Clinical effectiveness protocols for imaging in the management of ureteral calculous disease: AUA technology assessment - PubMed (original) (raw)
Review
. 2013 Apr;189(4):1203-13.
doi: 10.1016/j.juro.2012.10.031. Epub 2012 Oct 22.
Affiliations
- PMID: 23085059
- DOI: 10.1016/j.juro.2012.10.031
Review
Clinical effectiveness protocols for imaging in the management of ureteral calculous disease: AUA technology assessment
Pat Fox Fulgham et al. J Urol. 2013 Apr.
Abstract
Purpose: This technology assessment addresses the optimal use of imaging in the evaluation and treatment of patients with suspected or documented ureteral stones.
Materials and methods: A comprehensive literature search addressing 4 guiding questions was performed for full text in English articles published between January 1990 and July 2011. The search focused on major subtopics associated with the imaging of ureteral calculi, and included specific imaging modalities used in the diagnosis and management of ureteral calculous disease such as unenhanced (noncontrast) computerized tomography, conventional radiography, ultrasound, excretory urography, magnetic resonance imaging and nuclear medicine studies. Protocols (in the form of decision tree algorithms) were developed based on this literature review and in some instances on panel opinion. The 4 questions addressed were 1) What imaging study should be performed for suspected ureteral calculous disease? 2) What information should be obtained? 3) After diagnosis of a ureteral calculus, what followup imaging should be used? 4) After treatment of a ureteral calculus, what followup imaging studies should be obtained?
Results: Based on these protocols, noncontrast computerized tomography is recommended to establish the diagnosis in most cases, with a low energy protocol advocated if body habitus is favorable. Conventional radiography and ultrasound are endorsed for monitoring the passage of most radiopaque stones as well as for most patients undergoing stone removal. Other studies may be indicated based on imaging findings, and patient, stone and clinical factors.
Conclusions: The protocols generated assist the clinician in establishing the diagnosis of ureteral calculous disease, monitoring stone passage and following patients after treatment. The protocols take into account not only clinical effectiveness but also cost-effectiveness and risk/harm associated with the various imaging modalities.
Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
Comment in
- [Imaging - displaying ureteral stones: what is the best technique?].
Fritsche HM. Fritsche HM. Aktuelle Urol. 2014 Jan;45(1):9-12. doi: 10.1055/s-0034-1366935. Epub 2014 Feb 5. Aktuelle Urol. 2014. PMID: 24500950 German. No abstract available.
Similar articles
- How much is a kidney worth? Cost-effectiveness of routine imaging after ureteroscopy to prevent silent obstruction.
Sutherland TN, Pearle MS, Lotan Y. Sutherland TN, et al. J Urol. 2013 Jun;189(6):2136-41. doi: 10.1016/j.juro.2012.12.059. Epub 2012 Dec 28. J Urol. 2013. PMID: 23276510 Review. - The silence of the stones: asymptomatic ureteral calculi.
Wimpissinger F, Türk C, Kheyfets O, Stackl W. Wimpissinger F, et al. J Urol. 2007 Oct;178(4 Pt 1):1341-4; discussion 1344. doi: 10.1016/j.juro.2007.05.128. Epub 2007 Aug 16. J Urol. 2007. PMID: 17706721 - Rapid, economical treatment of large impacted calculi in the proximal ureter with ballistic ureteral lithotripsy and occlusive, percutaneous balloon catheter: the high pressure irrigation technique.
Dellabella M, Milanese G, d'Anzeo G, Muzzonigro G. Dellabella M, et al. J Urol. 2007 Sep;178(3 Pt 1):929-33; discussion 933-4. doi: 10.1016/j.juro.2007.05.037. Epub 2007 Jul 16. J Urol. 2007. PMID: 17632157 - Current evaluation and management of renal and ureteral stones.
Gettman MT, Segura JW. Gettman MT, et al. Saudi Med J. 2001 Apr;22(4):306-14. Saudi Med J. 2001. PMID: 11331486 Review. - Management of ureteral calculi: a cost comparison and decision making analysis.
Lotan Y, Gettman MT, Roehrborn CG, Cadeddu JA, Pearle MS. Lotan Y, et al. J Urol. 2002 Apr;167(4):1621-9. J Urol. 2002. PMID: 11912376 Review.
Cited by
- Imaging in the diagnosis of pediatric urolithiasis.
Colleran GC, Callahan MJ, Paltiel HJ, Nelson CP, Cilento BG Jr, Baum MA, Chow JS. Colleran GC, et al. Pediatr Radiol. 2017 Jan;47(1):5-16. doi: 10.1007/s00247-016-3702-z. Epub 2016 Nov 4. Pediatr Radiol. 2017. PMID: 27815617 Review. - Epidemiological and imaging features that can affect the detection of ureterolithiasis on ultrasound.
Nery DR, Costa YB, Mussi TC, Baroni RH. Nery DR, et al. Radiol Bras. 2018 Sep-Oct;51(5):287-292. doi: 10.1590/0100-3984.2017.0113. Radiol Bras. 2018. PMID: 30369654 Free PMC article. - Impact of the Image Gently® Campaign on Computerized Tomography Use for Evaluation of Pediatric Nephrolithiasis.
Streur CS, Lin PJ, Hollingsworth JM, Kamdar NS, Kraft KH. Streur CS, et al. J Urol. 2019 May;201(5):996-1004. doi: 10.1097/JU.0000000000000030. J Urol. 2019. PMID: 30694933 Free PMC article. - Stones in special situations.
Duvdevani M, Sfoungaristos S, Bensalah K, Peyronnet B, Krambeck A, Khadji S, Muslumanuglu A, Leavitt D, Divers J, Okeke Z, Smith A, Fox J, Ost M, Gross AJ, Razvi H. Duvdevani M, et al. World J Urol. 2017 Sep;35(9):1381-1393. doi: 10.1007/s00345-017-2011-y. Epub 2017 Mar 7. World J Urol. 2017. PMID: 28271156 Review. - Use of Ultrasound in Pediatric Renal Stone Diagnosis and Surgery.
Morrison JC, Kawal T, Van Batavia JP, Srinivasan AK. Morrison JC, et al. Curr Urol Rep. 2017 Mar;18(3):22. doi: 10.1007/s11934-017-0669-8. Curr Urol Rep. 2017. PMID: 28233230 Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical