Affiliations: Department of Urology and Pediatric Urology, Regiomed
Kliniken, Klinikum Coburg, Academic Hospital of the
Julius-Maximilians-University Würzburg, Coburg, Germany
Note: [] Corresponding author: Walter Ludwig Strohmaier FEBU, Klinik
für Urologie und Kinderurologie, Regiomed-Kliniken, Klinikum Coburg GmbH,
Academic Hospital of the Julius-Maxi- milians-University Würzburg,
Ketschendorfer Str. 33, D-96450 Coburg, Germany. Tel.: +49 9561 226301; Fax:
+49 9561 226391; E-mail: walter.strohmaier@klinikum-coburg.de
Abstract: Imaging techniques are required to diagnose urinary stones and to
determine their size and localization for planning appropriate therapy. In
pediatric urolithiasis, ultrasonography is the primary technique and
cornerstone for imaging. It is not invasive, easily available and of a
reasonable accuracy. If ultrasound is not sufficient, conventional radiological
modalities (e.g., plain films) should be added. Computerized tomography, which
is the method with the highest sensitivity and specifity, has the drawback of
high radiation doses. It could be shown that computerized tomography can be
safely avoided in the vast majority of children presenting with urinary
stones.
Keywords: Imaging, ultrasound, sonography, computerized tomography, urolithiasis, children