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Role of non-contrast spiral computerized tomography in acute ureteric colic.

作者信息

Feroze S, Singh Baldev, Gojwari T, Manjeet S, Athar Bashir, Hamid Hussain

机构信息

Department of Radiodiagnosis, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India.

出版信息

Indian J Urol. 2007 Apr;23(2):119-21. doi: 10.4103/0970-1591.32059.

Abstract

AIM

To evaluate the sensitivity and specificity of noncontrast helical computerized tomography (CT) in ureteric colic with comparative evaluation of KUB and ultrasonography (USG).

SETTING

Tertiary care university hospital.

MATERIALS AND METHODS

One hundred patients aged between 20 and 75 years referred from the emergency department as acute ureteric colic were evaluated with KUB and USG followed by noncontrast helical CT.

RESULTS

Noncontrast helical CT was 91% sensitive and 98% specific in detecting urolithiasis compared to a sensitivity of 20% and 30% for KUB and USG and specificity of 94% and 98% respectively.

CONCLUSION

Noncontrast helical CT is a very sensitive and specific investigation for evaluation of acute flank pain due to urolithiasis, besides helping in the detection of nonrenal causes of pain.

摘要

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引用本文的文献

本文引用的文献

1
Helical CT for nephrolithiasis and ureterolithiasis: comparison of conventional and reduced radiation-dose techniques.
Radiology. 2003 Nov;229(2):575-80. doi: 10.1148/radiol.2292021261. Epub 2003 Oct 2.
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Evaluation of the patient with flank pain and possible ureteral calculus.
Radiology. 2003 Aug;228(2):319-29. doi: 10.1148/radiol.2282011726. Epub 2003 Jun 20.
3
Nontraumatic abdominal emergencies: acute abdominal pain: diagnostic strategies.
Eur Radiol. 2002 Sep;12(9):2136-50. doi: 10.1007/s00330-002-1569-x. Epub 2002 Jul 19.
4
Helical CT of the urinary organs.
Eur Radiol. 2002 Mar;12(3):575-91. doi: 10.1007/s003300101023. Epub 2001 Nov 28.
6
Trends in the use of unenhanced helical CT for acute urinary colic.
AJR Am J Roentgenol. 1999 Dec;173(6):1447-50. doi: 10.2214/ajr.173.6.10584780.
10
Ureteral calculi in patients with flank pain: correlation of plain radiography with unenhanced helical CT.
Radiology. 1997 Jul;204(1):27-31. doi: 10.1148/radiology.204.1.9205218.

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