic therapy, percutaneous or surgical treatment. UTIs are the most prevalent infectious illness, and account for hundreds of thousands of emergency and hospital admissions yearly. Furthermore, UTIs are the most common (almost 40%) type of hospital-acquired infections, with bladder catheterisation being the key risk factor. According to the European Association of Urology guidelines, complicated urinary tract infections (C-UTIs) are those associated with structural or functional genitourinary abnormalities or with conditions that impair the host’s defence mechanisms, leading to an increased risk of acquiring infection or therapy failure.
Besides offering current perspectives from urologists, nephrologists, and specialists in infectious diseases, the book presents the techniques and highlights the role of ultrasound and contrast-enhanced ultrasound, nuclear medicine, multidetector computed tomography (CT) and magnetic resonance imaging (MRI) in providing comprehensive investigations of upper and lower tract UTIs, and of systemic infections from unknown sources. Cross-sectional imaging is currently recommended to confirm UTI, to assess severity and look for underlying treatable structural or functional abnormalities, in order to provide a consistent basis for a correct therapeutic choice.
Furthermore, dedicated chapters illustrate the current status of UTI imaging in children and the expanding role and possibilities of interventional radiology in the treatment of severe urinary tract infections.