Document Detail


Comparison of spiral CT and US in the evaluation of pediatric urolithiasis.
MedLine Citation:
PMID:  15587558     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of the study was to determine the value of spiral computerized tomography (CT) in detecting urolithiasis in pediatric patients and compare its efficacy with ultrasound (US). Twenty-nine infants aged between 2 to 94 months with clinical presentation suggestive of urolithiasis and a negative or indeterminate plain film were included in the study. Abdominal US and spiral CT were performed in all patients. Presence, size and localization of stones were noted for each patient on both CT and US. The diagnosis of urolithiasis was confirmed by passage of stones spontaneously, extracorporeal shockwave lithotripsy (ESWL), surgery, or clinical follow-up. Presence of stones was confirmed in 23 of 29 patients (79%). Eight patients had single stone and the remaining 15 had multiple stones either in a single localization (single kidney or single ureter) or multiple localizations. Spiral CT detected 57 stones (45 renal and 12 ureteral). US detected 34 stones (59.6%) in 18 (78.2%) patients. US was able to localize 31 stones (68.8%) in 21 kidneys (75%), and 3 stones (25%) in 11 ureters (27.2%). Spiral CT is very effective in the diagnosis of pediatric urolithiasis. Spiral CT is more efficient than US in imaging pediatric patients with symptoms and signs of urolithiasis, when KUB is inconclusive.
Authors:
S Oner; A Oto; S Tekgul; M Koroglu; M Hascicek; A Sahin; O Akhan
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  JBR-BTR : organe de la Société royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR)     Volume:  87     ISSN:  0302-7430     ISO Abbreviation:  JBR-BTR     Publication Date:    2004 Sep-Oct
Date Detail:
Created Date:  2004-12-13     Completed Date:  2005-02-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100888280     Medline TA:  JBR-BTR     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  219-23     Citation Subset:  IM    
Affiliation:
Department of Urology, Hacettepe University, School of Medicine, Sihhiye, Ankara, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Infant
Male
Tomography, Spiral Computed*
Urinary Calculi / radiography*,  ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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