Ultrasonography Is Not Inferior to Fluoroscopy to Guide Extracorporeal Shock Waves during Treatment of Renal and Upper Ureteric Calculi: A Randomized Prospective Study
| Autor: | Thomas Tailly, Jeroen Van Besien, Isabeau Hermie, Luc Merckx, Pieter Uvin |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Ureteral Calculi Article Subject medicine.medical_treatment 030232 urology & nephrology lcsh:Medicine Lithotripsy Asymptomatic General Biochemistry Genetics and Molecular Biology Extracorporeal law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Medicine and Health Sciences medicine Humans Fluoroscopy Prospective Studies Prospective cohort study Ultrasonography General Immunology and Microbiology medicine.diagnostic_test business.industry lcsh:R Ultrasound SUCCESS General Medicine EFFICACY Confidence interval 030220 oncology & carcinogenesis Female Radiology medicine.symptom business LITHOTRIPSY Research Article |
| Zdroj: | BioMed Research International BioMed Research International, Vol 2017 (2017) BIOMED RESEARCH INTERNATIONAL |
| ISSN: | 2314-6141 2314-6133 |
| Popis: | Objective. To investigate whether the visualization modality (ultrasound or fluoroscopy) used during shockwave lithotripsy (SWL) affects the clinical outcome in those instances where both imaging modalities are optional. Methods. Between November 2014 and July 2016, 114 patients with radiopaque upper urinary tract calculi were randomly assigned to an ultrasound- or fluoroscopy-guided SWL group in a prospective, open-label, single-center study. A standardized SWL protocol was used. The stone-free rate and the positive outcome rate (stone-free or asymptomatic residual fragments ≤ 4 mm) were compared. Results. The stone-free rate was 52% in the ultrasound-guided group compared to 42% in the fluoroscopy-guided group (p = 0.06) and the positive outcome rate was 79% in the ultrasound-guided group compared to 70% in the fluoroscopy-guided group (p = 0.28). These results were not significantly different but proved to be noninferior based on a Wilson confidence interval of independent proportions (noninferiority limit 10%). The mean number of SWL sessions was not significantly different (p = 0.4). Conclusion. Our study demonstrated that the clinical results of ultrasound-guided SWL were not inferior to the results of fluoroscopy-guided SWL, while no ionizing radiation is needed. |
| Databáze: | OpenAIRE |
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