OBJECTIVES: We discuss in this review, urologists' expectations of imaging in terms of detection, characterization, pre-planning treatment and follow-up of urinary stones. MATERIALS AND METHODS: Data acquisition regarding kidney stones and imaging was performed using MEDLINE searches with combinations of the following keywords: urinary stones, CT Urography, low dose CT, MRI urography, renal stones ultrasound, conventional radiography, surgery. RESULTS: CT has become the gold standard for the evaluation of urinary stones. Scanning provides information regarding stone (composition, size, burden, location), collecting system and renal parenchyma. Those findings are crucial in determining appropriate treatment strategies. Because CT exposes the patient to substantial ionizing radiation, efforts have already been made to decrease the CT radiation dose for CT examination (low dose CT) and optimize image quality. Efforts also are being made to use non ionizing modalities such as ultrasound in combination with radiography particularly for the follow up of renal stones. CONCLUSION: CT is the preferred method for the evaluation and treatment planning of urolithiasis. CT radiation dose reduction can be achieved with low dose CT. However, conventional radiography and ultrasound are still recommended in the follow up of renal stones.
OBJECTIVES: We discuss in this review, urologists' expectations of imaging in terms of detection, characterization, pre-planning treatment and follow-up of urinary stones. MATERIALS AND METHODS: Data acquisition regarding kidney stones and imaging was performed using MEDLINE searches with combinations of the following keywords: urinary stones, CT Urography, low dose CT, MRI urography, renal stones ultrasound, conventional radiography, surgery. RESULTS:CT has become the gold standard for the evaluation of urinary stones. Scanning provides information regarding stone (composition, size, burden, location), collecting system and renal parenchyma. Those findings are crucial in determining appropriate treatment strategies. Because CT exposes the patient to substantial ionizing radiation, efforts have already been made to decrease the CT radiation dose for CT examination (low dose CT) and optimize image quality. Efforts also are being made to use non ionizing modalities such as ultrasound in combination with radiography particularly for the follow up of renal stones. CONCLUSION:CT is the preferred method for the evaluation and treatment planning of urolithiasis. CT radiation dose reduction can be achieved with low dose CT. However, conventional radiography and ultrasound are still recommended in the follow up of renal stones.
Authors: Mannudeep K Kalra; Michael M Maher; Thomas L Toth; Ravi S Kamath; Elkan F Halpern; Sanjay Saini Journal: Radiology Date: 2004-08 Impact factor: 11.105
Authors: Jonathan R Dillman; Mariam Kappil; William J Weadock; Jonathan M Rubin; Joel F Platt; Michael A DiPietro; Ronald O Bude Journal: Radiology Date: 2011-04-01 Impact factor: 11.105
Authors: Naveen M Kulkarni; Brian H Eisner; Daniella F Pinho; Mukta C Joshi; Avinash R Kambadakone; Dushyant V Sahani Journal: J Comput Assist Tomogr Date: 2013 Jan-Feb Impact factor: 1.826
Authors: Anno Graser; Thorsten R C Johnson; Markus Bader; Michael Staehler; Nicolas Haseke; Konstantin Nikolaou; Maximilian F Reiser; Christian G Stief; Christoph R Becker Journal: Invest Radiol Date: 2008-02 Impact factor: 6.016
Authors: Sinan Levent Kirecci; Musab Ilgi; Cumhur Yesildal; Abdullah Hizir Yavuzsan; Ahmet Tevfik Albayrak; Kemal Sarica Journal: Urol Ann Date: 2021-03-04