medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.medvis-363Research ArticleБРЮШНАЯ ПОЛОСТЬ И ЗАБРЮШИННОЕ ПРОСТРАНСТВОABDOMEN AND RETROPERITONEALПерспективы применения двухэнергетической компьютерной томографии в диагностике мочекаменной болезни и определении химического состава мочевых камней (обзор литературы)Perspectives of Dual-Energy Computed Tomography in Diagnostic of Urinary Stone Disease for the Determination of Urinary Calculi Composition (Review)КлимковаМ. М.KlimkovaM. M.

заведующая отделением лучевой диагностикой ГКБ им. В.В. Вересаева, Москва

127644 Москва, ул. Лобненская, д. 10. ГБУЗ “ГКБ им. В.В. Вересаева”. Тел.:+7-985-226-55-51

head of radiology department of V.V. City Clinical hospital, Moscow

Moscow, 127644, Lobnenskay str., 10. V.V. Veresaeva City Clinical hospital. Phone: +7-985-226-55-51

koshka_@mail.ruСиницинВ. В.SinitsynV. E.

доктор мед. наук, профессор, руководитель центра лучевой диагностики Лечебно-реабилитационного центра, Москва

doct. of med. sci., professor, Head of Radiology Department in Federal Hospital of Treatment and Rehabilitation, Moscow

МазуренкоД. А.MazurenkoD. A.

канд. мед. наук, заместитель руководителя Урологической клиники EMC, Москва

cand. of med. sci., Deputy head of urological department EMC, Moscow

БерниковЕ. В.BernikovE. V.

врач-уролог отделения урологии ГКБ №51, Москва

urologist of urology department of City Clinical hospital 51, Moscow

ГБУЗ “Городская клиническая больница им. В.В. Вересаева”РоссияV.V. Veresaev City Clinical hospitalRussian FederationФГАУ “Лечебно-реабилитационный центр” Минздрава РоссииРоссияFedenter Center of Medicine and RehabilitationRussian FederationЕвропейский медицинский центрРоссияGEMCRussian FederationГБУЗ “Городская клиническая больница №51”РоссияCity Clinical hospital 51Russian Federation201628122016068492Copyright © Климкова М.М., Синицин В.В., Мазуренко Д.А., Берников Е.В., 20162016Климкова М.М., Синицин В.В., Мазуренко Д.А., Берников Е.В.Klimkova M.M., Sinitsyn V.E., Mazurenko D.A., Bernikov E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.rdsmedia.ru/jour/article/view/363

Мочекаменная болезнь – пандемически распространенное заболевание, встречающееся у 4–20% мирового населения и характеризующееся высоким уровнем рецидивов. К настоящему моменту “золотым стандартом” диагностики уролитиаза является бесконтрастная компьютерная томография, имеющая высокую эффективность в диагностики наличия, локализации и размера камней, однако обладающую меньшей эффективностью в определении фенотипических характеристик уролитов. Активно развивающийся в последнее время метод двухэнергетической компьютерной томографии, заключающийся в проведении сканирования на двух энергетических уровнях, уже показал высокую эффективность в диагностике состава уролитов. В обзоре рассматриваются основы метода и техники его проведения на различных томографах, приводится анализ имеющихся литературных данных о применении двухэнергетической компьютерной томографии в диагностике мочекаменной болезни для оценки химического состава уролитов. Также приводятся ограничения метода и возможные ошибки, возникающие при проведении двухэнергетической компьютерной томографии. С учетом проанализированных данных оценивается перспективность внедрения метода в диагностику уролитиаза.

Nephrolithiasis is a pandemic distributed disease that affects 4-20% of the population worldwide and is characterized by a high recurrence rate. Currently computed tomography without contrast remains the gold standard for diagnosis of urolithiasis because of its high accuracy to detect stones, their location and size. However, the modality has limited effectiveness in determination of urinary calculi chemical composition. Recently introduced imaging modality dual-energy computed tomography based on acquiring images at two different energy levels has showed high effectiveness in determination of urinary calculi composition. The review is focused on dual energy computed tomography principles and methods performed on different scanners. Recently published data on the application of this imaging modality in the diagnostic of urinary stone disease for calculi composition determination are analysed. The pitfalls of the method are reviewed. Future perspectives of this technique in urinary stone disease diagnosing will be discussed.

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The authors declare that there are no conflicts of interest present.