Abdominal plain film in patients admitted with clinical suspicion of renal colic: Should it be replaced by low-dose computed tomography?
To evaluate a low-dose abdominal computed tomography (LDCT) protocol, delivering a radiation dose close to that delivered by an abdominal plain film (APF), in patients with a clinical suspicion of renal colic. A total of 139 patients for whom an APF was requested for suspicion of renal colic were ra...
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Published in | Urology (Ridgewood, N.J.) Vol. 67; no. 1; pp. 64 - 68 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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United States
Elsevier Inc
2006
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Abstract | To evaluate a low-dose abdominal computed tomography (LDCT) protocol, delivering a radiation dose close to that delivered by an abdominal plain film (APF), in patients with a clinical suspicion of renal colic.
A total of 139 patients for whom an APF was requested for suspicion of renal colic were randomized into two groups. The patients in group 1 (n = 68) underwent an admission LDCT scan delivering a 2.1-mSv radiation dose to women and 1.6 mSv to men, instead of the APF. Patients in group 2 (n = 71) underwent an APF. Clinical and radiologic follow-up data were obtained for each patient. The number of additional abdominal ultrasound and CT scans performed to reach a confident final diagnosis and determine the proper treatment was compared between the two groups. A mean effective radiation dose was obtained in each group.
Of the 68 patients in group 1 (LDCT), 10 (15%) underwent ultrasonography, 9 (13%) conventional abdominal CT, and 2 (3%) both. In group 2 (APF), the corresponding percentages were 27% (19 of 71), 28% (20 of 71), and 23% (16 of 71). Of the 68 patients in group 1, 47 (69%) did not require any additional examinations compared with 16 (23%) of the 71 patients in group 2 (
P <0.0001). The mean effective dose was 3.5 and 6.9 mSv in groups 1 and 2, respectively (
P <0.0001).
In patients with suspicion of renal colic, replacing the admission APF with our LDCT protocol will significantly reduce the need for additional CT or ultrasonography. Also, our LDCT protocol decreases by almost 50% the mean radiation dose per patient. |
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AbstractList | To evaluate a low-dose abdominal computed tomography (LDCT) protocol, delivering a radiation dose close to that delivered by an abdominal plain film (APF), in patients with a clinical suspicion of renal colic.
A total of 139 patients for whom an APF was requested for suspicion of renal colic were randomized into two groups. The patients in group 1 (n = 68) underwent an admission LDCT scan delivering a 2.1-mSv radiation dose to women and 1.6 mSv to men, instead of the APF. Patients in group 2 (n = 71) underwent an APF. Clinical and radiologic follow-up data were obtained for each patient. The number of additional abdominal ultrasound and CT scans performed to reach a confident final diagnosis and determine the proper treatment was compared between the two groups. A mean effective radiation dose was obtained in each group.
Of the 68 patients in group 1 (LDCT), 10 (15%) underwent ultrasonography, 9 (13%) conventional abdominal CT, and 2 (3%) both. In group 2 (APF), the corresponding percentages were 27% (19 of 71), 28% (20 of 71), and 23% (16 of 71). Of the 68 patients in group 1, 47 (69%) did not require any additional examinations compared with 16 (23%) of the 71 patients in group 2 (
P <0.0001). The mean effective dose was 3.5 and 6.9 mSv in groups 1 and 2, respectively (
P <0.0001).
In patients with suspicion of renal colic, replacing the admission APF with our LDCT protocol will significantly reduce the need for additional CT or ultrasonography. Also, our LDCT protocol decreases by almost 50% the mean radiation dose per patient. To evaluate a low-dose abdominal computed tomography (LDCT) protocol, delivering a radiation dose close to that delivered by an abdominal plain film (APF), in patients with a clinical suspicion of renal colic. A total of 139 patients for whom an APF was requested for suspicion of renal colic were randomized into two groups. The patients in group 1 (n = 68) underwent an admission LDCT scan delivering a 2.1-mSv radiation dose to women and 1.6 mSv to men, instead of the APF. Patients in group 2 (n = 71) underwent an APF. Clinical and radiologic follow-up data were obtained for each patient. The number of additional abdominal ultrasound and CT scans performed to reach a confident final diagnosis and determine the proper treatment was compared between the two groups. A mean effective radiation dose was obtained in each group. Of the 68 patients in group 1 (LDCT), 10 (15%) underwent ultrasonography, 9 (13%) conventional abdominal CT, and 2 (3%) both. In group 2 (APF), the corresponding percentages were 27% (19 of 71), 28% (20 of 71), and 23% (16 of 71). Of the 68 patients in group 1, 47 (69%) did not require any additional examinations compared with 16 (23%) of the 71 patients in group 2 (P < 0.0001). The mean effective dose was 3.5 and 6.9 mSv in groups 1 and 2, respectively (P < 0.0001). In patients with suspicion of renal colic, replacing the admission APF with our LDCT protocol will significantly reduce the need for additional CT or ultrasonography. Also, our LDCT protocol decreases by almost 50% the mean radiation dose per patient. |
Author | Platon, Alexandra Schmidlin, Franz R. Becker, Christoph D. Verdun, Francis R. Poletti, Pierre-Alexandre Buhler, Léo H. Rutschmann, Olivier T. Vermeulen, Bernard Sarasin, François P. Iselin, Christophe E. |
Author_xml | – sequence: 1 givenname: Pierre-Alexandre surname: Poletti fullname: Poletti, Pierre-Alexandre email: pierre-alexandre.poletti@hcuge.ch organization: Department of Radiology, University Hospital of Geneva, Geneva, Switzerland – sequence: 2 givenname: Alexandra surname: Platon fullname: Platon, Alexandra organization: Department of Radiology, University Hospital of Geneva, Geneva, Switzerland – sequence: 3 givenname: Olivier T. surname: Rutschmann fullname: Rutschmann, Olivier T. organization: Department of Internal Medicine, University Hospital of Geneva, Geneva, Switzerland – sequence: 4 givenname: Francis R. surname: Verdun fullname: Verdun, Francis R. organization: University Institute for Applied Radiophysics, Lausanne, Switzerland – sequence: 5 givenname: Franz R. surname: Schmidlin fullname: Schmidlin, Franz R. organization: Urology Clinic, University Hospital of Geneva, Geneva, Switzerland – sequence: 6 givenname: Christophe E. surname: Iselin fullname: Iselin, Christophe E. organization: Urology Clinic, University Hospital of Geneva, Geneva, Switzerland – sequence: 7 givenname: Bernard surname: Vermeulen fullname: Vermeulen, Bernard organization: Emergency Center, University Hospital of Geneva, Geneva, Switzerland – sequence: 8 givenname: François P. surname: Sarasin fullname: Sarasin, François P. organization: Department of Internal Medicine, University Hospital of Geneva, Geneva, Switzerland – sequence: 9 givenname: Léo H. surname: Buhler fullname: Buhler, Léo H. organization: Clinic/Policlinic of Digestive Surgery, University Hospital of Geneva, Geneva, Switzerland – sequence: 10 givenname: Christoph D. surname: Becker fullname: Becker, Christoph D. organization: Department of Radiology, University Hospital of Geneva, Geneva, Switzerland |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/16413334$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1118/1.596445 10.1016/S0009-9260(03)00103-X 10.1148/radiology.204.1.9205218 10.1148/radiology.184.1.1609107 10.2214/ajr.172.6.10350277 10.1016/S0022-5347(05)65178-6 10.1148/radiology.215.1.r00ap4051 10.1016/S0022-5347(01)63714-5 10.1097/00004728-200009000-00023 10.1259/bjr.74.886.740901 10.1016/S0009-9260(05)81449-7 10.1016/0720-048X(90)90153-3 10.1259/0007-1285-67-798-564 10.1053/crad.2001.0842 10.2214/ajr.180.2.1800305 10.1016/S0090-4295(01)01584-9 10.1148/radiology.209.1.9769849 10.1148/radiol.2292021261 10.1148/radiol.2282011726 10.1016/S0022-5347(05)67346-6 10.1056/NEJMcp030813 10.1148/radiology.152.1.6729105 10.1148/radiology.217.3.r00dc41792 10.1016/S0090-4295(96)00009-X 10.1148/radiol.2222010667 10.1259/0007-1285-62-743-977 |
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References | Teichman (bib1) 2004; 350 Jackman, Potter, Regan (bib6) 2000; 164 Hamm, Knopfle, Wartenberg (bib15) 2002; 167 Diel, Perlmutter, Venkataramanan (bib16) 2000; 24 Sierakowski, Finlayson, Landes (bib18) 1978; 15 Sermovaa, Rannikko, Nikitin (bib24) 1989 Okkalides, Fotakis (bib29) 1994; 67 Dalrymple, Verga, Anderson (bib11) 1998; 159 Tamm, Silverman, Shuman (bib20) 2003; 228 Aslaksen, Gothlin (bib7) 1990; 11 Huda, Bissessur (bib23) 1990; 17 Cheung, Leung, Wong (bib26) 2002; 59 Dalla Palma, Stacul, Bazzocchi (bib8) 1993; 47 International Electrotechnical Committee: Standard IEC1999 #60601-2-44, Amendment 1, Geneva Switzerland. Caoili, Cohan, Korobkin (bib17) 2002; 222 Boulay, Holtz, Foley (bib10) 1999; 172 Tack, Sourtzis, Delpierre (bib14) 2003; 180 Lautin, Schoenfeld, Choudhri (bib21) 1998; 209 Gorelik, Ulish, Yagil (bib2) 1996; 47 Sheafor, Hertzberg, Freed (bib9) 2000; 217 Lewis-Jones, Lamb, Hughes (bib28) 1989; 62 Meagher, Sukumar, Collingwood (bib13) 2001; 56 Heneghan, McGuire, Leder (bib12) 2003; 229 Patlas, Farkas, Fisher (bib19) 2001; 74 Haddad, Sharif, Shahed (bib27) 1992; 184 Erwin, Carroll, Sommer (bib25) 1984; 152 (bib3) 2000; 29 Sandhu, Anson, Patel (bib4) 2003; 58 Levine, Neitlich, Verga (bib5) 1997; 204 Liu, Esler, Kenny (bib30) 2000; 215 Sierakowski (10.1016/j.urology.2005.07.042_bib18) 1978; 15 Patlas (10.1016/j.urology.2005.07.042_bib19) 2001; 74 Cheung (10.1016/j.urology.2005.07.042_bib26) 2002; 59 Dalla Palma (10.1016/j.urology.2005.07.042_bib8) 1993; 47 (10.1016/j.urology.2005.07.042_bib3) 2000; 29 Tamm (10.1016/j.urology.2005.07.042_bib20) 2003; 228 Teichman (10.1016/j.urology.2005.07.042_bib1) 2004; 350 Jackman (10.1016/j.urology.2005.07.042_bib6) 2000; 164 Sheafor (10.1016/j.urology.2005.07.042_bib9) 2000; 217 Caoili (10.1016/j.urology.2005.07.042_bib17) 2002; 222 Lautin (10.1016/j.urology.2005.07.042_bib21) 1998; 209 Hamm (10.1016/j.urology.2005.07.042_bib15) 2002; 167 Haddad (10.1016/j.urology.2005.07.042_bib27) 1992; 184 Liu (10.1016/j.urology.2005.07.042_bib30) 2000; 215 Diel (10.1016/j.urology.2005.07.042_bib16) 2000; 24 Sandhu (10.1016/j.urology.2005.07.042_bib4) 2003; 58 Boulay (10.1016/j.urology.2005.07.042_bib10) 1999; 172 Dalrymple (10.1016/j.urology.2005.07.042_bib11) 1998; 159 Heneghan (10.1016/j.urology.2005.07.042_bib12) 2003; 229 Aslaksen (10.1016/j.urology.2005.07.042_bib7) 1990; 11 Erwin (10.1016/j.urology.2005.07.042_bib25) 1984; 152 Meagher (10.1016/j.urology.2005.07.042_bib13) 2001; 56 Okkalides (10.1016/j.urology.2005.07.042_bib29) 1994; 67 Tack (10.1016/j.urology.2005.07.042_bib14) 2003; 180 Huda (10.1016/j.urology.2005.07.042_bib23) 1990; 17 Levine (10.1016/j.urology.2005.07.042_bib5) 1997; 204 Gorelik (10.1016/j.urology.2005.07.042_bib2) 1996; 47 10.1016/j.urology.2005.07.042_bib22 Lewis-Jones (10.1016/j.urology.2005.07.042_bib28) 1989; 62 Sermovaa (10.1016/j.urology.2005.07.042_bib24) 1989 |
References_xml | – volume: 17 start-page: 998 year: 1990 end-page: 1003 ident: bib23 article-title: Effective dose equivalents, HE, in diagnostic radiology publication-title: Med Phys contributor: fullname: Bissessur – volume: 67 start-page: 564 year: 1994 end-page: 572 ident: bib29 article-title: Patient effective dose resulting from radiographic examinations publication-title: Br J Radiol contributor: fullname: Fotakis – volume: 152 start-page: 147 year: 1984 end-page: 150 ident: bib25 article-title: Renal colic publication-title: Radiology contributor: fullname: Sommer – volume: 59 start-page: 340 year: 2002 end-page: 343 ident: bib26 article-title: Prospective study on ultrasonography plus plain radiography in predicting residual obstruction after extracorporeal shock wave lithotripsy for ureteral stones publication-title: Urology contributor: fullname: Wong – volume: 159 start-page: 735 year: 1998 end-page: 740 ident: bib11 article-title: The value of unenhanced helical computerized tomography in the management of acute flank pain publication-title: J Urol contributor: fullname: Anderson – volume: 74 start-page: 901 year: 2001 end-page: 904 ident: bib19 article-title: Ultrasound vs CT for the detection of ureteric stones in patients with renal colic publication-title: Br J Radiol contributor: fullname: Fisher – volume: 47 start-page: 637 year: 1996 end-page: 642 ident: bib2 article-title: The use of standard imaging techniques and their diagnostic value in the workup of renal colic in the setting of intractable flank pain publication-title: Urology contributor: fullname: Yagil – volume: 47 start-page: 333 year: 1993 end-page: 336 ident: bib8 article-title: Ultrasonography and plain film versus intravenous urography in ureteric colic publication-title: Clin Radiol contributor: fullname: Bazzocchi – volume: 222 start-page: 353 year: 2002 end-page: 360 ident: bib17 article-title: Urinary tract abnormalities publication-title: Radiology contributor: fullname: Korobkin – volume: 167 start-page: 1687 year: 2002 end-page: 1691 ident: bib15 article-title: Low dose unenhanced helical computerized tomography for the evaluation of acute flank pain publication-title: J Urol contributor: fullname: Wartenberg – volume: 62 start-page: 977 year: 1989 end-page: 980 ident: bib28 article-title: Can ultrasound replace the intravenous urogram in preliminary investigation of renal tract disease? A prospective study publication-title: Br J Radiol contributor: fullname: Hughes – volume: 172 start-page: 1485 year: 1999 end-page: 1490 ident: bib10 article-title: Ureteral calculi publication-title: AJR Am J Roentgenol contributor: fullname: Foley – volume: 15 start-page: 438 year: 1978 end-page: 441 ident: bib18 article-title: The frequency of urolithiasis in hospital discharge diagnoses in the United States publication-title: Invest Urol contributor: fullname: Landes – volume: 229 start-page: 575 year: 2003 end-page: 580 ident: bib12 article-title: Helical CT for nephrolithiasis and ureterolithiasis publication-title: Radiology contributor: fullname: Leder – year: 1989 ident: bib24 article-title: A topographically and anatomically unified phantom model for organ dose determination in radiation hygiene publication-title: Report STUK-A87 contributor: fullname: Nikitin – volume: 11 start-page: 87 year: 1990 end-page: 90 ident: bib7 article-title: Ultrasonic diagnosis of ureteral calculi in patients with acute flank pain publication-title: Eur J Radiol contributor: fullname: Gothlin – volume: 215 start-page: 51 year: 2000 end-page: 54 ident: bib30 article-title: Low-dose nonenhanced helical CT of renal colic publication-title: Radiology contributor: fullname: Kenny – volume: 180 start-page: 305 year: 2003 end-page: 311 ident: bib14 article-title: Low-dose unenhanced multidetector CT of patients with suspected renal colic publication-title: AJR Am J Roentgenol contributor: fullname: Delpierre – volume: 228 start-page: 319 year: 2003 end-page: 329 ident: bib20 article-title: Evaluation of the patient with flank pain and possible ureteral calculus publication-title: Radiology contributor: fullname: Shuman – volume: 24 start-page: 795 year: 2000 end-page: 801 ident: bib16 article-title: Unenhanced helical CT using increased pitch for suspected renal colic publication-title: J Comput Assist Tomogr contributor: fullname: Venkataramanan – volume: 58 start-page: 415 year: 2003 end-page: 421 ident: bib4 article-title: Urinary tract stones—part I publication-title: Clin Radiol contributor: fullname: Patel – volume: 217 start-page: 792 year: 2000 end-page: 797 ident: bib9 article-title: Nonenhanced helical CT and US in the emergency evaluation of patients with renal colic publication-title: Radiology contributor: fullname: Freed – volume: 184 start-page: 83 year: 1992 end-page: 88 ident: bib27 article-title: Renal colic publication-title: Radiology contributor: fullname: Shahed – volume: 204 start-page: 27 year: 1997 end-page: 31 ident: bib5 article-title: Ureteral calculi in patients with flank pain publication-title: Radiology contributor: fullname: Verga – volume: 56 start-page: 873 year: 2001 end-page: 876 ident: bib13 article-title: Low dose computed tomography in suspected acute renal colic publication-title: Clin Radiol contributor: fullname: Collingwood – volume: 29 start-page: 1007 year: 2000 end-page: 1111 ident: bib3 article-title: Emergency management of adult nephrotic colic publication-title: Presse Med – volume: 164 start-page: 308 year: 2000 end-page: 310 ident: bib6 article-title: Plain abdominal x-ray versus computerized tomography screening publication-title: J Urol contributor: fullname: Regan – volume: 209 start-page: 286 year: 1998 end-page: 287 ident: bib21 article-title: Subservience of excretory urography to unenhanced CT in evaluating renal colic: a good idea? Benefits and consequences publication-title: Radiology contributor: fullname: Choudhri – volume: 350 start-page: 684 year: 2004 end-page: 693 ident: bib1 article-title: Clinical practice publication-title: N Engl J Med contributor: fullname: Teichman – volume: 17 start-page: 998 year: 1990 ident: 10.1016/j.urology.2005.07.042_bib23 article-title: Effective dose equivalents, HE, in diagnostic radiology publication-title: Med Phys doi: 10.1118/1.596445 contributor: fullname: Huda – volume: 58 start-page: 415 year: 2003 ident: 10.1016/j.urology.2005.07.042_bib4 article-title: Urinary tract stones—part I publication-title: Clin Radiol doi: 10.1016/S0009-9260(03)00103-X contributor: fullname: Sandhu – volume: 204 start-page: 27 year: 1997 ident: 10.1016/j.urology.2005.07.042_bib5 article-title: Ureteral calculi in patients with flank pain publication-title: Radiology doi: 10.1148/radiology.204.1.9205218 contributor: fullname: Levine – year: 1989 ident: 10.1016/j.urology.2005.07.042_bib24 article-title: A topographically and anatomically unified phantom model for organ dose determination in radiation hygiene contributor: fullname: Sermovaa – volume: 184 start-page: 83 year: 1992 ident: 10.1016/j.urology.2005.07.042_bib27 article-title: Renal colic publication-title: Radiology doi: 10.1148/radiology.184.1.1609107 contributor: fullname: Haddad – volume: 172 start-page: 1485 year: 1999 ident: 10.1016/j.urology.2005.07.042_bib10 article-title: Ureteral calculi publication-title: AJR Am J Roentgenol doi: 10.2214/ajr.172.6.10350277 contributor: fullname: Boulay – volume: 29 start-page: 1007 year: 2000 ident: 10.1016/j.urology.2005.07.042_bib3 article-title: Emergency management of adult nephrotic colic publication-title: Presse Med – volume: 167 start-page: 1687 year: 2002 ident: 10.1016/j.urology.2005.07.042_bib15 article-title: Low dose unenhanced helical computerized tomography for the evaluation of acute flank pain publication-title: J Urol doi: 10.1016/S0022-5347(05)65178-6 contributor: fullname: Hamm – volume: 215 start-page: 51 year: 2000 ident: 10.1016/j.urology.2005.07.042_bib30 article-title: Low-dose nonenhanced helical CT of renal colic publication-title: Radiology doi: 10.1148/radiology.215.1.r00ap4051 contributor: fullname: Liu – volume: 159 start-page: 735 year: 1998 ident: 10.1016/j.urology.2005.07.042_bib11 article-title: The value of unenhanced helical computerized tomography in the management of acute flank pain publication-title: J Urol doi: 10.1016/S0022-5347(01)63714-5 contributor: fullname: Dalrymple – volume: 24 start-page: 795 year: 2000 ident: 10.1016/j.urology.2005.07.042_bib16 article-title: Unenhanced helical CT using increased pitch for suspected renal colic publication-title: J Comput Assist Tomogr doi: 10.1097/00004728-200009000-00023 contributor: fullname: Diel – volume: 74 start-page: 901 year: 2001 ident: 10.1016/j.urology.2005.07.042_bib19 article-title: Ultrasound vs CT for the detection of ureteric stones in patients with renal colic publication-title: Br J Radiol doi: 10.1259/bjr.74.886.740901 contributor: fullname: Patlas – volume: 47 start-page: 333 year: 1993 ident: 10.1016/j.urology.2005.07.042_bib8 article-title: Ultrasonography and plain film versus intravenous urography in ureteric colic publication-title: Clin Radiol doi: 10.1016/S0009-9260(05)81449-7 contributor: fullname: Dalla Palma – volume: 11 start-page: 87 year: 1990 ident: 10.1016/j.urology.2005.07.042_bib7 article-title: Ultrasonic diagnosis of ureteral calculi in patients with acute flank pain publication-title: Eur J Radiol doi: 10.1016/0720-048X(90)90153-3 contributor: fullname: Aslaksen – ident: 10.1016/j.urology.2005.07.042_bib22 – volume: 67 start-page: 564 year: 1994 ident: 10.1016/j.urology.2005.07.042_bib29 article-title: Patient effective dose resulting from radiographic examinations publication-title: Br J Radiol doi: 10.1259/0007-1285-67-798-564 contributor: fullname: Okkalides – volume: 56 start-page: 873 year: 2001 ident: 10.1016/j.urology.2005.07.042_bib13 article-title: Low dose computed tomography in suspected acute renal colic publication-title: Clin Radiol doi: 10.1053/crad.2001.0842 contributor: fullname: Meagher – volume: 180 start-page: 305 year: 2003 ident: 10.1016/j.urology.2005.07.042_bib14 article-title: Low-dose unenhanced multidetector CT of patients with suspected renal colic publication-title: AJR Am J Roentgenol doi: 10.2214/ajr.180.2.1800305 contributor: fullname: Tack – volume: 59 start-page: 340 year: 2002 ident: 10.1016/j.urology.2005.07.042_bib26 article-title: Prospective study on ultrasonography plus plain radiography in predicting residual obstruction after extracorporeal shock wave lithotripsy for ureteral stones publication-title: Urology doi: 10.1016/S0090-4295(01)01584-9 contributor: fullname: Cheung – volume: 209 start-page: 286 year: 1998 ident: 10.1016/j.urology.2005.07.042_bib21 article-title: Subservience of excretory urography to unenhanced CT in evaluating renal colic: a good idea? Benefits and consequences publication-title: Radiology doi: 10.1148/radiology.209.1.9769849 contributor: fullname: Lautin – volume: 15 start-page: 438 year: 1978 ident: 10.1016/j.urology.2005.07.042_bib18 article-title: The frequency of urolithiasis in hospital discharge diagnoses in the United States publication-title: Invest Urol contributor: fullname: Sierakowski – volume: 229 start-page: 575 year: 2003 ident: 10.1016/j.urology.2005.07.042_bib12 article-title: Helical CT for nephrolithiasis and ureterolithiasis publication-title: Radiology doi: 10.1148/radiol.2292021261 contributor: fullname: Heneghan – volume: 228 start-page: 319 year: 2003 ident: 10.1016/j.urology.2005.07.042_bib20 article-title: Evaluation of the patient with flank pain and possible ureteral calculus publication-title: Radiology doi: 10.1148/radiol.2282011726 contributor: fullname: Tamm – volume: 164 start-page: 308 year: 2000 ident: 10.1016/j.urology.2005.07.042_bib6 article-title: Plain abdominal x-ray versus computerized tomography screening publication-title: J Urol doi: 10.1016/S0022-5347(05)67346-6 contributor: fullname: Jackman – volume: 350 start-page: 684 year: 2004 ident: 10.1016/j.urology.2005.07.042_bib1 article-title: Clinical practice publication-title: N Engl J Med doi: 10.1056/NEJMcp030813 contributor: fullname: Teichman – volume: 152 start-page: 147 year: 1984 ident: 10.1016/j.urology.2005.07.042_bib25 article-title: Renal colic publication-title: Radiology doi: 10.1148/radiology.152.1.6729105 contributor: fullname: Erwin – volume: 217 start-page: 792 year: 2000 ident: 10.1016/j.urology.2005.07.042_bib9 article-title: Nonenhanced helical CT and US in the emergency evaluation of patients with renal colic publication-title: Radiology doi: 10.1148/radiology.217.3.r00dc41792 contributor: fullname: Sheafor – volume: 47 start-page: 637 year: 1996 ident: 10.1016/j.urology.2005.07.042_bib2 article-title: The use of standard imaging techniques and their diagnostic value in the workup of renal colic in the setting of intractable flank pain publication-title: Urology doi: 10.1016/S0090-4295(96)00009-X contributor: fullname: Gorelik – volume: 222 start-page: 353 year: 2002 ident: 10.1016/j.urology.2005.07.042_bib17 article-title: Urinary tract abnormalities publication-title: Radiology doi: 10.1148/radiol.2222010667 contributor: fullname: Caoili – volume: 62 start-page: 977 year: 1989 ident: 10.1016/j.urology.2005.07.042_bib28 article-title: Can ultrasound replace the intravenous urogram in preliminary investigation of renal tract disease? A prospective study publication-title: Br J Radiol doi: 10.1259/0007-1285-62-743-977 contributor: fullname: Lewis-Jones |
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Snippet | To evaluate a low-dose abdominal computed tomography (LDCT) protocol, delivering a radiation dose close to that delivered by an abdominal plain film (APF), in... |
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SubjectTerms | Adolescent Adult Aged Aged, 80 and over Colic - diagnostic imaging Female Humans Kidney Diseases - diagnostic imaging Male Middle Aged Radiation Dosage Radiography, Abdominal Tomography, X-Ray Computed |
Title | Abdominal plain film in patients admitted with clinical suspicion of renal colic: Should it be replaced by low-dose computed tomography? |
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