We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress hp
Sign In
Advertise with Us
GLOBETECH PUBLISHING LLC

Download Mobile App




Judicious CT Imaging Suggested for Kidney Stone Patients

By MedImaging International staff writers
Posted on 28 Aug 2019
A new study reports that patients with active kidney stone disease are exposed to roughly 10 times more annual computed tomography (CT) radiation than those without kidney stones.

Researchers at the University of Washington (UW; Seattle, USA) conducted a study to examine trends in CT use and estimate the radiation exposure among kidney stone formers, based on the MarketScan national insurance claims database. The study included 327,516 active stone patients, 175,228 inactive stone patients, and 502,744 controls. CT utilization was tracked over three years for each group, with annual CT-related radiation exposure estimated using previously published dose values.

The results revealed that on average, active stone patients received nearly ten times as many CTs as controls at three years, and more acute imaging. Overall, 25% of operative and 15% of non-operative patients, respectively, received more than three CTs in three years, with association to female gender. For non-operative patients, this was also associated with age, residence in the North-Central or South regions, and inversely associated with metropolitan residence. Over 10% of active stone patients were estimated to receive more than 20 mSv (the annual occupational limit suggested by the International Commission on Radiological Protection).

Among the factors that may have contributed to the significantly greater CT utilization rates for patients with active stone disease is the persistence of recurrent kidney stones, which results in clinicians being more likely to order repeat CT exams for them. Second, most emergency clinicians continue to offer CT as the initial test for kidney stone patients with renal colic. As a result, many patients with active stone disease who present to the emergency department for pain caused by the same stone often receive multiple duplicate CT scans. The study was published on August 9, 2019, in Urology.

“Despite debate about the risks of CT-related radiation, overall CT utilization remains high among patients with active stone disease,” concluded lead author Jessica Dai, MD, and colleagues of the department of urology. “Over three years of follow-up, these patients received significantly more CT imaging than those with inactive stone disease and controls. ...This has implications on cumulative radiation exposure over time.”

Kidney stones are often no larger than a grain of rice, yet some can grow to a diameter of several centimeters, causing blockage of the ureters. If it cannot be dissolved chemically, the kidney stone is treated using extracorporeal shock-wave therapy or minimally invasive endoscopic modalities. Many of these patients suffer from disease recurrence and need retreatment, but new stone formation might be reduced by adapting dietary habits or the use of particular medication strategies, as based on stone composition.

Related Links:
University of Washington

New
Radiation Safety Barrier
RayShield Intensi-Barrier
Pocket Fetal Doppler
CONTEC10C/CL
Diagnostic Ultrasound System
DC-80A
New
Adjustable Mobile Barrier
M-458

Channels

Nuclear Medicine

view channel
Image: Perovskite crystal boules are grown in carefully controlled conditions from the melt (Photo courtesy of Mercouri Kanatzidis/Northwestern University)

New Camera Sees Inside Human Body for Enhanced Scanning and Diagnosis

Nuclear medicine scans like single-photon emission computed tomography (SPECT) allow doctors to observe heart function, track blood flow, and detect hidden diseases. However, current detectors are either... Read more

General/Advanced Imaging

view channel
Image: The Angio-CT solution integrates the latest advances in interventional imaging (Photo courtesy of Canon Medical)

Cutting-Edge Angio-CT Solution Offers New Therapeutic Possibilities

Maintaining accuracy and safety in interventional radiology is a constant challenge, especially as complex procedures require both high precision and efficiency. Traditional setups often involve multiple... Read more

Imaging IT

view channel
Image: The new Medical Imaging Suite makes healthcare imaging data more accessible, interoperable and useful (Photo courtesy of Google Cloud)

New Google Cloud Medical Imaging Suite Makes Imaging Healthcare Data More Accessible

Medical imaging is a critical tool used to diagnose patients, and there are billions of medical images scanned globally each year. Imaging data accounts for about 90% of all healthcare data1 and, until... Read more
Copyright © 2000-2025 Globetech Media. All rights reserved.