Patients undergoing CT for the evaluation of stone disease are likely to receive high levels of radiation over time. Although the results from small studies using simulation software suggest that using a reduced radiation dose has little effect on calculi detection, larger prospective randomized studies are required to produce clinically applicable results.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Smith, R. C. et al. Acute flank pain: comparison of non-contrast-enhanced CT and intravenous urography. Radiology 194, 789–794 (1995).
Ather, M. H., Faizullah, K., Achakzai, I., Siwani, R. & Irani, F. Alternate and incidental diagnoses on noncontrast-enhanced spiral computed tomography for acute flank pain. Urol. J. 6, 14–18 (2009).
Strohmaier, W. L. Course of calcium stone disease without treatment. What can we expect? Eur. Urol. 37, 339–344 (2000).
Zanetti, G., Trinchieri, A., Montanari, E. & Rocco, F. SWL: our twenty-four year experience. Arch. Ital. Urol. Androl. 80, 21–26 (2008).
Ferrandino, M. N. et al. Radiation exposure in the acute and short-term management of urolithiasis at 2 academic centers. J. Urol. 181, 668–672 (2009).
Ciaschini, M. W., Remer, E. M., Baker, M. E., Lieber, M. & Herts, B. R. Urinary calculi: radiation dose reduction of 50% and 75% at CT—effect on sensitivity. Radiology 251, 105–111 (2009).
Ege, G., Akman, H., Kuzucu, K. & Yildiz, S. Can computed tomography scout radiography replace plain film in the evaluation of patients with acute urinary tract colic? Acta Radiol. 45, 469–473 (2004).
Park, J., Hong, B., Park, T. & Park, H. K. Effectiveness of noncontrast computed tomography in evaluation of residual stones after percutaneous nephrolithotomy. J. Endourol. 21, 684–687 (2007).
Afshar, K. et al. Outcome of small residual stone fragments following shock wave lithotripsy in children. J. Urol. 172, 1600–1603 (2004).
Karmazyn, B. et al. CT with a computer-simulated dose reduction technique for detection of pediatric nephroureterolithiasis: comparison of standard and reduced radiation doses. AJR Am. J. Roentgenol. 192, 143–149 (2009).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Rights and permissions
About this article
Cite this article
Ather, M., Memon, W. Impact of dose reduction on CT detection of urolithiasis. Nat Rev Urol 6, 526–527 (2009). https://doi.org/10.1038/nrurol.2009.196
Issue Date:
DOI: https://doi.org/10.1038/nrurol.2009.196
This article is cited by
-
Predicting emergency interventions in patients with acute ureteral colic using acute renal colic scoring system in a Pakistani cohort
International Urology and Nephrology (2021)