Imaging patients with renal colic—consider ultrasound first

Carlos Nicolau, Michel Claudon, Lorenzo E. Derchi, E. Jane Adam, Michael Bachmann Nielsen, Gerhard Mostbeck, Catherine M. Owens, Christiane Nyhsen, Spyros Yarmenitis

Research output: Contribution to journalArticle

Abstract

Abstract: Renal colic is a common disease in Europe and a common cause of visit to the Emergency Department. Clinical diagnosis is usually confirmed by imaging modalities. Unenhanced computed tomography (CT) is considered the best diagnostic test due to its excellent accuracy detecting ureteral stones. However, ultrasound (US) should be considered as the primary imaging technique. It is a reproducible, non-invasive and non-expensive imaging technique, achieving accurate diagnosis in most cases without the need for radiation. Diagnosis is based on the presence of ureteral stones, but indirect findings such as the asymmetry or absence of ureteric jet, an increase of the resistive index or a colour Doppler twinkling artefact may help to suggest the diagnosis when the stone is not identified. Main Messages: • Renal colic diagnosis is usually confirmed by imaging modalities. • Imaging diagnosis of renal colic is based on the detection of ureteral stones. • CT is the most accurate imaging technique to identify ureteral stones. • US allows correct diagnosis in most cases without using radiation. • US should be used as the first imaging modality in patients with renal colic.

Original languageEnglish
Pages (from-to)441-447
Number of pages7
JournalInsights into Imaging
Volume6
Issue number4
DOIs
Publication statusPublished - Aug 29 2015

Keywords

  • Computed Tomography
  • Hydronephrosis
  • Renal colic
  • Ultrasound
  • Ureteral calculi

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Fingerprint Dive into the research topics of 'Imaging patients with renal colic—consider ultrasound first'. Together they form a unique fingerprint.

  • Cite this

    Nicolau, C., Claudon, M., Derchi, L. E., Adam, E. J., Nielsen, M. B., Mostbeck, G., Owens, C. M., Nyhsen, C., & Yarmenitis, S. (2015). Imaging patients with renal colic—consider ultrasound first. Insights into Imaging, 6(4), 441-447. https://doi.org/10.1007/s13244-015-0396-y