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Case series demonstrating the clinical utility of dual energy computed tomography in patients requiring stents for urinary calculi

Maria A. Jepperson1, David D. Thiel2, Joseph G. Cernigliaro1, Gregory A. Broderick2, William E. Haley3

1 Department of Radiology, Mayo Clinic Jacksonville, Jacksonville, Florida, USA
2 Department of Urology, Mayo Clinic Jacksonville, Jacksonville, Florida, USA
3 Division of Nephrology, Mayo Clinic Jacksonville, Jacksonville, Florida, USA
Address correspondence to Dr. Maria Jepperson, Department of Radiology, Mayo Clinic Jacksonville, 2 East Radiology, 4500 San Pablo Road, Jacksonville, FL 32224 USA

Canadian Journal of Urology 2014, 21(1), 7166-7170.

Abstract

Dual energy computed tomography (DECT) utilizes the material change in attenuation when imaged at two different energies to determine the composition of urinary calculi as uric acid or non-uric acid. We discuss a series of case reports illustrating DECT’s ability to provide immediate determination of uric acid versus non-uric acid calculi and facilitate more informed clinical decision-making. Further, these cases demonstrate a unique population of patients with ureteral stents and percutaneous nephrostomy tubes that benefit from DECT’s ability to create a virtual color contrast between an indwelling device and the stone material and thereby significantly impacting patient morbidity.

Keywords

renal calculi, dual energy computer tomography (DECT), ureteral stents, ureteral calculi, nephrolithiasis

Cite This Article

APA Style
Jepperson, M.A., Thiel, D.D., Cernigliaro, J.G., Broderick, G.A., Haley, W.E. (2014). Case series demonstrating the clinical utility of dual energy computed tomography in patients requiring stents for urinary calculi. Canadian Journal of Urology, 21(1), 7166–7170.
Vancouver Style
Jepperson MA, Thiel DD, Cernigliaro JG, Broderick GA, Haley WE. Case series demonstrating the clinical utility of dual energy computed tomography in patients requiring stents for urinary calculi. Can J Urology. 2014;21(1):7166–7170.
IEEE Style
M.A. Jepperson, D.D. Thiel, J.G. Cernigliaro, G.A. Broderick, and W.E. Haley, “Case series demonstrating the clinical utility of dual energy computed tomography in patients requiring stents for urinary calculi,” Can. J. Urology, vol. 21, no. 1, pp. 7166–7170, 2014.



cc Copyright © 2014 The Author(s). Published by Tech Science Press.
This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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