Document Detail


Estimation of urinary stone composition by automated processing of CT images.
MedLine Citation:
PMID:  19711066     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this article was developing an automated tool for routine clinical practice to estimate urinary stone composition from CT images based on the density of all constituent voxels. A total of 118 stones for which the composition had been determined by infrared spectroscopy were placed in a helical CT scanner. A standard acquisition, low-dose and high-dose acquisitions were performed. All voxels constituting each stone were automatically selected. A dissimilarity index evaluating variations of density around each voxel was created in order to minimize partial volume effects: stone composition was established on the basis of voxel density of homogeneous zones. Stone composition was determined in 52% of cases. Sensitivities for each compound were: uric acid: 65%, struvite: 19%, cystine: 78%, carbapatite: 33.5%, calcium oxalate dihydrate: 57%, calcium oxalate monohydrate: 66.5%, brushite: 75%. Low-dose acquisition did not lower the performances (P < 0.05). This entirely automated approach eliminates manual intervention on the images by the radiologist while providing identical performances including for low-dose protocols.
Authors:
Gr??goire Chevreau; Jocelyne Troccaz; Pierre Conort; Rapha??lle Renard-Penna; Alain Mallet; Michel Daudon; Pierre Mozer
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-08-27
Journal Detail:
Title:  Urological research     Volume:  37     ISSN:  1434-0879     ISO Abbreviation:  Urol. Res.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-16     Completed Date:  2009-12-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0364311     Medline TA:  Urol Res     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  241-5     Citation Subset:  IM    
Affiliation:
Department of Urology, Piti??-Salp??tri??re Hospital, Paris, France. Gregoire.Chevreau@imag.fr
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MeSH Terms
Descriptor/Qualifier:
Calcium Oxalate / analysis
Calcium Phosphates / analysis
Cystine / analysis
Humans
Sensitivity and Specificity
Tomography, Spiral Computed / methods*
Uric Acid / analysis
Urinary Calculi / chemistry*,  radiography*
Chemical
Reg. No./Substance:
0/Calcium Phosphates; 14567-92-1/brushite; 25454-23-3/Calcium Oxalate; 56-89-3/Cystine; 69-93-2/Uric Acid

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


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