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Related Experiment Videos

Imaging Advances in Urolithiasis.

Joanne Dale1, Rajan T Gupta1,2, Daniele Marin2

  • 11 Department of Urology, Duke University Medical Center , Durham, North Carolina.

Journal of Endourology
|April 13, 2017
PubMed
Summary
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Urinary stone imaging has advanced with CT technology, reducing radiation and improving detection. Further innovations are needed for smaller stones, larger patients, and cost-effective, safe patient care.

Area of Science:

  • Radiology
  • Urology
  • Medical Imaging

Background:

  • Urinary stone disease affects 1 in 11 individuals in the US.
  • Imaging is vital for diagnosing, managing, and monitoring urinary stones.
  • Advancements in imaging technology have paralleled the rise in stone prevalence.

Purpose of the Study:

  • To review the evolution and impact of imaging techniques in urolithiasis.
  • To highlight advancements in CT technology for stone detection and dose reduction.
  • To identify ongoing needs for improved imaging in urinary stone management.

Main Methods:

  • Review of historical and current imaging technologies for urinary stones.
  • Focus on Computed Tomography (CT) advancements: multidetector CT and dual-energy CT.
Keywords:
advancesdigital tomographyimagingradiationtechnologyurolithiasis

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  • Discussion of digital tomography for follow-up of recurrent stone formers.

    • Main Results:

    • CT is the gold standard for urolithiasis imaging.
    • Modern CT techniques (MDCT, DECT) enhance stone detection and reduce radiation dose.
    • Digital tomography offers potential for lower radiation exposure in follow-up.

    Conclusions:

    • Imaging technology has significantly improved urinary stone diagnosis and management.
    • Continued innovation is required for detecting small stones, imaging larger patients, and lowering radiation doses.
    • Judicious use of imaging modalities is essential for cost containment and patient safety.