Determination of Renal Stone Composition with Dual-Energy Computed Tomography: An Emerging Application

被引:50
作者
Eliahou, Ruth [1 ]
Hidas, Guy [2 ]
Duvdevani, Mordechai [2 ]
Sosna, Jacob [2 ,3 ]
机构
[1] Hadassah Hebrew Univ, Med Ctr, Dept Radiol, IL-91120 Jerusalem, Israel
[2] Hadassah Hebrew Univ, Med Ctr, Dept Urol, IL-91120 Jerusalem, Israel
[3] Beth Israel Deaconess Med Ctr, Dept Radiol, Boston, MA 02215 USA
关键词
UNENHANCED HELICAL CT; URIC-ACID STONES; URINARY CALCULI; IN-VITRO; CHEMICAL-COMPOSITION; PERFORMANCE EVALUATION; ATTENUATION VALUES; URETERAL CALCULI; FLANK PAIN; RADIOGRAPHY;
D O I
10.1053/j.sult.2010.05.002
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
100231 [临床病理学]; 100902 [航空航天医学];
摘要
Urinary tract stone disease is common in the Western world. Nonenhanced computed tomography (CT) is the method of choice for stone diagnosis; however, it has a limited role in predicting stone type. Knowledge of stone composition is currently determined by postoperative assessment of stone fragments. A noninvasive tool for accurate characterization of stone composition would improve patient management. Dual-energy CT aids in the differentiation among calcium, uric acid, and cystine stones. In this review we describe the role of dual-energy CT for in vitro and in vivo analysis of urinary stones. We illustrate the technique, review the literature, and discuss future directions. Semin Ultrasound CT MRI 31.315-320 (C) 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码:315 / 320
页数:6
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