CT and stone fragility

被引:49
作者
Dretler, SP [1 ]
Spencer, BA [1 ]
机构
[1] Massachusetts Gen Hosp, Kidney Stone Ctr, Dept Urol, Boston, MA 02114 USA
关键词
D O I
10.1089/08927790150500926
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Informed selection of treatment requires knowledge of the size and composition of a calculus. Spiral CT has a growing role in the detection of calculi, with an overall accuracy in excess of 95%, Moreover, the margin of error in determining stone size does not exceed 3.6%, and stone volume is underestimated by <5%. Pixelograms, the compilation of multiple points of attenuation, may provide clues to stone composition and durility.
引用
收藏
页码:31 / 36
页数:6
相关论文
共 21 条
[1]  
Dobbins JM, 1997, EMERG RADIOL, V4, P303
[2]   Calcium oxalate stone morphology: Fine tuning our therapeutic distinctions [J].
Dretler, SP ;
Polykoff, G .
JOURNAL OF UROLOGY, 1996, 155 (03) :828-833
[3]   STONE FRAGILITY - A NEW THERAPEUTIC DISTINCTION [J].
DRETLER, SP .
JOURNAL OF UROLOGY, 1988, 139 (05) :1124-1127
[4]   COMPUTED-TOMOGRAPHY OF URINARY CALCULI [J].
FEDERLE, MP ;
MCANINCH, JW ;
KAISER, JA ;
GOODMAN, PC ;
ROBERTS, J ;
MALL, JC .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1981, 136 (02) :255-258
[5]   EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY MONOTHERAPY FOR LARGE RENAL CALCULI [J].
GLEESON, MJ ;
GRIFFITH, DP .
BRITISH JOURNAL OF UROLOGY, 1989, 64 (04) :329-332
[6]   EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY MONOTHERAPY OF STAGHORN CALCULI WITH DORNIER MFL 5000 [J].
ILKER, NY ;
ALICAN, Y ;
SIMSEK, F ;
TURKERI, LN ;
AKDAS, A .
JOURNAL OF ENDOUROLOGY, 1993, 7 (04) :281-283
[7]   STONE SURFACE-AREA DETERMINATION TECHNIQUES - A UNIFYING CONCEPT OF STAGHORN STONE BURDEN ASSESSMENT [J].
LAM, HS ;
LINGEMAN, JE ;
RUSSO, R ;
CHUA, GT .
JOURNAL OF UROLOGY, 1992, 148 (03) :1026-1029
[8]   THE UNRELIABILITY OF CT-NUMBERS AS ABSOLUTE VALUES [J].
LEVI, C ;
GRAY, JE ;
MCCULLOUGH, EC ;
HATTERY, RR .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1982, 139 (03) :443-447
[9]   Ureteral calculi in patients with flank pain: Correlation of plain radiography with unenhanced helical CT [J].
Levine, JA ;
Neitlich, J ;
Verga, M ;
Dalrymple, N ;
Smith, RC .
RADIOLOGY, 1997, 204 (01) :27-31
[10]   Accurate determination of chemical composition of urinary calculi by spiral computerized tomography [J].
Mostafavi, MR ;
Ernst, RD ;
Saltzman, B .
JOURNAL OF UROLOGY, 1998, 159 (03) :673-675