| Suspected ureteral colic: plain film and sonography vs unenhanced helical CT. A prospective study in 66 patients. | |
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MedLine Citation:
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PMID: 12819916 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of this study was to compare the sensitivity and specificity of plain abdominal films plus ultrasound, vs nonenhanced CT for the diagnosis of ureteral colic in patients with acute flank pain. During a 4-month period, 66 patients (mean age 48 years) with acute flank pain were prospectively studied by means of plain abdominal film, US, and unenhanced CT. The presence of lithiasis and of obstructive uropathy signs were determined. The plain film was only used as a guide for the US exam. Clinical follow-up of all patients was obtained. Ureteral lithiasis was confirmed in 56 patients. The CT had a greater sensitivity (93 vs 79%) and negative predictive value (71 vs 46%) for the detection of lithiasis. The combination of lithiasis plus obstructive signs showed a sensitivity and a specificity of 100% for CT and of 100 and 90%, respectively, for US. The 11 lithiasis not detected by US were passed spontaneously (10 were <5 mm). Both techniques showed similar extraurinary pathology. Computed tomography is the most accurate technique for the detection of ureteral lithiasis; however, the combination of plain film and US is an alternative to nonenhanced CT with a lower sensitivity and radiation dose that has a good practical value. |
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Authors:
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Tomás Ripollés; Marcos Agramunt; José Errando; María Jesús Martínez; Belén Coronel; María Morales |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2003-06-19 |
Journal Detail:
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Title: European radiology Volume: 14 ISSN: 0938-7994 ISO Abbreviation: Eur Radiol Publication Date: 2004 Jan |
Date Detail:
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Created Date: 2004-01-19 Completed Date: 2005-03-10 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9114774 Medline TA: Eur Radiol Country: Germany |
Other Details:
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Languages: eng Pagination: 129-36 Citation Subset: IM |
Affiliation:
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Department of Radiology, Hospital Universitario Dr. Peset, 90 Gaspar Aguilar Avenue, 46017, Valencia, Spain. ripolles_tom@gva.es |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adolescent Adult Aged Aged, 80 and over Colic / radiography*, ultrasonography* Emergency Service, Hospital Female Follow-Up Studies Humans Male Middle Aged Predictive Value of Tests Prospective Studies Radiography / methods Sensitivity and Specificity Severity of Illness Index Tomography, Spiral Computed / methods Tomography, X-Ray Computed / methods Ureteral Calculi / radiography*, ultrasonography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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