Seminars in Ultrasound, CT and MRI
Volume 31, Issue 4 , Pages 315-320, August 2010

Determination of Renal Stone Composition with Dual-Energy Computed Tomography: An Emerging Application

  • Ruth Eliahou, MD

      Affiliations

    • Department of Radiology, Hadassah Hebrew University Medical Center, Jerusalem, Israel
  • ,
  • Guy Hidas, MD

      Affiliations

    • Department of Urology, Hadassah Hebrew University Medical Center, Jerusalem, Israel
  • ,
  • Mordechai Duvdevani, MD

      Affiliations

    • Department of Urology, Hadassah Hebrew University Medical Center, Jerusalem, Israel
  • ,
  • Jacob Sosna, MD

      Affiliations

    • Department of Urology, Hadassah Hebrew University Medical Center, Jerusalem, Israel
    • Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA
    • Corresponding Author InformationAddress reprint requests to Jacob Sosna, MD, Department of Radiology, Hadassah Hebrew University Medical Center, POB 12000, Jerusalem, Israel 91120

Urinary tract stone disease is common in the Western world. Nonenhanced computed tomography (CT) is the method of choice for stone diagnosis; however, it has a limited role in predicting stone type. Knowledge of stone composition is currently determined by postoperative assessment of stone fragments. A noninvasive tool for accurate characterization of stone composition would improve patient management. Dual-energy CT aids in the differentiation among calcium, uric acid, and cystine stones. In this review we describe the role of dual-energy CT for in vitro and in vivo analysis of urinary stones. We illustrate the technique, review the literature, and discuss future directions.

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PII: S0887-2171(10)00035-1

doi:10.1053/j.sult.2010.05.002

Seminars in Ultrasound, CT and MRI
Volume 31, Issue 4 , Pages 315-320, August 2010