Usefulness of Corticomedullary-Phase CT Urography in Patients with Suspected Acute Renal Colic Visiting the Emergency Department
Purpose To evaluate the sensitivity of corticomedullary-phase imaging for detecting urinary stones in patients with renal colic who visited the emergency department. Materials and Methods This retrospective study included 253 patients with suspected renal colic from two tertiary hospitals in Sout...
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2023-07-01
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| Series: | Journal of the Korean Society of Radiology |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2022.0098 |
| _version_ | 1797769741960478720 |
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| author | Seokyoung Lee Yang Shin Park Bitna Park Jongmee Lee Jae Woong Choi Kyeong Ah Kim Chang Hee Lee |
| author_facet | Seokyoung Lee Yang Shin Park Bitna Park Jongmee Lee Jae Woong Choi Kyeong Ah Kim Chang Hee Lee |
| author_sort | Seokyoung Lee |
| collection | DOAJ |
| description | Purpose To evaluate the sensitivity of corticomedullary-phase imaging for detecting urinary stones
in patients with renal colic who visited the emergency department.
Materials and Methods This retrospective study included 253 patients with suspected renal colic
from two tertiary hospitals in South Korea, who visited the emergency department and underwent
CT urography. Two radiologists blinded to the clinical history independently reviewed the corticomedullary-
phase images. The sensitivity for identifying urinary stones were evaluated for each reviewer.
After the initial evaluation, the images were re-evaluated based on patient history. The sensitivity of
re-evaluation were recorded.
Results Of 253 patients, 150 (59%) had urinary stones. Among them, significant stones were observed
in 138 patients (92%), and obstructive changes on CT in 124 patients (82.7%). For identifying significant
urinary stones, the sensitivity was 98.6% (136/138) for both the reviewers. For identifying significant
urinary stones with urinary obstruction, the sensitivity was 99.2% (123/124) for reviewer 1, and 100% (124/124) for reviewer 2. The sensitivity for identifying significant stones increased from 98.6%
to 100% for reviewer 1, and from 98.6% to 99.3% for reviewer 2 in the re-evaluation session.
Conclusion The corticomedullary-phase CT urography was sensitive for diagnosing urolithiasis in
patients with acute renal colic who visited the emergency department. |
| first_indexed | 2024-03-12T21:13:24Z |
| format | Article |
| id | doaj.art-e251655545a04a6d8326b0b445f1947a |
| institution | Directory Open Access Journal |
| issn | 2951-0805 |
| language | English |
| last_indexed | 2024-03-12T21:13:24Z |
| publishDate | 2023-07-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | Journal of the Korean Society of Radiology |
| spelling | doaj.art-e251655545a04a6d8326b0b445f1947a2023-07-30T09:34:09ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052023-07-01844923933https://doi.org/10.3348/jksr.2022.0098Usefulness of Corticomedullary-Phase CT Urography in Patients with Suspected Acute Renal Colic Visiting the Emergency DepartmentSeokyoung LeeYang Shin ParkBitna ParkJongmee LeeJae Woong ChoiKyeong Ah KimChang Hee LeePurpose To evaluate the sensitivity of corticomedullary-phase imaging for detecting urinary stones in patients with renal colic who visited the emergency department. Materials and Methods This retrospective study included 253 patients with suspected renal colic from two tertiary hospitals in South Korea, who visited the emergency department and underwent CT urography. Two radiologists blinded to the clinical history independently reviewed the corticomedullary- phase images. The sensitivity for identifying urinary stones were evaluated for each reviewer. After the initial evaluation, the images were re-evaluated based on patient history. The sensitivity of re-evaluation were recorded. Results Of 253 patients, 150 (59%) had urinary stones. Among them, significant stones were observed in 138 patients (92%), and obstructive changes on CT in 124 patients (82.7%). For identifying significant urinary stones, the sensitivity was 98.6% (136/138) for both the reviewers. For identifying significant urinary stones with urinary obstruction, the sensitivity was 99.2% (123/124) for reviewer 1, and 100% (124/124) for reviewer 2. The sensitivity for identifying significant stones increased from 98.6% to 100% for reviewer 1, and from 98.6% to 99.3% for reviewer 2 in the re-evaluation session. Conclusion The corticomedullary-phase CT urography was sensitive for diagnosing urolithiasis in patients with acute renal colic who visited the emergency department.https://doi.org/10.3348/jksr.2022.0098multidetector computed tomographyurographyrenal colicemergency servicehospital |
| spellingShingle | Seokyoung Lee Yang Shin Park Bitna Park Jongmee Lee Jae Woong Choi Kyeong Ah Kim Chang Hee Lee Usefulness of Corticomedullary-Phase CT Urography in Patients with Suspected Acute Renal Colic Visiting the Emergency Department Journal of the Korean Society of Radiology multidetector computed tomography urography renal colic emergency service hospital |
| title | Usefulness of Corticomedullary-Phase CT Urography in Patients with Suspected Acute Renal Colic Visiting the Emergency Department |
| title_full | Usefulness of Corticomedullary-Phase CT Urography in Patients with Suspected Acute Renal Colic Visiting the Emergency Department |
| title_fullStr | Usefulness of Corticomedullary-Phase CT Urography in Patients with Suspected Acute Renal Colic Visiting the Emergency Department |
| title_full_unstemmed | Usefulness of Corticomedullary-Phase CT Urography in Patients with Suspected Acute Renal Colic Visiting the Emergency Department |
| title_short | Usefulness of Corticomedullary-Phase CT Urography in Patients with Suspected Acute Renal Colic Visiting the Emergency Department |
| title_sort | usefulness of corticomedullary phase ct urography in patients with suspected acute renal colic visiting the emergency department |
| topic | multidetector computed tomography urography renal colic emergency service hospital |
| url | https://doi.org/10.3348/jksr.2022.0098 |
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