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Review
. 2018 Dec 2:2018:9253952.
doi: 10.1155/2018/9253952. eCollection 2018.

Noncontrast Computed Tomography Parameters for Predicting Shock Wave Lithotripsy Outcome in Upper Urinary Tract Stone Cases

Shimpei Yamashita  1 , Yasuo Kohjimoto  1 , Yuya Iwahashi  1 , Takashi Iguchi  1 , Satoshi Nishizawa  1 , Kazuro Kikkawa  1 , Isao Hara  1
Affiliations
Review

Noncontrast Computed Tomography Parameters for Predicting Shock Wave Lithotripsy Outcome in Upper Urinary Tract Stone Cases

Shimpei Yamashita et al. Biomed Res Int. .

Abstract

Kidney stones are a major public health concern with continuously increasing worldwide prevalence. Shock wave lithotripsy (SWL) is the first line treatment choice for upper urinary tract calculi with ureteroscopy and has advantages of safety and noninvasiveness, but the treatment success rate of SWL is lower than that of other therapies. It is therefore important to identify predictive factors for SWL outcome and select a suitable treatment choice for patients with upper urinary tract calculi. In recent years, computed tomography (CT) has become the gold standard for diagnosis of upper urinary tract calculi. Several factors based on CT images, including skin-to-stone distance, mean stone density, stone heterogeneity index, and variation coefficient of stone density, have been reported to be useful for predicting SWL outcome. In addition, a new method of analysis, CT texture analysis, is reportedly useful for predicting SWL outcomes. This review aims to summarize CT parameters for predicting the outcome of shock wave lithotripsy in stone cases in the upper urinary tract.

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Figures

Figure 1
Figure 1
Two techniques used to measure MSD (abdominal window). (a) Elliptical ROI. (b) Average of three ROIs.
See this image and copyright information in PMC

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