Journal of Health and Medical Sciences

ISSN 2622-7258

Published: 11 March 2019

Diagnostic Accuracy of Ultrasonography Versus Computed Tomography for Ureteric Calculi Among the Adult Patients Visiting Mayo Hospital Lahore

Nasir Altaf, Ali Kamran, Bibi Naseem, Maida Iqbal, Rabbab Asif, Saba Farooq, Saba Javed, Syed Muhammad Yousaf Farooq

The University of Lahore , Pakistan

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Background: Uretric calculi was most commonly found associated with ureteric colic. It occurs due to low fluid intake, frequent urinary tract infections and medicines that may crystallize within the urine. Ureteric calculi are mostly composed of calcium which crystallizes in the kidney and moves down to ureter causing obstruction. The prevalence of ureteric colic is increasing everyday. Over-utilization of Computed tomography is a growing health concern because of the used of high radiation in computed tomography. Objective: To determine the diagnostic accuracy of ultrasonography versus computed tomography for ureteric calculi among the adult patients visiting Mayo hospital Lahore. Methods: This Cross-sectional descriptive study was conducted in the Department of Radiology in Mayo hospital Lahore. All patients with ureteric colic (as per operational definition) and with suspicion of ureteric calculus were included. The ct-scan machine of Hitachi (164 slices) and Ultrasound machine Siemens was used to performing this research to determine the diagnostic accuracy of ultrasonography versus computed tomography for ureteric calculi among the adult patients. Ureteric stones were diagnosed on a trans-Abdominal scan by using of 5MHz frequency. Results: Total 78 patients with sign and symptoms of ureteric calculi were imaged with ultrasonography and computed tomography, among them ureteric calculi were found in 25 (34.2%) patients with ultrasound. Ureteric calculi were found in 52(71.2%) with computed tomography scanning. The individuals of 17-75 years were mainly involved while most of them were male patients. We observed that, computed tomography scanning is batter to diagnose ureteric calculi as compared to ultrasonography.


  1. Rendina D, De Filippo G, D’Elia L, Strazzullo P. Metabolic syndrome and nephrolithiasis: a systematic review and meta-analysis of the scientific evidence. Journal of Nephrology. 2014 Aug 1;27(4):371-6.

  2. Joshi KS, Karki S, Regmi S, Joshi HN, Adhikari SP. Sonography in acute ureteric colic: an experience in Dhulikhel Hospital. Kathmandu Univ Med J. 2014;45(1):9-15.

  3. Nicolau C, Salvador R, Artigas JM. Diagnostic management of renal colic. Radiología (English Edition). 2015 Mar 1;57(2):113-22.

  4. Dubinsky TJ, Sadro CT. Acute onset flank pain–suspicion of stone disease. Ultrasound quarterly. 2012 Sep 1;28(3):239-40.

  5.  Singhal A. Diagnostic value of scout view CT-KUB in the management of lower ureteric calculus.

  6. Fulgham PF, Assimos DG, Pearle MS, Preminger GM. Clinical effectiveness protocols for imaging in the management of ureteral calculous disease: AUA technology assessment. The Journal of urology. 2013 Apr 1;189(4):1203-13.

  7. Taj-Aldean KA. Ultrasonography for Detecting Ureteric Calculi with Non-Enhanced CT as a Reference Standard (Prospective Study).

  8. McLaughlin PD, Murphy KP, Hayes SA, Carey K, Sammon J, Crush L, O’Neill F, Normoyle B, McGarrigle AM, Barry JE, Maher MM. Non-contrast CT at a comparable dose to an abdominal radiograph in patients with acute renal colic; the impact of iterative reconstruction on image quality and diagnostic performance. Insights into imaging. 2014 Apr 1;5(2):217-30.

  9. Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, Knoll T. EAU guidelines on diagnosis and conservative management of urolithiasis. European urology. 2016 Mar 1;69(3):468-74.

  10. Smith-Bindman R, Aubin C, Bailitz J, Bengiamin RN, Camargo Jr CA, Corbo J, Dean AJ, Goldstein RB, Griffey RT, Jay GD, Kang TL. Ultrasonography versus computed tomography for suspected nephrolithiasis. New England Journal of Medicine. 2014 Sep 18;371(12):1100-10.

  11. Tepeler A, Nakada SY. Radiology Imaging for Ureteral Stones. InUreteral Stone Management 2015 (pp. 21-28). Springer, Cham.

  12. Renard-Penna R, Martin A, Conort P, Mozer P, Grenier P. Kidney stones and imaging: what can your radiologist do for you?. World journal of urology. 2015 Feb 1;33(2):193-202.

  13. Ray AA, Ghiculete D, Pace KT, Honey RJ. Limitations to ultrasound in the detection and measurement of urinary tract calculi. Urology. 2010 Aug 1;76(2):295-300.

  14. Vallone G, Napolitano G, Fonio P, Antinolfi G, Romeo A, Macarini L, Genovese EA, Brunese L. US detection of renal and ureteral calculi in patients with suspected renal colic. Critical ultrasound journal. 2013 Dec 1;5(S1):S3.

  15. Van Randen A, Laméris W, van Es HW, van Heesewijk HP, van Ramshorst B, Ten Hove W, Bouma WH, van Leeuwen MS, van Keulen EM, Bossuyt PM, Stoker J. A comparison of the accuracy of ultrasound and computed tomography in common diagnoses causing acute abdominal pain. European radiology. 2011 Jul 1;21(7):1535-45.

  16. Nadeem M, Ather MH, Jamshaid A, Zaigham S, Mirza R, Salam B. Rationale use of unenhanced multi-detector CT (CT KUB) in the evaluation of suspected renal colic. International Journal of Surgery. 2012 Jan 1;10(10):634-7.

  17. Taj-Aldean KA. Ultrasonography for Detecting Ureteric Calculi with Non-Enhanced CT as a Reference Standard (Prospective Study).

  18. Ather MH, Jafri AH, Sulaiman MN. Diagnostic accuracy of ultrasonography compared to unenhanced CT for stone and obstruction in patients with renal failure. BMC medical imaging. 2004 Dec;4(1):2.

  19. Viprakasit DP, Sawyer MD, Herrell SD, Miller NL. 2228 LIMITATIONS OF RENAL ULTRASOUND IN THE EVALUATION OF UROLITHIASIS: A CORRELATION WITH COMPUTED TOMOGRAPHY. The Journal of Urology. 2011 Apr 1;185(4):e894.

  20. Malik SS, Mali SA, Iqbal A. USG FOR DETECTING RENAL CALCULI WITH NON-ENHANCED COMPUTED TOMOGRAPHY AS A REFERENCE STANDARD. Annals of King Edward Medical University. 2015;21(2):74-.

  21. Noreen A, Javed AM, Zahoor M, Shakir A, Bodla MA, Saleem N. URETERIC CALCULI. Professional Medical Journal. 2016 Dec 1;23(12).

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