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- Title
The Evolution of CT Diagnosed Papillae Tip Microcalcifications: Can We Predict the Development of Stones?
- Authors
Ciudin, Alexandru; Luque, Maria Pilar; Salvador, Rafael; Diaconu, Mihai Gabriel; Franco, Agustin; Collado-Belvis, Antonio; Sanchez, Javier; Constantin, Vlad; Alvarez-Vijande, Ricardo; Nicolau, Carlos; Alcaraz, Antonio
- Abstract
Objectives: To determine the incidence of computed tomography (CT) identifiable Randall plaques in a CT explored population; to determine the clinical relevance of this radiological finding by a 7-year follow-up; to determine a cut point to identify a population with high risk of developing calcium stone disease (SD). Materials and Methods: Retrospective study of all patients explored by abdominal CT in our center between January and March 2005. Inclusion criteria: age 30-60 years and no SD. Papillae attenuation was measured on nonenhanced CT in Hounsfield units (HU) and the mean of all papillae was calculated. Patients were re-evaluated after 7 years to identify calcium stone formers. Anamnesis and already available CT, ultrasound, kidney, ureter, and bladder radiograph (KUB) or intravenous urography (IVU) images performed as part of their follow-up were used. In patients with no follow-up, ultrasound and KUB were to be performed. Pearson correlation, Student t-test, and the receiver operator curve were used for statistical analysis. Results: A total of 362 patients fulfilled the inclusion criteria and were analyzed; 12 developed calcium SD after 7 years. A significant difference was encountered between the papillae attenuation of stone formers (SF) versus non-SF (47.2HU vs. 35.5HU, p=0.001). There was good correlation between papillae attenuation and the possibility of developing SD ( R=0.87). An optimal cut point of 43HU with a sensitivity of 81% and specificity of 97%, area under the curve 0.91, separated SF and non-SF. Conclusion: Patients with high papillae density have a higher risk of developing SD. A cut point of 43HU could accurately be used to identify a high-risk population.
- Subjects
KIDNEY stones; COMPUTED tomography; RADIOLOGY; PEARSON correlation (Statistics); RETROSPECTIVE studies
- Publication
Journal of Endourology, 2014, Vol 28, Issue 8, p1016
- ISSN
0892-7790
- Publication type
Article
- DOI
10.1089/end.2014.0151