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295254

Characterization of Renal Stone Composition Using the Dual-Energy Technique of Computed Tomography: An in Vitro Study

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Last updated: 03 Jan 2025

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Abstract

The determination of the composition of different types of renal stones using dual energy computed tomography is essential for the selection of an appropriate management strategy. Examine the role of dual energy computed tomography in the in vitro characterization of renal stones and confirm the findings using an X-ray diffraction pattern and Fourier transform infrared spectroscopy. Included were forty randomly collected renal stones that underwent dual energy computed tomography for characterization of urinary calculi. insert stones in the bovine kidney model. Linear attenuation coefficients were measured. The dual energy ratio and index were calculated and used to detect the composition of renal stones. To establish the composition of renal stones, an X-ray diffraction pattern and Fourier transform infrared spectroscopy were used. Dual energy computed tomography can differentiate between uric acid and calcified stones. A dual energy ratio of 1.02 to 1.1 correctly predicted uric acid stones, while a ratio of 1.24 to 1.65 correctly predicted calcium-containing stones. A dual energy index between 0.00174 and 0.00918 accurately predicted uric acid stones, and a dual energy index between 0.0495-0.1497 accurately predicted calcium containing stones. Through the in-vitro study, dual energy computed tomography characterized 2/40 uric acid containing stones and characterized 38/40 calcium containing stones. The characterization of the dual-energy computed tomography renal stones proved to be extremely compatible with the X-ray diffraction pattern and Fourier transform infrared spectroscopy. This study demonstrates that dual-energy computed tomography can be employed in vitro to accurately differentiate between uric acid and calcified renal stones.

DOI

10.21608/ejphysics.2023.191799.1087

Keywords

DECT, Renal stones, stone composition, UA, calcium, In-vitro

Authors

First Name

mohamed

Last Name

zakaria

MiddleName

-

Affiliation

radiology and medical imaging technology ,faculty of applied health sciences technology, pharos university in Alexandria, Egypt

Email

mohamed.zakaria@pua.edu.eg

City

-

Orcid

-

First Name

Mohamed

Last Name

El Safwany

MiddleName

-

Affiliation

Radiology Department, Faculty of Allied Medical Science, Pharos University in Alexandria, Alexandria, Egypt

Email

mohamedelsafwany@pua.edu.eg

City

-

Orcid

-

First Name

Bothaina

Last Name

Kandil

MiddleName

-

Affiliation

Radiology Department, Faculty of Allied Medical Science, Pharos University in Alexandria, Alexandria, Egypt

Email

bothaina.kandil@pua.edu.eg

City

-

Orcid

-

First Name

magdi

Last Name

gouda

MiddleName

ali

Affiliation

radiology and medical imaging technology ,faculty of applied health sciences technology, pharos university in Alexandria, Egypt

Email

magdi.ali@pua.edu.eg

City

alexandria

Orcid

0000-0002-6529-536X

Volume

51

Article Issue

1

Related Issue

37142

Issue Date

2023-10-01

Receive Date

2023-02-07

Publish Date

2023-10-01

Page Start

101

Page End

114

Print ISSN

1110-0214

Online ISSN

2537-0960

Link

https://ejphysics.journals.ekb.eg/article_295254.html

Detail API

https://ejphysics.journals.ekb.eg/service?article_code=295254

Order

295,254

Type

Original Article

Type Code

441

Publication Type

Journal

Publication Title

Egyptian Journal of Physics

Publication Link

https://ejphysics.journals.ekb.eg/

MainTitle

Characterization of Renal Stone Composition Using the Dual-Energy Technique of Computed Tomography: An in Vitro Study

Details

Type

Article

Created At

23 Dec 2024