Advances in CT imaging for urolithiasis.

Urolithiasis is a common disease with increasing prevalence worldwide and a lifetime‑estimated recurrence risk of over 50%. Imaging plays a critical role in the initial diagnosis, follow‑up and urological management of urinary tract stone disease. Unenhanced helical computed tomography (CT) is hig...

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Publicado en:Indian Journal of Urology Vol. 31; no. 3; pp. 185 - 194
Autores principales: Andrabi, Yasir, Patino, Manuel, Das, Chandan J., Eisner, Brian, Sahani, Dushyant V., Kambadakone, Avinash
Formato: diagnostic images review tables/charts Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Jul-Sep2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul-Sep2015
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      pub: Wolters Kluwer India Pvt Ltd
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        atl: Advances in CT imaging for urolithiasis.
      aug:
        au:
          Andrabi, Yasir
          Patino, Manuel
          Das, Chandan J.
          Eisner, Brian
          Sahani, Dushyant V.
          Kambadakone, Avinash
        affil: Department of Radiology, Division of Abdominal Imaging and Intervention Radiology, Massachusetts General Hospital, Boston, MA, USA
      sug:
        subj:
          Urolithiasis Radiography
          Tomography, X-Ray Computed Methods
          Professional Practice
          Multidetector Computed Tomography
          Tomography, Spiral Computed
          Radiation Dosage
      ab: Urolithiasis is a common disease with increasing prevalence worldwide and a lifetime‑estimated recurrence risk of over 50%. Imaging plays a critical role in the initial diagnosis, follow‑up and urological management of urinary tract stone disease. Unenhanced helical computed tomography (CT) is highly sensitive (>95%) and specific (>96%) in the diagnosis of urolithiasis and is the imaging investigation of choice for the initial assessment of patients with suspected urolithiasis. The emergence of multi‑detector CT (MDCT) and technological innovations in CT such as dual‑energy CT (DECT) has widened the scope of MDCT in the stone disease management from initial diagnosis to encompass treatment planning and monitoring of treatment success. DECT has been shown to enhance pre‑treatment characterization of stone composition in comparison with conventional MDCT and is being increasingly used. Although CT‑related radiation dose exposure remains a valid concern, the use of low‑dose MDCT protocols and integration of newer iterative reconstruction algorithms into routine CT practice has resulted in a substantial decrease in ionizing radiation exposure. In this review article, our intent is to discuss the role of MDCT in the diagnosis and post‑treatment evaluation of urolithiasis and review the impact of emerging CT technologies such as dual energy in clinical practice.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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