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RESIDENT’S CORNER
Case series demonstrating the clinical utility of dual energy computed tomography in patients requiring stents for urinary calculi
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
Cite This Article
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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