Renal Colic Imaging: Myths, Recent Trends, and Controversies

Can Assoc Radiol J. 2019 May;70(2):164-171. doi: 10.1016/j.carj.2018.09.008. Epub 2019 Mar 8.

Abstract

There has been a substantial increase in the utilization of imaging, particularly of multi-detector computed tomography (MDCT), for the evaluation of patients with suspected urolithiasis over the past 2 decades. While the diagnostic accuracy of computed tomography (CT) for urolithiasis is excellent, it has also resulted in substantial medical expenditures and increased ionizing radiation exposure. This is especially concerning in patients with known nephrolithiasis and in younger patients. This pictorial review will focus on recent trends and controversies in imaging of patients with suspected urolithiasis, including the current roles of ultrasound (US), MDCT, and magnetic resonance imaging, the estimated radiation dose from MDCT and dose reduction strategies, as well as imaging of suspected renal colic in pregnant patients. The current epidemiological, clinical, and practice management literature will be appraised.

Keywords: Magnetic resonance imaging; Multi-detector computed tomography; Renal colic; Ultrasound; Urolithiasis.

Publication types

  • Review

MeSH terms

  • Diagnostic Imaging / methods*
  • Humans
  • Magnetic Resonance Imaging
  • Radiation Dosage
  • Renal Colic / diagnostic imaging*
  • Renal Colic / etiology
  • Tomography, X-Ray Computed
  • Ultrasonography
  • Urinary Tract / diagnostic imaging
  • Urolithiasis / complications
  • Urolithiasis / diagnostic imaging*