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

Previous Articles     Next Articles

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

PDF (PC)

487

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.
[1] XU Ping, YU Guo-Fang, LI Xia. Differential diagnosis of Graves′ disease and Hashimoto′s thyroiditis by different types peak systolic velocity of the superior thyroid artery [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2209, 47(6): 62-64.
[2] ZHOU Zhiyuan, SHI Yuxin, GU Heze, HOU Yiyang, XU Xin. Impact of orthognathic surgery on upper airway dimensions in patients with severe skeletal class Ⅲ malocclusion and identification of key influencing factors [J]. Journal of Shandong University (Health Sciences), 2026, 64(4): 44-50.
[3] SHEN Wei, JIN Chenxi, LI Na, LI Xiaoxuan, GUO Jing. Correlation between 3D craniofacial and upper airway structures and apnea hypopnea index in children [J]. Journal of Shandong University (Health Sciences), 2025, 63(7): 44-53.
[4] SUN Jing, YANG Ruimin, WANG Cong, ZHANG Yue, LUO Bing. Combined models based on preoperative ultrasound, inflammatory indicators and ultrasound radiomics for predicting axillary lymph node metastasis of breast cancer [J]. Journal of Shandong University (Health Sciences), 2025, 63(1): 73-80.
[5] ZHAO Tianran, LIU Dongxu. Orthodontic effects of rapid maxillary expansion combined with maxillary protraction on skeletal Class III malocclusion during the mixed dentition [J]. Journal of Shandong University (Health Sciences), 2024, 62(3): 77-86.
[6] YANG Baozhu, HUANG Shuyuan, YU Xinxin, DENG Yan, HAN Pengxi, LIU Xiaolong, WANG Ximing. Predictive value of perivascular fat attenuation index based on CCTA for revascularization in chronic total occlusion of coronary artery [J]. Journal of Shandong University (Health Sciences), 2024, 62(10): 98-105.
[7] LYU Wenxin, LIU Yishu. Morphological and positional characteristics of the glenoid fossa and mandible in patients with hypodivergent pattern [J]. Journal of Shandong University (Health Sciences), 2023, 61(7): 101-108.
[8] WANG Zhifan/sup>1, LIN Xiaoxian, YIN Jialu, WANG Dongliang, WANG Shuqi. Secondary metabolites of edible birds nest prepared by different stewing temperatures [J]. Journal of Shandong University (Health Sciences), 2023, 61(4): 10-17.
[9] Guyue ZHAO,Jin SHANG,Yang HOU. Advances in the application of artificial intelligence in coronary computed tomography angiography [J]. Journal of Shandong University (Health Sciences), 2023, 61(12): 30-35.
[10] AI Jiangshan, GAO Huijiang, AI Shiwen, LI Hengyan, SHI Guodong, WEI Yucheng. Diagnostic value of CT radiomics in lung cancer associated with cystic airspaces [J]. Journal of Shandong University (Health Sciences), 2023, 61(12): 70-77.
[11] WANG Xin, HOU Yingyue, GUO Jing. Differences in the upper airway morphology among various sagittal skeletal profiles in adolescents aged 12 to 15 years [J]. Journal of Shandong University (Health Sciences), 2022, 60(8): 79-83.
[12] GAO Lin, YU Xinxin, KANG Bing, ZHANG Shuai, WANG Ximing. Predictive value of CT-based radiomics nomogram for the invasiveness of lung pure ground-glass nodules [J]. Journal of Shandong University (Health Sciences), 2022, 60(5): 87-97.
[13] WANG Yu, YIN Zengzheng, NIE Xiaokun, MA Zhide, XIONG Shijiang. Detection of middle mesial canal in 1,125 permanent mandibular first molars using CBCT and related factors [J]. Journal of Shandong University (Health Sciences), 2022, 60(3): 100-109.
[14] ZHANG Xuehua, SONG Min, DING Xiaojun, JIANG Xiaohan, ZHANG Yongqing. Two cases of innominate artery stenosis with double channel steal detected by TCD and literature review [J]. Journal of Shandong University (Health Sciences), 2022, 60(12): 101-106.
[15] WANG Ying, GU Hui, YU Xinxin, HU Jinzhuo, WANG Ruopeng, WANG Ximing. Correlation between baseline CT features and progression of abdominal aortic aneurysm in 71 cases [J]. Journal of Shandong University (Health Sciences), 2022, 60(10): 62-67.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd