DIAGNOSTIC ACCURACY OF COLOUR DOPPLER ULTRASOUND USING TWINKLING ARTEFACT FOR THE DIAGNOSIS OF RENAL AND URETERIC CALCULI KEEPING NON ENHANCED CT KUB AS GOLD STANDARD

Objective: To determine the diagnostic accuracy of colour Doppler ultrasound using twinkling artefact for the diagnosis of renal and ureteric calculi keeping non enhanced CT KUB as gold standard. Study Design: Cross sectional study. Place and Duration of Study: Departments of Diagnostic Radiol...

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Autores principales: Aneela Abid, Rabia Waseem Butt, Hassan Burair Abbas, Manal Niazi, Shazia Alam, Hamna Shakil
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Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2021
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spelling oai:doaj.org-article:390ab23d8b004acb94a89160ecae52cf2021-12-02T17:10:37ZDIAGNOSTIC ACCURACY OF COLOUR DOPPLER ULTRASOUND USING TWINKLING ARTEFACT FOR THE DIAGNOSIS OF RENAL AND URETERIC CALCULI KEEPING NON ENHANCED CT KUB AS GOLD STANDARD0030-96482411-8842https://doaj.org/article/390ab23d8b004acb94a89160ecae52cf2021-04-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6665https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the diagnostic accuracy of colour Doppler ultrasound using twinkling artefact for the diagnosis of renal and ureteric calculi keeping non enhanced CT KUB as gold standard. Study Design: Cross sectional study. Place and Duration of Study: Departments of Diagnostic Radiology, HIT Hospital Taxila Cantt and Akbar Niazi Teaching Hospital, Islamabad, from Jan to Jun 2020. Methodology: The sample size of 320 patients was calculated using WHO Calculator. Non probability consecutive sampling was used for recruitment of patients. It comprised patients between ages 12-60 years irrespective of gender presenting with acute flank pain. All patients underwent colour Doppler ultrasound and subsequently CT-KUB analysis (gold standard) to determine the diagnostic accuracy of twinkling artefact on colour Doppler imaging. Data was collected on prescribed proforma and analysed using SPSS-17. Chi-square test and ROC curve analysis were used for diagnostic accuracy measurement. Results: Study results showed that twinkling artefact on colour Doppler had a sensitivity, specificity, positive predictive value, negative predictive value and accuracy of 91.2%, 95.7%, 98.7%, 75.2% and 92.2% respectively. Likelihood ratio for positive test was 21.8. Conclusion: Twinkling artefact on colour Doppler allows detection of renal and ureteric calculi with reasonable accuracy and can be used as an alternative tool in settings where CT scan cannot be done.Aneela AbidRabia Waseem ButtHassan Burair AbbasManal NiaziShazia AlamHamna ShakilArmy Medical College Rawalpindiarticlect-kuburolithiasistwinkling artefactMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 2, Pp 522-25 (2021)
institution DOAJ
collection DOAJ
language EN
topic ct-kub
urolithiasis
twinkling artefact
Medicine
R
Medicine (General)
R5-920
spellingShingle ct-kub
urolithiasis
twinkling artefact
Medicine
R
Medicine (General)
R5-920
Aneela Abid
Rabia Waseem Butt
Hassan Burair Abbas
Manal Niazi
Shazia Alam
Hamna Shakil
DIAGNOSTIC ACCURACY OF COLOUR DOPPLER ULTRASOUND USING TWINKLING ARTEFACT FOR THE DIAGNOSIS OF RENAL AND URETERIC CALCULI KEEPING NON ENHANCED CT KUB AS GOLD STANDARD
description Objective: To determine the diagnostic accuracy of colour Doppler ultrasound using twinkling artefact for the diagnosis of renal and ureteric calculi keeping non enhanced CT KUB as gold standard. Study Design: Cross sectional study. Place and Duration of Study: Departments of Diagnostic Radiology, HIT Hospital Taxila Cantt and Akbar Niazi Teaching Hospital, Islamabad, from Jan to Jun 2020. Methodology: The sample size of 320 patients was calculated using WHO Calculator. Non probability consecutive sampling was used for recruitment of patients. It comprised patients between ages 12-60 years irrespective of gender presenting with acute flank pain. All patients underwent colour Doppler ultrasound and subsequently CT-KUB analysis (gold standard) to determine the diagnostic accuracy of twinkling artefact on colour Doppler imaging. Data was collected on prescribed proforma and analysed using SPSS-17. Chi-square test and ROC curve analysis were used for diagnostic accuracy measurement. Results: Study results showed that twinkling artefact on colour Doppler had a sensitivity, specificity, positive predictive value, negative predictive value and accuracy of 91.2%, 95.7%, 98.7%, 75.2% and 92.2% respectively. Likelihood ratio for positive test was 21.8. Conclusion: Twinkling artefact on colour Doppler allows detection of renal and ureteric calculi with reasonable accuracy and can be used as an alternative tool in settings where CT scan cannot be done.
format article
author Aneela Abid
Rabia Waseem Butt
Hassan Burair Abbas
Manal Niazi
Shazia Alam
Hamna Shakil
author_facet Aneela Abid
Rabia Waseem Butt
Hassan Burair Abbas
Manal Niazi
Shazia Alam
Hamna Shakil
author_sort Aneela Abid
title DIAGNOSTIC ACCURACY OF COLOUR DOPPLER ULTRASOUND USING TWINKLING ARTEFACT FOR THE DIAGNOSIS OF RENAL AND URETERIC CALCULI KEEPING NON ENHANCED CT KUB AS GOLD STANDARD
title_short DIAGNOSTIC ACCURACY OF COLOUR DOPPLER ULTRASOUND USING TWINKLING ARTEFACT FOR THE DIAGNOSIS OF RENAL AND URETERIC CALCULI KEEPING NON ENHANCED CT KUB AS GOLD STANDARD
title_full DIAGNOSTIC ACCURACY OF COLOUR DOPPLER ULTRASOUND USING TWINKLING ARTEFACT FOR THE DIAGNOSIS OF RENAL AND URETERIC CALCULI KEEPING NON ENHANCED CT KUB AS GOLD STANDARD
title_fullStr DIAGNOSTIC ACCURACY OF COLOUR DOPPLER ULTRASOUND USING TWINKLING ARTEFACT FOR THE DIAGNOSIS OF RENAL AND URETERIC CALCULI KEEPING NON ENHANCED CT KUB AS GOLD STANDARD
title_full_unstemmed DIAGNOSTIC ACCURACY OF COLOUR DOPPLER ULTRASOUND USING TWINKLING ARTEFACT FOR THE DIAGNOSIS OF RENAL AND URETERIC CALCULI KEEPING NON ENHANCED CT KUB AS GOLD STANDARD
title_sort diagnostic accuracy of colour doppler ultrasound using twinkling artefact for the diagnosis of renal and ureteric calculi keeping non enhanced ct kub as gold standard
publisher Army Medical College Rawalpindi
publishDate 2021
url https://doaj.org/article/390ab23d8b004acb94a89160ecae52cf
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