Imaging in stone diagnosis and surgical planning.
| Autor: | Serrell EC; University of Wisconsin, Department of Urology, Madison, Wisconsin, USA., Best SL |
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| Jazyk: | angličtina |
| Zdroj: | Current opinion in urology [Curr Opin Urol] 2022 Jul 01; Vol. 32 (4), pp. 397-404. |
| DOI: | 10.1097/MOU.0000000000001002 |
| Abstrakt: | Purpose of Review: Radiological imaging techniques and applications are constantly advancing. This review will examine modern imaging techniques in the diagnosis of urolithiasis and applications for surgical planning. Recent Findings: The diagnosis of urolithiasis may be done via plain film X-ray, ultrasound (US), or contrast tomography (CT) scan. US should be applied in the workup of flank pain in emergency rooms and may reduce unnecessary radiation exposure. Low dose and ultra-low-dose CT remain the diagnostic standard for most populations but remain underutilized. Single and dual-energy CT provide three-dimensional imaging that can predict stone-specific parameters that help clinicians predict stone passage likelihood, identify ideal management techniques, and possibly reduce complications. Machine learning has been increasingly applied to 3-D imaging to support clinicians in these prognostications and treatment selection. Summary: The diagnosis and management of urolithiasis are increasingly personalized. Patient and stone characteristics will support clinicians in treatment decision, surgical planning, and counseling. (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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