Implications of Changing from Intravenous Urography to Computed Tomography as the Primary Imaging Modality for Acute Renal Colic
SP McCombie, BW Turney, AM Rogers, IJ Lau, SPV Kumar
Abstract
SP McCombie, BW Turney, AM Rogers, IJ Lau, SPV Kumar
Abstract
Several studies have shown that unenhanced computed tomography (CT), while having a similar specificity to intravenous urography (IVU) for detecting ureterolithiasis, has a much higher sensitivity. CT is also more effective in identifying alternative pathologies and is known to be a much quicker investigation to perform. Additionally, CT can be used in patients with renal impairment and carries no risk of contrast reaction.
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Several studies have shown that unenhanced computed tomography (CT), while having a similar specificity to intravenous urography (IVU) for detecting ureterolithiasis, has a much higher sensitivity. CT is also more effective in identifying alternative pathologies and is known to be a much quicker investigation to perform. Additionally, CT can be used in patients with renal impairment and carries no risk of contrast reaction.
Key concepts: Intravenous urography, Medicine, Renal colic, Intravenous contrast, Computed tomography, Radiology, Pyelogram, Modality (human–computer interaction)