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Imaging in stone diagnosis and surgical planning
1University of Wisconsin, Department of Urology, Madison, Wisconsin, USA.
Current Opinion in Urology
|June 24, 2022
Summary
Modern imaging, including ultrasound and low-dose CT scans, aids in diagnosing kidney stones (urolithiasis). Advanced techniques like 3D imaging and machine learning personalize treatment and surgical planning for better patient outcomes.
Area of Science:
- Urology
- Radiology
- Medical Imaging
Background:
- Urolithiasis diagnosis relies on various radiological imaging modalities.
- Advancements in imaging offer improved diagnostic accuracy and treatment planning.
Purpose of the Study:
- To review modern imaging techniques for urolithiasis diagnosis.
- To explore applications of these techniques in surgical planning.
Main Methods:
- Review of current literature on radiological imaging in urolithiasis.
- Analysis of techniques including X-ray, ultrasound (US), and computed tomography (CT).
- Inclusion of advanced methods like single/dual-energy CT and machine learning.
Main Results:
- Ultrasound is valuable for flank pain assessment, potentially reducing radiation.
- Low-dose CT is the standard but underutilized; advanced CT provides 3D insights.
- Machine learning enhances prognostications and treatment selection from 3D imaging.
Conclusions:
- Imaging in urolithiasis is becoming increasingly personalized.
- Patient and stone characteristics guide clinical decisions, surgical planning, and counseling.
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