Evaluation of the effectiveness of non-invasive instrumental diagnostics in the detection of urolithiasis

Fatkhi Reza 1 * , Shora Seidinov 1
More Detail
1 Khoja Akhmet Yassawi International Kazakh-Turkish University, Faculty of Medicine, Turkistan, Kazakhstan
* Corresponding Author
J CLIN MED KAZ, Volume 18, Issue 4, pp. 58-63. https://doi.org/10.23950/jcmk/11043
OPEN ACCESS 1586 Views 1008 Downloads
Download Full Text (PDF)

ABSTRACT

Aim: To assess the effectiveness of non-invasive instrumental diagnostics in the detection of urolithiasis, particularly ultrasonography and computed tomography.
Materials and methods. Ultrasonic diagnosis and computed tomography were performed in 78 and 104 patients, respectively. All patients were diagnosed with urolithiasis of different localization. The study was conducted at the Regional Clinical Hospital of Shymkent city for the period 2017-2018. Also, a study of medical documentation and questionary observations were carried out with subsequent statistical processing.
Results. Various calculi were detected in 27 patients using ultrasonography in addition to the other symptoms of urolithiasis: change in the size and configuration of the kidney, the expansion of the pyelocaliceal complex and compaction of the parenchyma of the affected organ. 48.3% of the total number of stones were found on the right kidney, the remaining stones (51.7%) were found in the left kidney. In the upper, middle and lower groups of pyramids there were detected 10.7%, 32.2% and 28.6% of calculi, respectively. In the pelvis of the right and left kidneys, 17.8% and 10% calculi were found, respectively, and in the calyx-pelvis complex of the right (10.7%) and left (20%) kidneys.
Conclusion. The analysis of the effectiveness of the ultrasound and computed tomography was demonstrated that the sensitivity, specificity and accuracy of computed tomography were higher than these parameters of ultrasound, which was also confirmed by the results of computation of the receiver operating characteristic curve and the area under this curve.
Keywords: ultrasound, computed tomography, urinary lithiasis, kidney stones

CITATION

Reza F, Seidinov S. Evaluation of the effectiveness of non-invasive instrumental diagnostics in the detection of urolithiasis. J CLIN MED KAZ. 2021;18(4):58-63. https://doi.org/10.23950/jcmk/11043

REFERENCES

  • Wallace RB, Wactawski-Wende J, O'Sullivan MJ, Larson JC, Cochrane B, Gass M, Masaki K. Urinary tract stone occurrence in the Women's Health Initiative (WHI) randomized clinical trial of calcium and vitamin D supplements. Am J Clin Nutr. 2011;94(1):270-7. https://doi.org/10.3945/ajcn.110.003350.
  • Kadyrov ZA, Istratov VG, Suleymanov SI. Some questions of the etiology and pathogenesis of urolithiasis [in Russian]. Urologiya. 2006;5:98-101.
  • Ol'shanskaya EV. Doppler and radiothermometric assessment of renal blood flow in patients with urolithiasis [in Russian, Dis.kand. med.nauk.]. Moscow. 2007:137.
  • Dogan HS, Tekgul S. Management of pediatric stone disease. Curr Urol Rep. 2007;8(2):163-73. https://doi.org/10.1007/s11934-007-0067-8.
  • Biyani CS, Joyce AD. Urolithiasis in pregnancy. I: pathophysiology, fetal considerations and diagnosis. BJU Int. 2002;89(8):811-8; https://doi.org/10.1046/j.1464-410x.2002.02772.x.
  • Worster A, Preyra I, Weaver B, Haines T. The accuracy of noncontrast helical computed tomography versus intravenous pyelography in the diagnosis of suspected acute urolithiasis: a meta-analysis. Ann Emerg Med. 2002;40(3):280-6. https://doi.org/10.1067/mem.2002.126170.
  • Andrabi Y, Patino M, Das CJ, Eisner B, Sahani DV, Kambadakone A. Advances in CT imaging for urolithiasis. Indian J Urol. 2015;31(3):185-193. https://doi.org/10.4103/0970-1591.156924
  • Villa L, Giusti G, Knoll T, Traxer O. Imaging for Urinary Stones: Update in 2015. Eur Urol Focus. 2016;2(2):122-129. https://doi.org/10.1016/j.euf.2015.10.007.
  • Vrtiska TJ, Krambeck AE, McCollough CH, Leng S, Qu M, Yu L, Lieske JC. Imaging evaluation and treatment of nephrolithiasis: an update. Minn Med. 2010;93(8):48-51.
  • Steel R, Poepping TL, Thompson RS, Macaskill C. Origins of the edge shadowing artefact in medical ultrasound imaging. Ultrasound Med Biol. 2004;30(9):1153-62. https://doi.org/10.1016/j.ultrasmedbio.2004.07.014.
  • Chen Y, Li Y, Guo H, Hu Y, Luo L, Yin X, Gu J, Toumoulin C. CT Metal Artifact Reduction Method Based on Improved Image Segmentation and Sinogram In-Painting. Math Probl Eng. 2012: 18. https://doi.org/10.1155/2012/786281.
  • Schulze R, Heil U, Gross D, Bruellmann DD, Dranischnikow E, Schwanecke U, Schoemer E. Artefacts in CBCT: a review. Dentomaxillofac Radiol. 2011;40(5):265-73. https://doi.org/10.1259/dmfr/30642039.
  • Ahn H, Hernández-Andrade E, Romero R, Ptwardhan M, Goncalves LF, Aurioles-Garibay A, Garcia M, Hassan SS, Yeo L. Mirror artifacts in obstetric ultrasound: case presentation of a ghost twin during the second-trimester ultrasound scan. Fetal Diagn Ther. 2013;34(4):248-52. https://doi.org/10.1159/000353702.
  • Sarica K, Erturhan S, Yurtseven C, Yagci F. Effect of potassium citrate therapy on stone recurrence and regrowth after extracorporeal shockwave lithotripsy in children. J Endourol. 2006;20(11):875-9. https://doi.org/10.1089/end.2006.20.875.
  • Dvoryakovskiy IV. Possible errors in the recognition of kidney stones by ultrasound [in Russian]. Rossiyskiy pediatricheskiy zhurnal. 2017;20(1):53-57.
  • Bandaru RS, Sornes AR, Hermans J, Samset E, D'hooge J. Delay and Standard Deviation Beamforming to Enhance Specular Reflections in Ultrasound Imaging. IEEE Trans Ultrason Ferroelectr Freq Control. 2016;63(12):2057-2068. https://doi.org/10.1109/TUFFC.2016.2613963.
  • Lopatkin NA, Dzeranov NK. Fifteen years of experience in the use of SWL in the treatment of KSD [in Russian]. Mater. Plenum. Pravleniya Ros.obshchestva urologov, Sochi-Moskva. 2003:5-25.
  • Dogan HS, Tekgul S. Management of pediatric stone disease. Curr Urol Rep. 2007;8(2):163-73. https://doi.org/10.1007/s11934-007-0067-8.
  • Sas DJ, Hulsey TC, Shatat IF, Orak JK. Increasing incidence of kidney stones in children evaluated in the emergency department. J Pediatr. 2010;157(1):132-7. https://doi.org/10.1016/j.jpeds.2010.02.004.
  • Shomenko SV, Ukrainets YP. Innovations and advances in the diagnosis and treatment of urolithiasis [in Russian]. Ukrainskiy nauchno-prakticheskiy zhurnal urologov, andrologov i nefrologov. 2017;5:44-54.
  • Lebedev DG. Possibilities of dual-energy spiral computed tomography in the analysis of the chemical composition of calculus in urolithiasis [in Russian]. Luchevaya diagnostika i terapiya. 2017;3(8):110-111.