Evaluation of acute renal colic: A comparison of non-contrast CT versus 3-T non-contrast HASTE MR urography

M. J. Semins, Z. Feng, Bruce Trock, M. Bohlman, W. Hosek, Brian Matlaga

Research output: Contribution to journalArticle

Abstract

With the introduction of a 3-T scanner, magnetic resonance urography (MRU) may be an alternative imaging modality for evaluation of acute renal colic. We performed a prospective study to compare the performance of computed tomography (CT) with half-Fourier single shot turbo spin-echo (HASTE) MRU in the evaluation of patients with suspected renal colic. Patients presenting to the emergency department with acute renal colic were eligible for inclusion. Following a standard CT stone evaluation, patients underwent a non-contrast HASTE MRU study with a 3-T scanner. The presence of perinephric fluid, hydronephrosis, ureteral obstruction, and calculus was assessed. A total of 22 patients completed the study. Twenty (91 %) were diagnosed with an upper tract stone by radiographic findings. MRU detected a discrete stone in 50 % of the patients with stones detected by CT. Perinephric fluid was noted in 12 MRUs, compared to 7 CTs. Using CT as the reference standard, the combination of stone or perinephric fluid and ureteral dilation gave MRU a sensitivity of 84 %, specificity of 100 %, and accuracy of 86 % (95 % CI 0.72-1.0). HASTE MRU with a 3-T MR scanner can reliably detect the presence of upper urinary tract obstruction. Although CT imaging remains the superior modality with which to detect calculi, MRU detects a greater number of secondary signs of upper tract obstruction. For situations in which the use of ionizing radiation is undesirable, MRU is a reasonable imaging alternative.

Original languageEnglish (US)
Pages (from-to)43-46
Number of pages4
JournalUrological Research
Volume41
Issue number1
DOIs
Publication statusPublished - Feb 2013

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Keywords

  • CT
  • MRI
  • Nephrolithiasis
  • Radiation

ASJC Scopus subject areas

  • Urology

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