{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T15:41:11Z","timestamp":1782920471377,"version":"3.54.5"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"1016","license":[{"start":{"date-parts":[[2012,8,1]],"date-time":"2012-08-01T00:00:00Z","timestamp":1343779200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,8,1]]},"abstract":"<jats:p>Objectives: The objective of our study is to determine the positive rate for urolithiasis in male and female patients, and evaluate whether there has been any change at our institution in the use and outcome of unenhanced multidetector CT (CT KUB) performed in the emergency department (ER) for patients presenting with suspected acute renal colic.<\/jats:p>\n               <jats:p>Methods: A retrospective review of all 1357 consecutive cases between August 2007 and August 2009 admitted to the ER and investigated with CT KUB.<\/jats:p>\n               <jats:p>Results: The positive rate for urolithiasis was 47.5% and the rate of other significant findings was 10%. Female patients had a significantly lower positive rate than male patients (26.8% vs 61.6%, p&amp;lt;0.001). Urological intervention was required in 37% and these patients had a larger average stone size. In young female patients with a significantly sized ureteric calculus (&amp;gt;4 mm), the presence of hydronephrosis vs no hydronephrosis was 83% vs 17%, respectively. Among them, only three patients required ureteroscopy for stone removal.<\/jats:p>\n               <jats:p>Conclusion: Contrary to other studies there has been no \u201cindication creep\u201d in the use of CT KUB at our institution. However, the young female patient presenting with suspected urolithiasis presents a particular diagnostic problem, and the significant percentage of negative examinations in females implies that an improvement in current practice is needed. The indiscriminate use of CT KUB in all female patients with flank pain should be avoided, and it is suggested that they should be initially evaluated with ultrasound to detect the presence of hydronephrosis.<\/jats:p>","DOI":"10.1259\/bjr\/62994625","type":"journal-article","created":{"date-parts":[[2012,4,12]],"date-time":"2012-04-12T05:59:01Z","timestamp":1334210341000},"page":"1118-1122","source":"Crossref","is-referenced-by-count":39,"title":["Emergency department imaging protocol for suspected acute renal colic: re-evaluating our service"],"prefix":"10.1093","volume":"85","author":[{"given":"K","family":"Patatas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Panditaratne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T M","family":"Wah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M J","family":"Weston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H C","family":"Irving","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2014,3,5]]},"reference":[{"key":"2024050213342723500_b1","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1148\/radiol.2362040887","article-title":"Renal colic: comparison of use and outcomes of unenhanced helical CT for emergency investigation in 1998 and 2002.","volume":"236","author":"Kirpalani","year":"2005","journal-title":"Radiology"},{"key":"2024050213342723500_b2","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1016\/j.crad.2008.04.012","article-title":"Is the KUB radiograph redundant for investigating acute ureteric colic in the non-contrast enhanced computed tomography era?","volume":"63","author":"Kennish","year":"2008","journal-title":"Clinical Radiology"},{"key":"2024050213342723500_b3","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/S0302-2838(02)00064-7","article-title":"Modern approach of diagnosis and management of acute flank pain: review of all imaging modalities.","volume":"41","author":"Heidenreich","year":"2002","journal-title":"Eur Urol"},{"key":"2024050213342723500_b4","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1016\/S0022-5347(01)63714-5","article-title":"The value of unenhanced helical computerized tomography in the management of acute flank pain.","volume":"159","author":"Dalrymple","year":"1998","journal-title":"J Urol"},{"key":"2024050213342723500_b5","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1007\/BF02742925","article-title":"Non-contrast spiral CT for patients with suspected renal colic.","volume":"7","author":"Katz","year":"1997","journal-title":"Eur Radiol"},{"key":"2024050213342723500_b6","first-page":"256","article-title":"Effective dose in X-ray examinations: comparison between spiral CT and urography in the study of renal colic.","volume":"102","author":"De Denaro","year":"2001","journal-title":"Radiol Med"},{"key":"2024050213342723500_b7","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1136\/emj.2009.084780","article-title":"Does the protocol for suspected renal colic lead to unnecessary radiation exposure of young female patients?","volume":"27","author":"Patatas","year":"2010","journal-title":"Emerg Med J"},{"key":"2024050213342723500_b8","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1016\/j.crad.2007.04.016","article-title":"Unenhanced multidetector CT (CT KUB) in the initial imaging of suspected acute renal colic: evaluating a new service.","volume":"62","author":"Chowdhury","year":"2007","journal-title":"Clin Radiol"},{"key":"2024050213342723500_b9","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.2214\/ajr.173.6.10584780","article-title":"Trends in the use of unenhanced helical CT for acute urinary colic.","volume":"173","author":"Chen","year":"1999","journal-title":"AJR Am J Roentgenol"},{"key":"2024050213342723500_b10","doi-asserted-by":"crossref","first-page":"W125","DOI":"10.2214\/AJR.07.2922","article-title":"Nonobstructing renal stones on unenhanced CT: a real cause for renal colic?","volume":"190","author":"Furlan","year":"2008","journal-title":"AJR Am J Roentgenol"},{"key":"2024050213342723500_b11","doi-asserted-by":"crossref","first-page":"1142","DOI":"10.1016\/S0022-5347(17)46018-6","article-title":"Caliceal calculi.","volume":"135","author":"Brannen","year":"1986","journal-title":"J Urol"},{"key":"2024050213342723500_b12","first-page":"48","article-title":"Abstract. Review of the current use of CT KUB to diagnose renal colic in the Royal Infirmary of Edinburgh.","volume":"54","author":"Yong","year":"2009","journal-title":"Scott Med J"},{"key":"2024050213342723500_b13","doi-asserted-by":"crossref","first-page":"S11","DOI":"10.1148\/rg.24si045505","article-title":"Mimics of renal colic: alternative diagnoses at unenhanced helical CT.","volume":"24","author":"Rucker","year":"2004","journal-title":"Radiographics"},{"key":"2024050213342723500_b14","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1046\/j.1464-410x.2000.00605.x","article-title":"One year's clinical experience with unenhanced spiral computed tomography for the assessment of acute loin pain suggestive of renal colic.","volume":"85","author":"Greenwell","year":"2000","journal-title":"BJU Int"},{"key":"2024050213342723500_b15","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1007\/s00330-003-1924-6","article-title":"Suspected ureteral colic: plain film and sonography vs unenhanced helical CT. A prospective study in 66 patients.","volume":"14","author":"Ripolles","year":"2004","journal-title":"Eur Radiol"},{"key":"2024050213342723500_b16","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1148\/radiology.207.2.9577473","article-title":"Urolithiasis: detection and management with unenhanced spiral CT\u2014a urological perspective.","volume":"207","author":"Preminger","year":"1998","journal-title":"Radiology"},{"key":"2024050213342723500_b17","doi-asserted-by":"crossref","first-page":"101","DOI":"10.2214\/ajr.178.1.1780101","article-title":"Relationship of spontaneous passage of ureteral calculi to stone size and location as revealed by unenhanced helical CT.","volume":"178","author":"Coll","year":"2002","journal-title":"AJR Am J Roentgenol"}],"container-title":["The British Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/85\/1016\/1118\/57386716\/bjr_62994625.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/85\/1016\/1118\/57386716\/bjr_62994625.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T13:37:15Z","timestamp":1714657035000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjr\/article\/85\/1016\/1118\/7450587"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,1]]},"references-count":17,"journal-issue":{"issue":"1016","published-online":{"date-parts":[[2014,3,5]]},"published-print":{"date-parts":[[2012,8,1]]}},"URL":"https:\/\/doi.org\/10.1259\/bjr\/62994625","relation":{},"ISSN":["0007-1285"],"issn-type":[{"value":"0007-1285","type":"print"}],"subject":[],"published-other":{"date-parts":[[2012,8,1]]},"published":{"date-parts":[[2012,8,1]]}}}