JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2015, Vol. 53 ›› Issue (9): 19-23.doi: 10.6040/j.issn.1671-7554.0.2014.931

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Effects of chemical composition of urinary stones on their acoustic shadowing

LIU Qing1, SHANG Mengmeng1, SUN Xiao1, LI Jie1, YANG Jie2, SHI Dandan1, NING Song1   

  1. 1. Department of Ultrasound, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
    2. Department of Ultrasound, Rongjun General Hospital of Shandong, Jinan 250013, Shandong, China
  • Received:2014-12-09 Online:2015-09-10 Published:2015-09-10
  • Contact: 李杰。E-mail:jieli301@163.com E-mail:jieli301@163.com

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Abstract: Objective To quantitatively analyze the association between chemical composition of urinary stones and acoustic shadowing. Methods Calcium oxalate monohydrate, hydroxyapatite, cystine, and uric acid stone phantoms were prepared and embedded in porcine kidneys for ultrasound and CT scanning. The contrast-to-noise ratio (C/N) of acoustic shadowing and Hounsfield unit were recorded. All data obtained were analyzed statistically. Results All stones demonstrated high acoustic echo with shadowing. Of all stone phantoms, C/N ratio was 1.01-3.74, 2.17 in average. The hydrocyapatite stones displayed the strongest C/N ratio of acoustic shadowing and Hounsfield unit, followed by calcium oxalate monohydrate, cystine and uric acid stones (all P<0.001). The C/N ratio was significantly correlated with the Hounsfield unit (r=0.942,P<0.001) for all stone phantoms. Conclusion Stones with different chemical compositions have different acoustic shadowing, but the clarity of acoustic shadowing has the same trend with the Hounsfield unit, and acoustic shadowing can be used to predict the chemical compositions.

Key words: Chemical composition, Ultrasonography, Urinary stone, Computed Tomography, Acoustic shadowing

CLC Number: 

  • R816.7
[1] 吴在德, 吴肈汉. 外科学[M]. 7版. 北京:人民卫生出版社, 2011: 679-681.
[2] Shabana W, Bude RO, Rubin JM. Comparison between color Doppler twinkling artifact and acoustic shadowing for renal calculus detection: an in vitro study[J]. Ultrasound Med Biol, 2009, 35(2): 339-350.
[3] Ather MH, Jafri AH, Sulaiman MN. Diagnostic accuracy of ultrasonography compared to unenhanced CT for stone and obstruction in patients with renal failure[J]. BMC Med Imaging, 2004, 4(1): 2.
[4] Song X, Pogue BW, Jiang S, et al. Automated region detection based on the contrast-to-noise ratio in near-infrared tomography[J]. Appl Opt, 2004, 43(5): 1053-1062.
[5] Ogura A, Maeda F, Miyai A, et al. Accuracy of contrast-to noise ratio measurement for magnetic resonance clinical images[J]. Nihon Hoshasen Gijutsu Gakkai Zasshi, 2004, 60(11): 1543-1549.
[6] Techavipoo U, Varghese T. Improvements in elastographic contrast-to-noise ratio using spatial-angular compounding[J]. Ultrasound Med Biol, 2005, 31(4): 529-536.
[7] Moe OW. Kidney stones: pathophysiology and medical management[J]. The lancet, 2006, 367(9507): 333-344.
[8] 孙西钊, 孙则禹, 叶章群. 结石理化因素对冲击波碎石的影响及对策[J]. 临床泌尿外科杂志, 2000, 15(11): 485-487. SUN Xizhao, SUN Zeyu, YE Zhangqun.The influence and measurements of physical and chemical factors of stones on shock-wave lithotripsy[J]. Journal of Clinical Urology, 2000, 15(11): 485-487.
[9] King W 3rd, Kimme-Smith C, Winter J. Renal stone shadowing:an investigation of contributing factors[J]. Radiology, 1985, 154(1): 191-196.
[10] 周永昌, 郭万学. 超声医学[M]. 6版. 北京: 人民军医出版社, 2013: 25.
[11] Rubin JM, Alder RS, Bude RO, et al. Clean and dirty shadowing at US: a reappraisal[J]. Radiology, 1991, 181(1): 231-236.
[12] 杨琪放, 张挽时, 孟利民, 等. 双源CT双能量成像对泌尿系结石成分分析的初步研究[J]. 中华放射学杂志, 2011, 45(2): 133-137. YANG Qifang, ZHANG Wanshi, MENG Limin, et al. Dual-source dual-energy CT for the differentiation of urinary stone composition: preliminary study[J]. Chin J Radiol, 2011, 45(2): 133-137.
[13] 李小虎, 余永强, 王万勤, 等. CT能谱成像对肾结石成分分析的初步研究[J]. 中华放射学杂志, 2011, 45(12): 1216-1219. LI Xiaohu, YU Yongqiang, WANG Wanqin, et al. Spectral CT imaging in the evaluation of composition of kidney stones[J]. Chin J Radiol, 2011, 45(12): 1216-1219.
[14] Westphalen AC, Hsia RY, Maselli JH, et al. Radiological imaging of patients with suspected urinary tract stones: national trends, diagnoses, and predictors[J]. Acad Emerg Med, 2011, 18(7): 699-707.
[15] Kokorowski PJ, Hubert K, Nelson CP. Evaluation of pediatric nephrolithiasis[J]. Indian J Urol, 2010, 26(4): 531-535.
[16] Kenny JE, Goldfard DS. Update on the pathophysiology and management of uric acid renal stones[J]. Curr Rheumatol Rep, 2010, 12(2): 125-129.
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