Role of the resistive index in the evaluation of acute renal obstruction
Sonography is well established as a screening tool to evaluate the kidney for the presence of renal obstruction. The role of sonography in the evaluation of acute obstruction is less clear, however. Despite recent reports emphasizing the ability of gray-scale sonography and kidney/urinary/bladder fi...
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Veröffentlicht in: | American journal of roentgenology (1976) 1995-02, Vol.164 (2), p.377-378 |
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container_title | American journal of roentgenology (1976) |
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creator | Cronan, JJ Tublin, ME |
description | Sonography is well established as a screening tool to evaluate the kidney for the presence of renal obstruction. The role of sonography in the evaluation of acute obstruction is less clear, however. Despite recent reports emphasizing the ability of gray-scale sonography and kidney/urinary/bladder films to screen for acute colic, experience indicates that the sonographic diagnosis of acute renal stone disease may be unreliable. Multiple studies have demonstrated the many potential pitfalls of the sonographic examination for acute obstruction. False-negative studies may result if the kidney is evaluated before hydronephrosis occurs. Conversely, nonobstructive pyelocaliectasis and parapelvic cysts may result in false-positive studies. Because of these sonographic limitations, many imaging practices exclusively have utilized excretory urography for the evaluation of patients with symptoms of renal colic. |
doi_str_mv | 10.2214/ajr.164.2.7839973 |
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The role of sonography in the evaluation of acute obstruction is less clear, however. Despite recent reports emphasizing the ability of gray-scale sonography and kidney/urinary/bladder films to screen for acute colic, experience indicates that the sonographic diagnosis of acute renal stone disease may be unreliable. Multiple studies have demonstrated the many potential pitfalls of the sonographic examination for acute obstruction. False-negative studies may result if the kidney is evaluated before hydronephrosis occurs. Conversely, nonobstructive pyelocaliectasis and parapelvic cysts may result in false-positive studies. Because of these sonographic limitations, many imaging practices exclusively have utilized excretory urography for the evaluation of patients with symptoms of renal colic.</description><identifier>ISSN: 0361-803X</identifier><identifier>EISSN: 1546-3141</identifier><identifier>DOI: 10.2214/ajr.164.2.7839973</identifier><identifier>PMID: 7839973</identifier><identifier>CODEN: AAJRDX</identifier><language>eng</language><publisher>Leesburg, VA: Am Roentgen Ray Soc</publisher><subject>Acute Disease ; Biological and medical sciences ; Colic - diagnostic imaging ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Kidney Diseases - diagnostic imaging ; Medical sciences ; Renal Circulation ; Sensitivity and Specificity ; Ultrasonic investigative techniques ; Ultrasonography, Doppler, Duplex ; Ureteral Obstruction - diagnostic imaging ; Urinary system ; Urography</subject><ispartof>American journal of roentgenology (1976), 1995-02, Vol.164 (2), p.377-378</ispartof><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-6020d1e7e3f17553ef34ad3a23b055fe0addf16c884f8f8b8807ce71cab8de03</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4120,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3455112$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7839973$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cronan, JJ</creatorcontrib><creatorcontrib>Tublin, ME</creatorcontrib><title>Role of the resistive index in the evaluation of acute renal obstruction</title><title>American journal of roentgenology (1976)</title><addtitle>AJR Am J Roentgenol</addtitle><description>Sonography is well established as a screening tool to evaluate the kidney for the presence of renal obstruction. The role of sonography in the evaluation of acute obstruction is less clear, however. Despite recent reports emphasizing the ability of gray-scale sonography and kidney/urinary/bladder films to screen for acute colic, experience indicates that the sonographic diagnosis of acute renal stone disease may be unreliable. Multiple studies have demonstrated the many potential pitfalls of the sonographic examination for acute obstruction. False-negative studies may result if the kidney is evaluated before hydronephrosis occurs. Conversely, nonobstructive pyelocaliectasis and parapelvic cysts may result in false-positive studies. Because of these sonographic limitations, many imaging practices exclusively have utilized excretory urography for the evaluation of patients with symptoms of renal colic.</description><subject>Acute Disease</subject><subject>Biological and medical sciences</subject><subject>Colic - diagnostic imaging</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Kidney Diseases - diagnostic imaging</subject><subject>Medical sciences</subject><subject>Renal Circulation</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonic investigative techniques</subject><subject>Ultrasonography, Doppler, Duplex</subject><subject>Ureteral Obstruction - diagnostic imaging</subject><subject>Urinary system</subject><subject>Urography</subject><issn>0361-803X</issn><issn>1546-3141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEFPwzAMhSMEgjH4ARyQekDcOuKmabIjmoAhISGhHbhFaeqwoKwdSbvBv6djFbvYkt_nZ-sRcgV0kmWQ3-nPMIEin2QTIdl0KtgRGQHPi5RBDsdkRFkBqaTs_Yycx_hJKRVyKk7J6YCPyPyt8Zg0NmmXmASMLrZug4mrK_zu698YN9p3unVNvQO16dodWmufNGVsQ2d20gU5sdpHvBz6mCweHxazefry-vQ8u39JDeNFmxY0oxWgQGZBcM7QslxXTGespJxbpLqqLBRGytxKK0spqTAowOhSVkjZmNzubdeh-eowtmrlokHvdY1NF5UQwHLgogdhD5rQxBjQqnVwKx1-FFC1C0_14ak-PJWpIY1-53ow78oVVv8bB_1m0HU02tuga-PiP8ZyzgGyw49L97HcuoAqrrT3vSmo7Xa7v8mEYL9LKoWe</recordid><startdate>19950201</startdate><enddate>19950201</enddate><creator>Cronan, JJ</creator><creator>Tublin, ME</creator><general>Am Roentgen Ray Soc</general><general>American Roentgen Ray Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19950201</creationdate><title>Role of the resistive index in the evaluation of acute renal obstruction</title><author>Cronan, JJ ; Tublin, ME</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-6020d1e7e3f17553ef34ad3a23b055fe0addf16c884f8f8b8807ce71cab8de03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Acute Disease</topic><topic>Biological and medical sciences</topic><topic>Colic - diagnostic imaging</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Kidney Diseases - diagnostic imaging</topic><topic>Medical sciences</topic><topic>Renal Circulation</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonic investigative techniques</topic><topic>Ultrasonography, Doppler, Duplex</topic><topic>Ureteral Obstruction - diagnostic imaging</topic><topic>Urinary system</topic><topic>Urography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cronan, JJ</creatorcontrib><creatorcontrib>Tublin, ME</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of roentgenology (1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cronan, JJ</au><au>Tublin, ME</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of the resistive index in the evaluation of acute renal obstruction</atitle><jtitle>American journal of roentgenology (1976)</jtitle><addtitle>AJR Am J Roentgenol</addtitle><date>1995-02-01</date><risdate>1995</risdate><volume>164</volume><issue>2</issue><spage>377</spage><epage>378</epage><pages>377-378</pages><issn>0361-803X</issn><eissn>1546-3141</eissn><coden>AAJRDX</coden><abstract>Sonography is well established as a screening tool to evaluate the kidney for the presence of renal obstruction. The role of sonography in the evaluation of acute obstruction is less clear, however. Despite recent reports emphasizing the ability of gray-scale sonography and kidney/urinary/bladder films to screen for acute colic, experience indicates that the sonographic diagnosis of acute renal stone disease may be unreliable. Multiple studies have demonstrated the many potential pitfalls of the sonographic examination for acute obstruction. False-negative studies may result if the kidney is evaluated before hydronephrosis occurs. Conversely, nonobstructive pyelocaliectasis and parapelvic cysts may result in false-positive studies. Because of these sonographic limitations, many imaging practices exclusively have utilized excretory urography for the evaluation of patients with symptoms of renal colic.</abstract><cop>Leesburg, VA</cop><pub>Am Roentgen Ray Soc</pub><pmid>7839973</pmid><doi>10.2214/ajr.164.2.7839973</doi><tpages>2</tpages></addata></record> |
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subjects | Acute Disease Biological and medical sciences Colic - diagnostic imaging Humans Investigative techniques, diagnostic techniques (general aspects) Kidney Diseases - diagnostic imaging Medical sciences Renal Circulation Sensitivity and Specificity Ultrasonic investigative techniques Ultrasonography, Doppler, Duplex Ureteral Obstruction - diagnostic imaging Urinary system Urography |
title | Role of the resistive index in the evaluation of acute renal obstruction |
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