Abstract
Objective. The objective of our study was to determine the sensitivity of thin axial and coronal maximum-intensity-projection (MIP) images for the detection of renal stones on contrast-enhanced CT performed in the portal venous phase. MATERIALS AND METHODS. This retrospective study included 72 patients, 59 of whom had at least one renal stone, who underwent unenhanced CT immediately followed by contrast-enhanced CT in the portal venous phase. Two abdominal imaging fellowship-trained radiologists independently recorded the number of stones on both thin (1-1.50 mm) axial and 5-mm coronal MIP images in the portal venous phase. The reference standard was determined by consensus review of the thin axial unenhanced images. Reviewer sensitivity was calculated and categorized by stone diameter. RESULTS. One hundred forty-eight stones were present; the mean number of stones per patient was 2.5 (SD, 2.7). The mean stone size was 2.5 mm (SD, 2.7). The sensitivity of thin axial images was 89.9%, 99.0%, and 100.0% for reviewer 1 and 83.1%, 98.0%, and 100.0% for reviewer 2 for all stones, stones ≥ 2 mm, and stones ≥ 3 mm, respectively. The sensitivity of coronal MIP images was 86.5%, 96.2%, and 100.0% for reviewer 1 and 79.0%, 91.4%, and 96.6% for reviewer 2 for all stones, stones ≥ 2 mm, and stones ≥ 3 mm, respectively. CONCLUSION. Thin axial images are highly sensitive for the detection of renal stones ≥ 2 mm on portal venous phase CT. Coronal MIP images do not improve renal stone detection over thin axial images.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1200-1204 |
| Number of pages | 5 |
| Journal | American Journal of Roentgenology |
| Volume | 207 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 1 2016 |
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Keywords
- Contrast material
- CT
- Nephrolithiasis
- Portal venous phase
- Renal stone
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
Cite this
Detection of renal stones on portal venous phase CT : Comparison of thin axial and coronal maximumintensity-projection images. / Corwin, Michael T; Lee, Justin S.; Fananapazir, Ghaneh; Wilson, MacHelle; Lamba, Ramit.
In: American Journal of Roentgenology, Vol. 207, No. 6, 01.12.2016, p. 1200-1204.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Detection of renal stones on portal venous phase CT
T2 - Comparison of thin axial and coronal maximumintensity-projection images
AU - Corwin, Michael T
AU - Lee, Justin S.
AU - Fananapazir, Ghaneh
AU - Wilson, MacHelle
AU - Lamba, Ramit
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Objective. The objective of our study was to determine the sensitivity of thin axial and coronal maximum-intensity-projection (MIP) images for the detection of renal stones on contrast-enhanced CT performed in the portal venous phase. MATERIALS AND METHODS. This retrospective study included 72 patients, 59 of whom had at least one renal stone, who underwent unenhanced CT immediately followed by contrast-enhanced CT in the portal venous phase. Two abdominal imaging fellowship-trained radiologists independently recorded the number of stones on both thin (1-1.50 mm) axial and 5-mm coronal MIP images in the portal venous phase. The reference standard was determined by consensus review of the thin axial unenhanced images. Reviewer sensitivity was calculated and categorized by stone diameter. RESULTS. One hundred forty-eight stones were present; the mean number of stones per patient was 2.5 (SD, 2.7). The mean stone size was 2.5 mm (SD, 2.7). The sensitivity of thin axial images was 89.9%, 99.0%, and 100.0% for reviewer 1 and 83.1%, 98.0%, and 100.0% for reviewer 2 for all stones, stones ≥ 2 mm, and stones ≥ 3 mm, respectively. The sensitivity of coronal MIP images was 86.5%, 96.2%, and 100.0% for reviewer 1 and 79.0%, 91.4%, and 96.6% for reviewer 2 for all stones, stones ≥ 2 mm, and stones ≥ 3 mm, respectively. CONCLUSION. Thin axial images are highly sensitive for the detection of renal stones ≥ 2 mm on portal venous phase CT. Coronal MIP images do not improve renal stone detection over thin axial images.
AB - Objective. The objective of our study was to determine the sensitivity of thin axial and coronal maximum-intensity-projection (MIP) images for the detection of renal stones on contrast-enhanced CT performed in the portal venous phase. MATERIALS AND METHODS. This retrospective study included 72 patients, 59 of whom had at least one renal stone, who underwent unenhanced CT immediately followed by contrast-enhanced CT in the portal venous phase. Two abdominal imaging fellowship-trained radiologists independently recorded the number of stones on both thin (1-1.50 mm) axial and 5-mm coronal MIP images in the portal venous phase. The reference standard was determined by consensus review of the thin axial unenhanced images. Reviewer sensitivity was calculated and categorized by stone diameter. RESULTS. One hundred forty-eight stones were present; the mean number of stones per patient was 2.5 (SD, 2.7). The mean stone size was 2.5 mm (SD, 2.7). The sensitivity of thin axial images was 89.9%, 99.0%, and 100.0% for reviewer 1 and 83.1%, 98.0%, and 100.0% for reviewer 2 for all stones, stones ≥ 2 mm, and stones ≥ 3 mm, respectively. The sensitivity of coronal MIP images was 86.5%, 96.2%, and 100.0% for reviewer 1 and 79.0%, 91.4%, and 96.6% for reviewer 2 for all stones, stones ≥ 2 mm, and stones ≥ 3 mm, respectively. CONCLUSION. Thin axial images are highly sensitive for the detection of renal stones ≥ 2 mm on portal venous phase CT. Coronal MIP images do not improve renal stone detection over thin axial images.
KW - Contrast material
KW - CT
KW - Nephrolithiasis
KW - Portal venous phase
KW - Renal stone
UR - http://www.scopus.com/inward/record.url?scp=84999233000&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84999233000&partnerID=8YFLogxK
U2 - 10.2214/AJR.16.16099
DO - 10.2214/AJR.16.16099
M3 - Article
C2 - 27611106
AN - SCOPUS:84999233000
VL - 207
SP - 1200
EP - 1204
JO - American Journal of Roentgenology
JF - American Journal of Roentgenology
SN - 0361-803X
IS - 6
ER -