Comparison of Computed Tomography Urography and Sonographically Tailored Intravenous Urography in Patients of Urolithiasis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Urolithiasis is a common problem in the population occurring across all age groups. Among multiple diagnostic procedures available for diagnosing this condition, CT urography has been considered as the gold standard procedure. However, its availability, cost and radiation dose are major prohibiting factors. This study compares sonographically tailored IVU to CT urography to assess the efficacy of the aforementioned procedure in patients of urolithiasis. 61 patients with radiological diagnosis of urolithiasis underwent Sonographically tailored IVU and CT urography in the Department of Radio-Diagnosis, Burdwan Medical College and Hospital. The sensitivity, Specificity, positive predictive value, negative predictive value and accuracy of Sonographically tailored IVU in detection of urolithiasis were 90.19%, 80%, 95.83%, 61.53%, 88.5% respectively. Hydronephrosis was detected in 20 out of 61 cases in CT urography, and in 17in sonographically tailored IVU. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of sonographically tailored IVU in detection of hydronephrosis were 75%, 95.12%, 88.23%, 88.63%, 88.52% respectively. To conclude , sonographically tailored IVU, has high sensitivity and positive predictive value in evaluation of urolithiasis which makes it a competent replacement of CT urography in a limited resource scenario.
Authors and Affiliations
Dr. Susmita Jana (Giri), Dr. Soumitra Kumar Ghosh
Keywords
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- EP ID EP554771
- DOI 10.9790/0853-1803055760.
- Views 68
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