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ReviewRadiology of renal stone diseaseHighlights• Recent advances in Computed Tomography (CT) have improved the radiological evaluation of renal stones disease. •With DECT, it is possible to determine the in vivo composition of renal stones, assisting with diagnosis and treatment. •There are ongoing efforts to decrease radiation dose related to CT examinations, including those for renal stone disease. AbstractNephrolithiasis is a common cause of abdominal pain and will affect approximately 1 in 10 people in their lifetime. In the past two decades, there have been several technological advances that have changed the imaging approach to stone diagnosis and follow-up. We present a review of the current imaging evaluation for renal stone disease, and outline how new technology has helped with diagnosis and management. KeywordsNephrolithiasis Radiology Computed Tomography Low dose Ultrasound Cited by (0)© 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. Which diagnostic test has the highest sensitivity for detecting renal calculi?Compared with abdominal ultrasonography and KUB radiography, intravenous pyelography has greater sensitivity (64 to 87 percent) and specificity (92 to 94 percent) for the detection of renal calculi.
Which imaging study has the highest sensitivity for detection of urinary calculi?Unenhanced helical computed tomography (CT) is highly sensitive (>95%) and specific (>96%) in the diagnosis of urolithiasis and is the imaging investigation of choice for the initial assessment of patients with suspected urolithiasis.
What is the diagnostic test for diagnosing renal calculi?Imaging tests may show kidney stones in your urinary tract. High-speed or dual energy computerized tomography (CT) may reveal even tiny stones. Simple abdominal X-rays are used less frequently because this kind of imaging test can miss small kidney stones.
What is the gold standard for diagnosing a renal stone?Typically a urinalysis (testing of a urine sample), an abdominal x-ray, a computerized tomography (CT) scan, or an ultrasound will be done to complete the diagnosis. According to the American Urological Association, the current gold standard for confirming kidney stones is a non-contrast CT of the abdomen and pelvis.
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