The reliability of color doppler "twinkling” artifact for diagnosing millimetrical nephrolithiasis: comparison with B-Mode US and CT scanning results

Verfasser / Beitragende:
[Alpaslan Yavuz, Kagan Ceken, Emel Alimoglu, Adnan Kabaalioglu]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Medical Ultrasonics, 42/2(2015-04-01), 215-222
Format:
Artikel (online)
ID: 605540063
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024 7 0 |a 10.1007/s10396-014-0599-8  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10396-014-0599-8 
245 0 4 |a The reliability of color doppler "twinkling” artifact for diagnosing millimetrical nephrolithiasis: comparison with B-Mode US and CT scanning results  |h [Elektronische Daten]  |c [Alpaslan Yavuz, Kagan Ceken, Emel Alimoglu, Adnan Kabaalioglu] 
520 3 |a Purpose: To compare the effectiveness of B-Mode and color-Doppler ultrasound imaging features, including "twinkling-artifact” with unenhanced CT for detecting millimetrical nephrolithiasis. Methods: 397 patients were examined for suspected urolithiasis with US and CT were included. US findings such as echogenic focuses, posterior acoustic shadowing and twinkling artifact were examined for their ability to detect millimetricalcalculies (greatest diameter ≤5mm) using CT findings as the gold-standard. The accuracy of US for measuring stone size was also investigated. Results: 219 millimetriccalculies in 164 cases were detected by CT. The sensitivity and positive-predictive-values for the detection of microcalculies were 76.7 and 94.9%, 85.8 and 88.3%, 40.6 and 97.8%, 68.9 and 94.4%, and 38.4 and 97.7% for the presence of B-Mode echogenity, twinkling-artifact, B-Mode echogenity with acoustic shadowing, B-Mode echogenity with twinkling-artifact, B-Mode echogenity with acoustic shadowing and twinkling-artifact, respectively. No significant difference between US and CT was observed in quantification of nephrolithiasis sizes (p=913). Conclusion: Twinkling-artifact based color-Doppler US is preferable for the sensitive detection of millimetrical nephrolithiasis; however, the high false-positive value of this technique, which can lead to an overestimation of the stone number, has to be considered. 
540 |a The Japan Society of Ultrasonics in Medicine, 2014 
690 7 |a Ultrasound  |2 nationallicence 
690 7 |a Twinkling artifact  |2 nationallicence 
690 7 |a Unenhanced computed tomography  |2 nationallicence 
690 7 |a Nephrolithiasis  |2 nationallicence 
700 1 |a Yavuz  |D Alpaslan  |u Department of Radiology, School of Medical Science, Yuzuncu Yil University, ErcisYolu, 65100, Van, Turkey  |4 aut 
700 1 |a Ceken  |D Kagan  |u Department of Radiology, School of Medical Science, Akdeniz University, Dumlupinar Cad, Kampüs, 07059, Antalya, Turkey  |4 aut 
700 1 |a Alimoglu  |D Emel  |u Department of Radiology, School of Medical Science, Akdeniz University, Dumlupinar Cad, Kampüs, 07059, Antalya, Turkey  |4 aut 
700 1 |a Kabaalioglu  |D Adnan  |u Department of Radiology, School of Medical Science, Akdeniz University, Dumlupinar Cad, Kampüs, 07059, Antalya, Turkey  |4 aut 
773 0 |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/2(2015-04-01), 215-222  |x 1346-4523  |q 42:2<215  |1 2015  |2 42  |o 10396 
856 4 0 |u https://doi.org/10.1007/s10396-014-0599-8  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yavuz  |D Alpaslan  |u Department of Radiology, School of Medical Science, Yuzuncu Yil University, ErcisYolu, 65100, Van, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ceken  |D Kagan  |u Department of Radiology, School of Medical Science, Akdeniz University, Dumlupinar Cad, Kampüs, 07059, Antalya, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Alimoglu  |D Emel  |u Department of Radiology, School of Medical Science, Akdeniz University, Dumlupinar Cad, Kampüs, 07059, Antalya, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kabaalioglu  |D Adnan  |u Department of Radiology, School of Medical Science, Akdeniz University, Dumlupinar Cad, Kampüs, 07059, Antalya, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/2(2015-04-01), 215-222  |x 1346-4523  |q 42:2<215  |1 2015  |2 42  |o 10396