Template:Acute kidney stone disease - need and choice of modality
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Need for imaging
Imaging is indicated in cases of flank pain and hematuria.[1]
Choice of modality
Algorithm for kidney stone disease, developed in the US.[2]
- Ultrasonography of kidney stone disease is the first-line imaging modality for patients <14 years of age and those who are pregnant. It is also the first-line investigation for thin (BMI <30) patients and there is a strong suspicion of kidney stone disease.[1] In the algorithm at right, hydronephrosis may count as a diagnostic finding of urolithiasis.
- CT of kidney stone disease is recommended for older patients, as well as those who have higher BMI and/or less specific findings.[1]
- CT urography is indicated in suspected malignancy, such as hematuria without flank pain.
References
- ↑ 1.0 1.1 1.2 Brisbane, Wayne; Bailey, Michael R.; Sorensen, Mathew D. (2016). "An overview of kidney stone imaging techniques ". Nature Reviews Urology 13 (11): 654–662. doi:. ISSN 1759-4812.
- ↑ Brisbane, Wayne; Bailey, Michael R.; Sorensen, Mathew D. (2016). "An overview of kidney stone imaging techniques ". Nature Reviews Urology 13 (11): 654–662. doi:. ISSN 1759-4812.
