Impact of CT scan in patients with first episode of suspected nephrolithiasis

Journal of Emergency Medicine

Volumn 27, Issue 3, 2004, Pages 225-231

  Ha, Michael ^a   MacDonald, Russell D ^b,c,d  

^a UNIVERSITY OF MANITOBA   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^d 1120 Finch Ave W Suite 405 T   (Canada)

Author keywords

CT scanning; diagnosis; helical computed tomography; kidney calculi; nephrolithiasis

Indexed keywords

ADULT; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; EMERGENCY WARD; HEALTH CARE PLANNING; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; HYDROURETER; MAJOR CLINICAL STUDY; MALE; NEPHROLITHIASIS; OBSERVATION; OUTCOMES RESEARCH; PHYSICIAN; PRIORITY JOURNAL; QUESTIONNAIRE; SPIRAL COMPUTER ASSISTED TOMOGRAPHY; UROLITHIASIS;

ADULT; EMERGENCY MEDICAL SERVICES; EPISODE OF CARE; FEMALE; FLANK PAIN; HEALTH PERSONNEL; HEMATURIA; HOSPITALS, UNIVERSITY; HUMANS; KIDNEY; KIDNEY CALCULI; MALE; PROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 4544348265     PISSN: 07364679     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jemermed.2004.04.009     Document Type: Article

References (14)

1. D.S. Katz, M. Scheer, J.M. Lumerman, B.C. Mellinger, C.A. Stillman, M.J. Lane Alternative or additional diagnoses on unenhanced helical computed tomography for suspected renal colic: experience with 1000 consecutive examinations Urology 56 2000 53 57
2. M.Y.M. Chen, R.J. Zagoria Can unenhanced helical computed tomography replace excretory urography for evaluation of patients with acute urinary tract colic? J Emerg Med 17 1999 299 303
3. I. Boulay, P. Holtz, W.D. Foley, B. White, F.P. Begun Ureteral calculi: diagnostic efficacy of helical CT and implications for treatment of patients AJR Am J Roentgenol 172 1999 1485 1490
4. Longo J, Akbar SA, Schaff T, et al. A prospective comparative study of non-contrast helical computed tomography and intravenous urogram for the assessment of renal colic. Emerg Radiol 2001;8(5):285-92.
5. O.F. Miller, S.K. Rineer, S.R Reichard Prospective comparison of unenhanced spiral computed tomography and intravenous urogram in the evaluation of acute flank pain Urology 52 1998 982 987
6. M.Y.M. Chen, R.J. Zagoria, H.S. Saunders, R.B. Dyer Trends in the use of unenhanced helical CT for acute urinary colic AJR Am J Roentgenol 173 1999 1447 1450
7. M.M. Nachmann, R.C. Harkaway, S.L Summerton Helical CT scanning: the primary imaging modality for acute flank pain Am J Emerg Med 18 2000 649 652
8. T.J. Greenwell, S. Woodhams, E.R. Denton, A. MacKenzie, S.C. Rankin, R. Popert One year's clinical experience with unenhanced spiral computed tomography for the assessment of acute loin pain suggestive of renal colic BJU Int 85 2000 632 636
9. J.M. Thomson, J. Glocer, C. Abbott, T.M. Maling, S. Mark Computed tomography versus intravenous urography in diagnosis of acute flank pain from urolithiasis: a randomized study comparing costs and radiation dose Australas Radiol 45 2001 291 297
10. G. Grisi, F. Stacul, R. Cuttin, A. Rimondini, S. Meduri, L. Dalla Palma Cost analysis of different protocols for imaging a patient with acute flank pain Eur Radiol 10 2000 1620 1627
11. E.M. Rekant, C.L. Gibert, F.L. Counselman Emergency department time for evaluation of patients discharged with a diagnosis of renal colic: unenhanced helical computed tomography versus intravenous urography J Emerg Med 21 2001 371 374
12. M. Patel, S.S. Han, K. Vaux, J. Saalfeld, J.H. Alexander A protocol of early spiral computed tomography for the detection of stones in patients with renal colic has reduced the time to diagnosis and overall management costs Aust N Z J Surg 70 2000 39 42
13. E.R. Denton, A. Mackenzie, T. Greenwell, R. Popert, S.C. Rankin Unenhanced helical CT for renal colic - is the radiation dose justifiable? Clin Radiol 54 1999 444 447
14. U.S. Food and Drug Administration Department of Health and Human Services. Whole body scanning, using computed tomography http://www.fda.gov/ cdrh/ct/risks.html#dose Accessed February 3, 2004