CT kidneys, ureters and bladder (protocol)

Changed by Craig Hacking, 24 Jun 2015

Updates to Article Attributes

Body was changed:

Computed tomograpy Kidneys, Ureters, Bladder (CT KUB) is a quick non-invasive technique for diagnosis of urolithiasis.

Advantages

  • quick
  • easily accessible
  • identification of calcified renal tract calculi size and position
    • stone composition assessment with dual energy CT

    their sequelae
  • assessment of the sequelae of calculi

  • assessement of other causes of flank pain if negative for calculus disease

Disadvantages 

  • exposure to ionizing radiation

Technique

Procedure 

Actual procedure will vary depending on institutional protocol/guidelines but below is a typical description:

  1. Non contrast CT scanning is ideally performed on a multi-detector computed tomography (MDCT) scanner.
  2. Supine or prone patient positioning
    • prone has the advantage of assessing stones near the VUJ which may have just passed
    • some institutions may perform a limited pelvic scan in prone if the supine scan shows a calculus near the VUJ
  3. Data interpretation with the use of axial, sagittal and coronal reformatted images for proper evaluation.

Findings

  • identification of calcified renal tract calculi size and position

    • stone composition assessment with dual energy CT

  • assessment of the sequelae of calculi

    • obstruction

    • infection

  • assessment of other causes of flank pain if negative for calculus disease

  • presence of further calculi at risk of obstructing

  • -<p><strong>Computed tomograpy Kidneys, Ureters, Bladder (CT KUB)</strong> is a quick non-invasive technique for diagnosis of <a title="Urolithiasis" href="/articles/urolithiasis">urolithiasis</a>.</p><h4>Advantages<sup> </sup>
  • +<p><strong>Computed tomograpy Kidneys, Ureters, Bladder (CT KUB)</strong> is a quick non-invasive technique for diagnosis of <a href="/articles/urolithiasis">urolithiasis</a>.</p><h4>Advantages<sup> </sup>
  • -<li>
  • -<p>identification of calcified renal tract calculi size and position</p>
  • -<ul><li><p>stone composition assessment with dual energy CT</p></li></ul>
  • -</li>
  • -<li><p>assessment of the sequelae of calculi</p></li>
  • -<li><p>assessement of other causes of flank pain if negative for calculus disease</p></li>
  • +<li>quick</li>
  • +<li>easily accessible</li>
  • +<li>identification of calcified renal tract calculi and their sequelae</li>
  • +<li>assessement of other causes of flank pain if negative for calculus disease</li>
  • -<li>
  • -<p>identification of calcified renal tract calculi size and position</p>
  • -<ul><li><p>stone composition assessment with dual energy CT</p></li></ul>
  • -</li>
  • -<li>
  • -<p>assessment of the sequelae of calculi</p>
  • -<ul>
  • -<li><p>obstruction</p></li>
  • -<li><p>infection</p></li>
  • +<li>identification of calcified renal tract calculi size and position</li>
  • +<li>stone composition assessment with dual energy CT</li>
  • +<li>assessment of the sequelae of calculi<ul>
  • +<li>obstruction</li>
  • +<li>infection</li>
  • -<li><p>assessment of other causes of flank pain if negative for calculus disease</p></li>
  • -<li><p>presence of further calculi at risk of obstructing</p></li>
  • +<li>assessment of other causes of flank pain if negative for calculus disease</li>
  • +<li>presence of further calculi at risk of obstructing</li>

Tags changed:

  • ct kub

Systems changed:

  • Urogenital

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