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Identification of ureteral stones at reduced radiation exposure: a pilot study comparing conventional versus digital low-dosage linear slot scanning (Lodox®) radiography | World Journal of Urology
Purpose Digital low-dosage, linear slot scanning radiography (Lodox®) is an imaging modality that can emit down to one-tenth the radiation of conventional X-ray systems. We prospectively evaluated Lodox® as a diagnostic imaging modality in patients with ureterolithiasis. Methods Conventional kidney–ureter–bladder (KUB) X-ray and Lodox® were performed in 41 patients presenting with acute flank pain due to unilateral ureteral stone confirmed by computed tomography. KUB X-ray and Lodox® images were then reviewed by four blinded readers (urology expert/resident, radiology expert/resident). Identification rates were compared using Pearson’s Chi square test. The impact of different parameters on stone identification by Lodox® was evaluated using logistic regression and generalized linear mixed models. Inter-reader agreement was tested using Cohen’s kappa coefficient. Results Median stone size was 5 mm (range 2–12), median stone density was 800 HU (range 200–1500). The identification rates of the urology expert were 68% for KUB X-ray and 90% for Lodox® (p = 0.014), and for all four readers 61% for KUB X-ray and 62% for Lodox® (p = 0.8). Radiation exposure for KUB X-ray and Lodox® was 0.45 mSv (SD ± 0.64) and 0.027 mSv (SD ± 0.038), respectively. Multivariable analyses showed an association between stone identification by Lodox® and stone size (p < 0.001), stone density (p = 0.005), lower body mass index (p = 0.005), and reader (p < 0.001). Conclusions The high identification rates and low radiation doses of Lodox® make it a promising imaging modality for the diagnosis of ureteral stones. Further validation in larger cohorts, including performance evaluation for renal stones, is warranted. Trial registration http://www.controlled-trails.com/ISRCTN12915426.
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It is delivered through an interactive electronic platform to enable an evidence-based, cost-effective approach to managing patients with kidney disease and those who received organ transplantation.
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HCM CITY — Doctors at HCM City's Medical University have successfully performed surgery to remove a giant kidney stone from a 59-year-old woman.
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This article is published as part of a supplement sponsored by Kidney Disease: Improving Global Outcomes (KDIGO).
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Comprehensive Kidney Physical Exam - MyConciergeMD
MyConciergeMD expert physicians offer top-notch kidney exams, ensuring your renal health is in good hands. Book your kidney exam today at MyConciergeMD.