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A novel method for prediction of stone composition: The average and difference of Hounsfield units and their cut-off values

International Urology and Nephrology Jul 12, 2018

Celik S, et al. - In this retrospective analysis of patients who had stone analysis, non-contrast computed tomography (NCCT) images, and underwent percutaneous nephrolithotomy between 2013 and 2016, researchers assessed the predictive value of stone measurements by including a novel method on NCCT images for stone composition. Using NCCT images, they determined Hounsfield unit (HU) values (maximum (HUmax), minimum (HUmin), and average (HUave) of HU values). To calculate HUdiff, the difference between the HUmax and the HUmin values was determined. Findings revealed that mineral complexity was significantly predicted by HUdiff and HUave. For identification of mono-mineral stones, 81.8% sensitivity and 67.2% specificity was shown by HUdiff of < 341.5 HU.
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