Correlation and predictive value of ultrasound twinkling effect of Urolithiasis with chemical composition of calculi
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 6
Abstract
Background : Although helical CT enjoys the highest sensitivity and specificity levels in detecting Urolithiasis, latest Sonography techniques combined with radiography can be a cost effective method of evaluating renal calculi with equivalent sensitivity and specificity. In evaluating Urolithiasis, if the composition of the stone being studied could be predicted, that knowledge could vastly influence the choice of treatment modality, follow-up schedule and preventive measures against recurrence. .Methodology: This prospective analytical study evaluated Urolithiasis of 30 patients by radiography and sonography to correlate specific findings in the diagnostic methods with the chemical composition of the stones. Result: We were able to evaluate all the Urolithiasis cases by using plain X-ray and ultrasound with a sensitivity and specificity of 100% in the study group. In sonography, we could visualise the ‘Twinkling Artifact’ effect in almost all the patients. On grading the twinkling artifact and comparing our various measurements with the chemical composition of the stones, we detected that the twinkling artifact has a significant correlationship with predominance of COM in the calculi. Conclusion: Sonography and Radiography are reliable diagnostic modalities for evaluation of Urolithiasis and the twinkling artifact effect in sonography can be used to predict the nature and composition of the stone which can assist in choosing further mode of treatment.
Authors and Affiliations
Jagan Mohan Rajaram
Keywords
Related Articles
- EP ID EP512246
- DOI -
- Views 63
- Downloads 0
An Evaluation of estimated GFR using serum cystatin C and creatinine in patients of essential hypertension.
Introduction: Hypertension is one of the most common worldwide disease affecting humans and is one of the leading cause of death and disability among adults all over the world. Essential hypertension accounts for 95% of...
Postinfective Contracture Umbilicus: simple technique for umbiliconeoplasty: ideas and innovations
Introduction: A 23 year old lady with childhood infection of the umbilicus area? Improperly treated umbilical granuloma, presented with a scarred and contracted umbilicus for cosmetic correction. The post infected scarre...
Determination of Association between Osteoarthritis and Patellar Morphology on Knee Radiographs
The aim of this study was to determine the association between osteoarthritis and patellar morphometry on knee radiographs in a Turkish population. Each patella was classified according to its shape, using the descripti...
Quality of life among cosmetology patients in Indian patients
Background and Aims: Cosmetic concerns account for a sizeable proportion of dermatology practice. Psychosocial impact of cosmetic concerns on health-related quality of life (QoL) is a common, but under-recognised concer...
To Study Lipid Profile Status In Chronic Obstructive Pulmonary Disease Patients At Medical College Hospital, Bikaner, Rajasthan
Background- Chronic obstructive pulmonary disease (COPD) is a common, preventable and treatable disease that is characterized by persistent respiratory abnormalities usually caused by significant exposure to noxious part...