用计算机断层扫描评估的血作为结石疾病的标志:一篇评论
Vadlamudi Nagendra1, Rajasbala Dhande1, Gaurav Mishra1
1Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus
|May 30, 2023
概括
结石是腹痛的常见原因,影响全球12%的人口. 多探测器计算机断层扫描是最准确的诊断成像,用于结石引起的血.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 结石 (结石) 是一种普遍存在的尿道系统病理,影响全球12%的人口.
- 尿道,脏和膀中结石的形成经常导致出血,这是急性腹痛的常见原因.
- 有效的诊断成像对于评估疑似结石和出血症的患者至关重要.
研究的目的:
- 为了确定最准确的成像技术来诊断结石和相关的血.
- 建立基于证据的指导方针,根据患者的人口统计和血液表现进行成像选择.
- 通过结构化质量评估尺度,对结石诊断的现有研究进行批判性评估.
主要方法:
- 使用PICO格式的问题和MeSH术语,如"结石"和"血"进行了系统的文献搜索.
- 符合特定标准的研究被批判性地评估,使用独特的质量评估尺度.
- 对各种成像方式的诊断准确度进行了比较分析.
主要成果:
- 未增强的螺旋计算断层扫描 (CT) 被强调为有效的初始成像技术.
- 多检测器CT (MDCT) 被认为是血液病患者最准确的成像诊断测试.
- 提供了具体的成像建议:在40岁以上的患者中,用于显微出血的非对比CT或超声波,并添加严重出血的囊镜;老年患者需要使用囊镜进行前和后对比CT.
结论:
- 多检测器计算机断层扫描为诊断结石和血提供了最高的准确性.
- 量身定制的成像策略,考虑到患者的年龄和血类型,提高诊断产量.
- 基于证据的指导方针支持使用MDCT和囊镜进行最佳结石评估.
相关概念视频
Imaging Studies III: Computed Tomography
30
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
30
Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9
Imaging Studies II: Ultrasonography
32
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
32
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
16
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
16
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
81
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
81
Imaging Studies I: Kidney, Ureter, and Bladder Studies
27
Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
27


