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195406

Dual Energy CT Impact on Determination of Chemical Composition for Urolithiasis

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Last updated: 03 Jan 2025

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Abstract

Background: The urinary tract stone disease is a common problem. Dual energy CT with advanced post processing techniques gives anatomical information as size, site of the stone as well as its chemical composition which alter the clinical management. Objective: This study was aimed at studying the role of dual energy computed tomography in characterization of renal stones. Patients and methods: This study was carried out at the private radiology center throughout the period from January 2020 to January 2021 included 48 patients with renal stones. In this study, renal stones were more common in men (66.7 %) than in women (30.3%). The age of our selected patients ranged from 24 to 55 years with a mean of 42 years. The most affected age group was from 24-44 years (24 cases) represented 50% of the cases. Results: The average age of the studied group was (42.1±7.6), the most common presentation symptoms was loin pain (75.0%) followed by hematuria (18.8 %) then nausea& vomiting (4.2%) and fever (2.0%).Dual energy CT had 88.9% ability to truly detect uric from non-uric acid stones with (97.9%) accuracy, (100.0%) ability to exclude non uric stones (specificity), (100.0%) predictive value positive and (97.5%) predictive value negative with (50.0%) prevalence and (35.0%) likelihood positive ratio. Conclusion: It could be concluded that dual energy CT has been shown to be effective for characterizing chemic composition of the urinary stones, dual energy CT not well established enough to be used in clinical practice, but it will replace helical non contrast CT as the standard imaging modality for urinary calculi.  

DOI

10.21608/ejhm.2021.195406

Keywords

urolithiasis, Dual energy CT, Chemical Composition of stones

Authors

First Name

Maamar Ahmed

Last Name

Hasan

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Email

moamerahmadhasan@gmail.com

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Orcid

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First Name

Khaled Ahmed

Last Name

Lakouz

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Mohamed Zakaria

Last Name

Alazzazy

MiddleName

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Affiliation

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Orcid

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First Name

Nesma Adel

Last Name

Hamed

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Volume

85

Article Issue

1

Related Issue

27163

Issue Date

2021-10-01

Receive Date

2021-09-20

Publish Date

2021-10-01

Page Start

3,134

Page End

3,137

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_195406.html

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https://ejhm.journals.ekb.eg/service?article_code=195406

Order

79

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Dual Energy CT Impact on Determination of Chemical Composition for Urolithiasis

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Article

Created At

22 Jan 2023