Portal de Periódicos da CAPES

Prospective Comparison of Plain Abdominal Radiography with Conventional and Digital Renal Tomography in Assessing Renal Extracorporeal Shock Wave Lithotripsy Patients

1990; Lippincott Williams & Wilkins; Volume: 144; Issue: 6 Linguagem: Inglês

10.1016/s0022-5347(17)39735-5

1527-3792

Elliot Sacks, Laurie L. Fajardo, Bruce J. Hillman, George W. Drach, John A. Gaines, H R Claypool, Neal J. Clinger, David J. Fillmore, K. Rebecca Hunt, Gerald D. Pond, Stephen H. Smyth,

Radiation Dose and Imaging

No AccessJournal of Urology1 Dec 1990Prospective Comparison of Plain Abdominal Radiography with Conventional and Digital Renal Tomography in Assessing Renal Extracorporeal Shock Wave Lithotripsy Patients Elliot M. Sacks, Laurie L. Fajardo, Bruce J. Hillman, George W. Drach, John A. Gaines, H. Richard Claypool, Neal J. Clinger, David J. Fillmore, K. Rebecca Hunt, Gerald D. Pond, and Stephen H. Smyth Elliot M. SacksElliot M. Sacks , Laurie L. FajardoLaurie L. Fajardo , Bruce J. HillmanBruce J. Hillman , George W. DrachGeorge W. Drach , John A. GainesJohn A. Gaines , H. Richard ClaypoolH. Richard Claypool , Neal J. ClingerNeal J. Clinger , David J. FillmoreDavid J. Fillmore , K. Rebecca HuntK. Rebecca Hunt , Gerald D. PondGerald D. Pond , and Stephen H. SmythStephen H. Smyth View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)39735-5AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Most publications citing the effectiveness of renal extracorporeal shock wave lithotripsy have used plain abdominal radiography to assess residual calculi after treatment. We compared radiologist sensitivity and specificity in the detection of calculi on plain abdominal radiographs versus conventional film-screen and digital renal tomograms in extracorporeal shock wave lithotripsy patients. Of the patients 50 were imaged before and within 24hours after lithotripsy. Six radiologists evaluated the resultant 300 studies for the presence and location of calculi. The mean sensitivity for digital tomograms was 83% for pre-lithotripsy and post-lithotripsy studies, which was significantly higher than for plain abdominal radiography and conventional tomography after lithotripsy. However, there were significantly more false positive stone diagnoses associated with digital tomogram interpretation. Signal detection analysis verified the over-all superiority of digital tomography for post-extracorporeal shock wave lithotripsy imaging. Calculus detection by conventional and digital tomography is superior to detection by plain abdominal radiography. However, because we did not perform delayed imaging, it is not possible to say what impact digital tomography might have on the management of extracorporeal shock wave lithotripsy patients. © 1990 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByOsman Y, El-Tabey N, Refai H, Elnahas A, Shoma A, Eraky I, Kenawy M and El-Kapany H (2018) Detection of Residual Stones After Percutaneous Nephrolithotomy: Role of Nonenhanced Spiral Computerized TomographyJournal of Urology, VOL. 179, NO. 1, (198-200), Online publication date: 1-Jan-2008.Fine J, Pak C, Preminger G, Segura J and Marberger M (2018) Effect of Medical Management and Residual Fragments on Recurrent Stone Formation Following Shock Wave LithotripsyJournal of Urology, VOL. 153, NO. 1, (27-33), Online publication date: 1-Jan-1995.Jewett M, Bombardier C, Caron D, Ryan M, Gray R, St. Louis E, Witchell S, Kumra S and Psihramis K (2018) Potential for Inter-Observer and Intra-Observer Variability in X-Ray Review to Establish Stone-Free Rates after LithotripsyJournal of Urology, VOL. 147, NO. 3 Part 1, (559-562), Online publication date: 1-Mar-1992. Volume 144Issue 6December 1990Page: 1341-1346 Advertisement Copyright & Permissions© 1990 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Elliot M. Sacks More articles by this author Laurie L. Fajardo More articles by this author Bruce J. Hillman More articles by this author George W. Drach More articles by this author John A. Gaines More articles by this author H. Richard Claypool More articles by this author Neal J. Clinger More articles by this author David J. Fillmore More articles by this author K. Rebecca Hunt More articles by this author Gerald D. Pond More articles by this author Stephen H. Smyth More articles by this author Expand All Advertisement PDF DownloadLoading ...