CT Evaluation of Hematuria in Adults in Military Service: Is Contrast-Enhanced Phase Needed?

Key Points :1. Diagnostic Efficacy of Unenhanced CT: The study reveals that unenhanced CT can detect 91% of clinically significant findings in young military personnel with hematuria, suggesting it may be sufficient as a first-line evaluation, reducing the need for contrast-enhanced phases.2. Low Incidence of Malignancy: AmoFng patients under 50, no cases of urinary malignancy were detected, reinforcing the idea that invasive contrast-enhanced imaging may be unnecessary in this low-risk population.3. Selective Use of Contrast: The study shows that contrast-enhanced imaging was required in only 5.4% of cases, primarily for benign conditions, supporting a more targeted use of contrast phases in specific clinical scenarios.