Document Detail


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
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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
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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

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