Document Detail


Urinary calculus: IVU vs. CT renal stone? A critically appraised topic.
MedLine Citation:
PMID:  17786506     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We wondered whether noncontrast CT performs better than the intravenous urogram (IVU) in the detection of urinary calculi. METHODS: A comprehensive search of the literature was undertaken in order to answer the above question. Both primary and secondary sources of evidence were searched. The retrieved evidence was then appraised. RESULTS: The strongest evidence was in a meta-analysis by Worster and colleagues (level 1a evidence according to the Oxford/CEBM levels of evidence). This was an analysis of four studies with a total of 296 patients who underwent intravenous urogram and noncontrast CT. This study shows that CT has better diagnostic performance than IVU for the detection of urinary stones. CONCLUSIONS: The literature suggests that CT should be utilized in preference to IVU for patients with suspected urolithiasis.
Authors:
Suzanne Shine
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Abdominal imaging     Volume:  33     ISSN:  1432-0509     ISO Abbreviation:  Abdom Imaging     Publication Date:    2008 Jan-Feb
Date Detail:
Created Date:  2007-12-21     Completed Date:  2008-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9303672     Medline TA:  Abdom Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  41-3     Citation Subset:  IM    
Affiliation:
Department of Radiology, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland. sueshine@eircom.net
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MeSH Terms
Descriptor/Qualifier:
Evidence-Based Medicine
Humans
Sensitivity and Specificity
Tomography, X-Ray Computed*
Urinary Calculi / radiography*
Urography*

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


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