| Plain abdominal radiography with transabdominal native tissue harmonic imaging ultrasonography vs unenhanced computed tomography in renal colic. | |
| | |
MedLine Citation:
|
PMID: 17608825 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To compare plain film kidney, ureter and bladder radiography (KUB) with transabdominal native tissue harmonic imaging ultrasonography (NTHI-US) vs unenhanced computed tomography (CT) for the diagnosis of urinary calculi in patients with acute flank pain. PATIENTS AND METHODS: In all, 112 patients who presented to the urological department with clinical suspicion of ureteric calculi were included. These patients had KUB with NTHI-US and unenhanced CT. Of the 112 patients, 14 were lost to follow-up and therefore excluded. For the remaining 98 patients (53 men, 45 women; mean age 43.3 years, range: 19-74) the KUB with NTHI-US findings were compared with the CT findings, which served as the 'gold standard'. RESULTS: In all, 75 patients were confirmed to have ureteric calculi. KUB with transabdominal NTHI-US detected 72 of the 75 patients with calculi (sensitivity 96%, specificity 91%, and accuracy 95%). Unenhanced CT detected urolithiasis in all 75 patients (sensitivity, specificity and accuracy of 100%). Both techniques showed further extra-urinary pathologies. CONCLUSION: This prospective study shows that CT is the most accurate technique for detecting urolithiasis. However, KUB with transabdominal NTHI-US is an alternative to unenhanced CT with comparable results. |
| | |
Authors:
|
Michael Mitterberger; Germar Michael Pinggera; Leo Pallwein; Johannes Gradl; Gudrun Feuchtner; Raffael Plattner; Richard Neururer; Georg Bartsch; Hannes Strasser; Ferdinand Frauscher |
Related Documents
:
|
6385895 - Fungal splenic abscess. 17701235 - Impact of chest ct on the clinical management of immunocompetent emergency department p... 10841385 - Effective doses to patients undergoing thoracic computed tomography examinations. 6609595 - Lymphadenopathy in celiac disease: computed tomographic observations. 3470705 - Urinary excretion of lactate, 2-oxoglutarate, citrate, and glycerol in patients with gl... 21242235 - Disease activity score-driven therapy versus routine care in patients with recent-onset... |
Publication Detail:
|
Type: Comparative Study; Journal Article Date: 2007-07-03 |
Journal Detail:
|
Title: BJU international Volume: 100 ISSN: 1464-4096 ISO Abbreviation: BJU Int. Publication Date: 2007 Oct |
Date Detail:
|
Created Date: 2007-09-07 Completed Date: 2007-11-27 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100886721 Medline TA: BJU Int Country: England |
Other Details:
|
Languages: eng Pagination: 887-90 Citation Subset: IM |
Affiliation:
|
Department of Urology, Medical University Innsbruck, Austria. michael.mitterberger@uibk.ac.at |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Female Humans Male Middle Aged Predictive Value of Tests Prospective Studies Radiographic Image Enhancement Radiography, Abdominal / standards Sensitivity and Specificity Tomography, X-Ray Computed / standards* Ultrasonography / methods Ureteral Calculi / diagnosis*, radiography, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A review of the current status of topical treatments for premature ejaculation.
Next Document: Proposed mechanisms of lower urinary tract injury in fractures of the pelvic ring.