Preoperative estimate of natural ureteral length based on computed tomography and/or plain radiography

Abstract To predict natural ureter lengths based on clinical images. We reviewed our image database of patients who underwent multiphasic computed tomography urography from January 2019 to April 2020. Natural ureteral length (ULCTU) was measured using a three-dimensional curved multiplanar reformati...

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Autores principales: Jen-Ting Hsu, Jen-Shu Tseng, Marcelo Chen, Fang-Ju Sun, Chien-Wen Chen, Wun-Rong Lin, Pai-Kai Chiang, Allen W. Chiu
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/669f013b44e74e0c9752610ddc1a5539
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spelling oai:doaj.org-article:669f013b44e74e0c9752610ddc1a55392021-12-02T14:58:25ZPreoperative estimate of natural ureteral length based on computed tomography and/or plain radiography10.1038/s41598-021-91658-62045-2322https://doaj.org/article/669f013b44e74e0c9752610ddc1a55392021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91658-6https://doaj.org/toc/2045-2322Abstract To predict natural ureter lengths based on clinical images. We reviewed our image database of patients who underwent multiphasic computed tomography urography from January 2019 to April 2020. Natural ureteral length (ULCTU) was measured using a three-dimensional curved multiplanar reformation technique. Patient parameters including age, height, and height of the lumbar spine, the index of ureteral length using kidney/ureter/bladder (KUB) radiographs (C-P and C-PS) and computed tomography (ULCT) were collected. ULCTU correlated most strongly with ULCT. R square and adjusted R square values from multivariate regression were 0.686 and 0.678 (left side) and 0.516 and 0.503 (right side), respectively. ULCTU could be estimated by the regression model in three different scenarios as follows: ULCT + C-P ULCTUL = 0.405 $$\times$$ × ULCTL $$+$$ + 0.626 $$\times$$ × C-PL – 0.508 cm ULCTUR = 0.558 $$\times$$ × ULCTR $$+$$ + 0.218 $$\times$$ × C-PR + 6.533 cm ULCT ULCTUL = 0.876 $$\times$$ × ULCTL $$+$$ + 6.337 cm ULCTUR = 0.710 $$\times$$ × ULCTR $$+$$ + 9.625 cm C-P ULCTUL = 0.678 $$\times$$ × C-PL $$+$$ + 4.836 cm ULCTUR = 0.495 $$\times$$ × C-PR $$+$$ + 10.353 cm We provide equations to predict ULCTU based on CT, KUB or CT plus KUB for different clinical scenarios. The formula based on CT plus KUB provided the most accurate estimation, while the others had lower validation values but could still meet clinical needs.Jen-Ting HsuJen-Shu TsengMarcelo ChenFang-Ju SunChien-Wen ChenWun-Rong LinPai-Kai ChiangAllen W. ChiuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jen-Ting Hsu
Jen-Shu Tseng
Marcelo Chen
Fang-Ju Sun
Chien-Wen Chen
Wun-Rong Lin
Pai-Kai Chiang
Allen W. Chiu
Preoperative estimate of natural ureteral length based on computed tomography and/or plain radiography
description Abstract To predict natural ureter lengths based on clinical images. We reviewed our image database of patients who underwent multiphasic computed tomography urography from January 2019 to April 2020. Natural ureteral length (ULCTU) was measured using a three-dimensional curved multiplanar reformation technique. Patient parameters including age, height, and height of the lumbar spine, the index of ureteral length using kidney/ureter/bladder (KUB) radiographs (C-P and C-PS) and computed tomography (ULCT) were collected. ULCTU correlated most strongly with ULCT. R square and adjusted R square values from multivariate regression were 0.686 and 0.678 (left side) and 0.516 and 0.503 (right side), respectively. ULCTU could be estimated by the regression model in three different scenarios as follows: ULCT + C-P ULCTUL = 0.405 $$\times$$ × ULCTL $$+$$ + 0.626 $$\times$$ × C-PL – 0.508 cm ULCTUR = 0.558 $$\times$$ × ULCTR $$+$$ + 0.218 $$\times$$ × C-PR + 6.533 cm ULCT ULCTUL = 0.876 $$\times$$ × ULCTL $$+$$ + 6.337 cm ULCTUR = 0.710 $$\times$$ × ULCTR $$+$$ + 9.625 cm C-P ULCTUL = 0.678 $$\times$$ × C-PL $$+$$ + 4.836 cm ULCTUR = 0.495 $$\times$$ × C-PR $$+$$ + 10.353 cm We provide equations to predict ULCTU based on CT, KUB or CT plus KUB for different clinical scenarios. The formula based on CT plus KUB provided the most accurate estimation, while the others had lower validation values but could still meet clinical needs.
format article
author Jen-Ting Hsu
Jen-Shu Tseng
Marcelo Chen
Fang-Ju Sun
Chien-Wen Chen
Wun-Rong Lin
Pai-Kai Chiang
Allen W. Chiu
author_facet Jen-Ting Hsu
Jen-Shu Tseng
Marcelo Chen
Fang-Ju Sun
Chien-Wen Chen
Wun-Rong Lin
Pai-Kai Chiang
Allen W. Chiu
author_sort Jen-Ting Hsu
title Preoperative estimate of natural ureteral length based on computed tomography and/or plain radiography
title_short Preoperative estimate of natural ureteral length based on computed tomography and/or plain radiography
title_full Preoperative estimate of natural ureteral length based on computed tomography and/or plain radiography
title_fullStr Preoperative estimate of natural ureteral length based on computed tomography and/or plain radiography
title_full_unstemmed Preoperative estimate of natural ureteral length based on computed tomography and/or plain radiography
title_sort preoperative estimate of natural ureteral length based on computed tomography and/or plain radiography
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/669f013b44e74e0c9752610ddc1a5539
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