Universität zu Köln

Nestler, Tim, Haneder, Stefan and Hokamp, Nils Grosse (2019). Modern imaging techniques in urinary stone disease. Curr. Opin. Urol., 29 (2). S. 81 - 89. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1473-6586

Full text not available from this repository.

Abstract

Purpose of review Radiological imaging techniques are a fast developing field in medicine. Therefore, the purpose of this review was to identify and discuss the latest changes of modern imaging techniques in the management of urinary stone disease. Recent findings The introduction of iterative image reconstruction enables low-dose and ultra-low-dose (ULD) protocols. Although current guidelines recommend their utilization in nonobese patients recent studies indicate that low-dose imaging may be feasible in obese (< 30 kg/m(2)) but not in bariatric patients. Use of dual energy computed tomography (CT) technologies should balance between additional information and radiation dose aspects. If available on a dose neutral basis, dual energy imaging and analysis should be performed. Current guidelines recommend measuring the largest diameter for clinical decision making; however, recent studies suggest a benefit from measuring the volume based on multiplanar reformation. Quantitative imaging is still an experimental approach. Summary The use of low-dose and even ULD CT protocols should be diagnostic standard, even in obese patients. If dual energy imaging is available, it should be limited to specific clinical questions. The stone volume should be reported in addition to the largest diameter for treatment decision and a more valid comparability of upcoming studies.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Nestler, Tim UNSPECIFIED UNSPECIFIED UNSPECIFIED Haneder, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Hokamp, Nils Grosse UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-154525
DOI:	10.1097/MOU.0000000000000572
Journal or Publication Title:	Curr. Opin. Urol.
Volume:	29
Number:	2
Page Range:	S. 81 - 89
Date:	2019
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1473-6586
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language IN-VIVO DIFFERENTIATION; DUAL-ENERGY CT; COMPUTED-TOMOGRAPHY; KIDNEY-STONES; URIC-ACID; ITERATIVE RECONSTRUCTION; HOUNSFIELD UNITS; DOSE CT; PREVALENCE; UROLITHIASIS Multiple languages Urology & Nephrology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/15452