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BioMed Research International
Volume 2015, Article ID 810971, 6 pages
http://dx.doi.org/10.1155/2015/810971
Research Article

Usefulness of Nonenhanced Computed Tomography for Diagnosing Urolithiasis without Pyuria in the Emergency Department

1Department of Emergency Medicine, College of Medicine, Chung-Ang University Hospital, 102 Heukseok-ro, Dongjak-gu, Seoul 156-755, Republic of Korea
2Department of Urology, College of Medicine, Chung-Ang University Hospital, 102 Heukseok-ro, Dongjak-gu, Seoul 156-755, Republic of Korea
3Department of Radiology, College of Medicine, Chung-Ang University Hospital, 102 Heukseok-ro, Dongjak-gu, Seoul 156-755, Republic of Korea

Received 15 May 2015; Revised 6 July 2015; Accepted 14 July 2015

Academic Editor: Harold K. Simon

Copyright © 2015 Dong Hoon Lee et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. J. S. Luchs, D. S. Katz, M. J. Lane et al., “Utility of hematuria testing in patients with suspected renal colic: correlation with unenhanced helical CT results,” Urology, vol. 59, no. 6, pp. 839–842, 2002. View at Publisher · View at Google Scholar · View at Scopus
  2. G. S. Lim, S. H. Jang, J. H. Son et al., “Comparison of non-contrast-enhanced computed tomography and intravenous pyelogram for detection of patients with urinary calculi,” Korean Journal of Urology, vol. 55, no. 2, pp. 120–123, 2014. View at Publisher · View at Google Scholar · View at Scopus
  3. S. H. Park, K. D. Kim, Y. T. Moon et al., “Pilot study of low-dose nonenhanced computed tomography with iterative reconstruction for diagnosis of urinary stones,” Korean Journal of Urology, vol. 55, no. 9, pp. 581–586, 2014. View at Publisher · View at Google Scholar · View at Scopus
  4. S. Abramson, N. Walders, K. E. Applegate, R. C. Gilkeson, and M. R. Robbin, “Impact in the emergency department of unenhanced CT on diagnostic confidence and therapeutic efficacy in patients with suspected renal colic: a prospective survey,” The American Journal of Roentgenology, vol. 175, no. 6, pp. 1689–1695, 2000. View at Publisher · View at Google Scholar · View at Scopus
  5. E. S. Hyams, F. K. Korley, J. C. Pham, and B. R. Matlaga, “Trends in imaging use during the emergency department evaluation of flank pain,” The Journal of Urology, vol. 186, no. 6, pp. 2270–2274, 2011. View at Publisher · View at Google Scholar · View at Scopus
  6. A. C. Westphalen, R. Y. Hsia, J. H. Maselli, R. Wang, and R. Gonzales, “Radiological imaging of patients with suspected urinary tract stones: national trends, diagnoses, and predictors,” Academic Emergency Medicine, vol. 18, no. 7, pp. 699–707, 2011. View at Publisher · View at Google Scholar · View at Scopus
  7. C. L. Moore, B. Daniels, D. Singh, S. Luty, and A. Molinaro, “Prevalence and clinical importance of alternative causes of symptoms using a renal colic computed tomography protocol in patients with flank or back pain and absence of pyuria,” Academic Emergency Medicine, vol. 20, no. 5, pp. 470–478, 2013. View at Publisher · View at Google Scholar · View at Scopus
  8. M. Masarani and M. Dinneen, “Ureteric colic: new trends in diagnosis and treatment,” Postgraduate Medical Journal, vol. 83, no. 981, pp. 469–472, 2007. View at Publisher · View at Google Scholar · View at Scopus
  9. A. H. Whitfield and H. N. Whitfield, “Is there a role for the intravenous urogram in the 21st century?” Annals of the Royal College of Surgeons of England, vol. 88, no. 1, pp. 62–65, 2006. View at Publisher · View at Google Scholar · View at Scopus
  10. D. B. Larson, L. W. Johnson, B. M. Schnell, S. R. Salisbury, and H. P. Forman, “National trends in CT use in the emergency department: 1995–2007,” Radiology, vol. 258, no. 1, pp. 164–173, 2011. View at Publisher · View at Google Scholar · View at Scopus
  11. N. A. Ahmad, M. H. Ather, and J. Rees, “Unenhanced helical computed tomography in the evaluation of acute flank pain,” International Journal of Urology, vol. 10, no. 6, pp. 287–292, 2003. View at Publisher · View at Google Scholar · View at Scopus
  12. R. C. Smith, A. T. Rosenfield, K. A. Choe et al., “Acute flank pain: comparison of non-contrast-enhanced CT and intravenous urography,” Radiology, vol. 194, no. 3, pp. 789–794, 1995. View at Publisher · View at Google Scholar · View at Scopus
  13. O. F. Miller and C. J. Kane, “Time to stone passage for observed ureteral calculi: a guide for patient education,” The Journal of Urology, vol. 162, no. 3, part 1, pp. 688–691, 1999. View at Publisher · View at Google Scholar · View at Scopus
  14. J. W. Segura, G. M. Preminger, D. G. Assimos et al., “Ureteral stones clinical guidelines panel summary report on the management of ureteral calculi,” The Journal of Urology, vol. 158, no. 5, pp. 1915–1921, 1997. View at Publisher · View at Google Scholar · View at Scopus
  15. W. A. Hubner, P. Irby, and M. L. Stoller, “Natural history and current concepts for the treatment of small ureteral calculi,” European Urology, vol. 24, no. 2, pp. 172–176, 1993. View at Google Scholar · View at Scopus
  16. D. S. Katz, M. Scheer, J. H. Lumerman, B. C. Mellinger, C. A. Stillman, and M. J. Lane, “Alternative or additional diagnoses on unenhanced helical computed tomography for suspected renal colic: experience with 1000 consecutive examinations,” Urology, vol. 56, no. 1, pp. 53–57, 2000. View at Publisher · View at Google Scholar · View at Scopus
  17. H. Hoppe, R. Studer, T. M. Kessler, P. Vock, U. E. Studer, and H. C. Thoeny, “Alternate or additional findings to stone disease on unenhanced computerized tomography for acute flank pain can impact management,” The Journal of Urology, vol. 175, no. 5, pp. 1725–1730, 2006. View at Publisher · View at Google Scholar · View at Scopus
  18. D. J. Brenner and E. J. Hall, “Computed tomography—an increasing source of radiation exposure,” The New England Journal of Medicine, vol. 357, no. 22, pp. 2277–2284, 2007. View at Publisher · View at Google Scholar · View at Scopus
  19. R. Smith-Bindman, J. Lipson, R. Marcus et al., “Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer,” Archives of Internal Medicine, vol. 169, no. 22, pp. 2078–2086, 2009. View at Publisher · View at Google Scholar · View at Scopus
  20. J. Broder, J. Bowen, J. Lohr, A. Babcock, and J. Yoon, “Cumulative CT exposures in emergency department patients evaluated for suspected renal colic,” The Journal of Emergency Medicine, vol. 33, no. 2, pp. 161–168, 2007. View at Publisher · View at Google Scholar · View at Scopus