{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T20:40:58Z","timestamp":1760042458344},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,9,9]],"date-time":"2013-09-09T00:00:00Z","timestamp":1378684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The study aims to determine the interpretation accuracy of computed tomography of the kidneys, ureters and bladder (<jats:styled-content style=\"fixed-case\">CT\u2010KUB<\/jats:styled-content>) by emergency physicians (<jats:styled-content style=\"fixed-case\">EPs<\/jats:styled-content>) compared with the formal radiology report, as the reference standard, in patients with suspected acute urinary tract calculous disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A sample of 20 consecutive <jats:styled-content style=\"fixed-case\">CT\u2010KUB<\/jats:styled-content> scans for suspected acute calculous disease was compiled from the medical imaging department of an adult tertiary teaching hospital. Ten <jats:styled-content style=\"fixed-case\">EPs<\/jats:styled-content> with a minimum of 2 years' experience post\u2010Fellowship interpreted each scan using a template form. The total sample of 200 reports by <jats:styled-content style=\"fixed-case\">EPs<\/jats:styled-content> was compared with the formal radiology report for agreement in detecting renal tract stones, signs of obstruction and other clinical findings. Interrater agreement and the kappa statistic were used for comparative data analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a high level of agreement (%, kappa value) between <jats:styled-content style=\"fixed-case\">EPs<\/jats:styled-content> and radiologists for the detection of large (\u22655\u2009mm) calculi (94.5%, \u03ba 0.89), signs of obstruction (93%, \u03ba 0.86) and clinically significant findings (90%, \u03ba 0.78). The level of agreement was low for the detection of small (&lt;5\u2009mm) calculi (79%, \u03ba 0.48) and clinically non\u2010significant findings (67.5%, \u03ba 0.33).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">EPs<\/jats:styled-content> can accurately detect clinically significant acute calculous disease and signs of obstruction on <jats:styled-content style=\"fixed-case\">CT\u2010KUB<\/jats:styled-content>, allowing for ongoing acute management and early disposition of the patient. 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