Contemporary Use of Computed Tomography (CT) Imaging in Suspected Urolithiasis in Pregnancy.

IF 2.5 2区医学 Q2 UROLOGY & NEPHROLOGY

Current Urology Reports Pub Date : 2023-09-01 DOI:10.1007/s11934-023-01171-8

Nicholas S Dean, Amy E Krambeck

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Abstract

Purpose of review: We aimed to examine the role of low-dose CT (LDCT) in the diagnostic work-up for suspected urolithiasis in pregnancy. We reviewed contemporary urologic recommendations for CT in pregnancy, its utilization for suspected urolithiasis, and explored barriers to its use.

Recent findings: National urologic guidelines and the American College of Obstetricians and Gynecologists recommend the judicious use of LDCT imaging in pregnancy when necessary. We noted inconsistencies in review article management pathways and recommendations for CT imaging for suspected urolithiasis in pregnancy. Overall CT utilization in pregnancy for suspected urolithiasis is low. Proposed barriers to LDCT use in pregnancy include fears of litigation and misperceptions of the harm of diagnostic radiation. Recent advancements in imaging technologies for urolithiasis in pregnancy are limited. More specific diagnostic pathway recommendations from national urologic guideline bodies for when to use LDCT to investigate renal colic in pregnancy may reduce diagnostic and intervention delays.

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当代计算机断层扫描(CT)在妊娠期疑似尿石症中的应用。

回顾目的:我们旨在探讨低剂量CT (LDCT)在妊娠期疑似尿石症诊断中的作用。我们回顾了当代泌尿科对妊娠期CT的建议，其在疑似尿石症中的应用，并探讨了其使用的障碍。最新发现:国家泌尿外科指南和美国妇产科医师学会建议在必要时明智地在怀孕期间使用LDCT成像。我们注意到在回顾性文献中，对妊娠期疑似尿石症的CT成像的管理途径和建议存在不一致。妊娠期疑似尿石症的CT总体使用率较低。在怀孕期间使用LDCT的障碍包括对诉讼的恐惧和对诊断辐射危害的误解。妊娠期尿石症成像技术的最新进展有限。国家泌尿系统指南机构关于何时使用LDCT检查妊娠期肾绞痛的更具体的诊断途径建议可能会减少诊断和干预的延迟。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Urology Reports UROLOGY & NEPHROLOGY-

CiteScore

4.60

自引率

3.80%

发文量

期刊介绍： This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.