Publications by authors named "Jean Francois Lapray"

Objectives: To develop technical guidelines for magnetic resonance imaging aimed at characterising renal masses (multiparametric magnetic resonance imaging, mpMRI) and at imaging the bladder and upper urinary tract (magnetic resonance urography, MRU).

Methods: The French Society of Genitourinary Imaging organised a Delphi consensus conference with a two-round Delphi survey followed by a face-to-face meeting. Two separate questionnaires were issued for renal mpMRI and for MRU.

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Article Synopsis
  • * Out of 138 initial statements, 96 (70%) reached consensus, emphasizing the need for a 20 mg intravenous injection of furosemide before contrast medium.
  • * Recommendations include preferring split-bolus protocols to reduce patient radiation, timing excretory phase imaging at 7 minutes after contrast injection, and providing tailored imaging protocols for various clinical scenarios.
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Colpocystodefecography (CCD) and dynamic MRI with defecography (MRId) allow an alternation between filling and emptying the hollow organs and the maximum abdominal strain offered by the defecation. When applied in imaging these two principles reveal the masked or underestimated prolapses at the time of the physical examination. A rigorous application of the technique guarantees almost equivalent results from the two examinations.

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INDICATIONS FOR IMAGING: Apart from ultrasound assessment of post-voiding residual urine, radiological examinations are not recommended for the initial work-up of non-neurological female urinary incontinence. CYSTOGRAPHY: Cystography is not recommended as a first-line examination to evaluate uncomplicated stress, urge or mixed urinary incontinence. Cystography may be recommended in the case of complex, complicated or relapsing urinary incontinence, discordance between clinical findings and urodynamic assessment or in the presence of associated prolapse, in which case colpocystodefecography or even dynamic MRI should be preferred.

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Objective: To study the correlation between genital phenotype and cystic fibrosis genotype in men lacking at least one vas deferens.

Design: Prospective study.

Setting: Institut Rhônalpin pour la Reproduction Humaine, Lyon-Bron, France.

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