The Predictive Role of Abdominal Fat Parameters and Stone Density on SWL Outcomes

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dc.contributor.authorKaya, Coskun
dc.contributor.authorKaynak, Yurdaer
dc.contributor.authorKarabag, Aral
dc.contributor.authorAykac, Aykut
dc.date.accessioned2024-09-29T16:06:41Z
dc.date.available2024-09-29T16:06:41Z
dc.date.issued2020
dc.departmentKarabük Üniversitesien_US
dc.description.abstractBackground: Our aim was to detect the role of radiological abdominal fat parameters by tomography and stone density by plain X-ray on extracorporeal Shock Wave Lithotripsy (SWL) stone-free rate. Methods: The patients who had undergone SWL for a single opaque renal stone < 2 cm in diameter and proximal ureteric stone < 1 cm in diameter were collected retrospectively. The characteristics of patients and stones were recorded. The stone attitude, HU, abdominal fat parameters, paraperirenal fat area, perirenal infiltration and severity of hydronephrosis with pre-treatment Non-Contrast Computed Tomography (NCCT) and stone density with radiography were evaluated by a radiologist. Four weeks after the last SWL; all patients were evaluated by plain X-ray and categorized as Stone Free (SF) and Residual Fragment (RF) group. Results: 51 patients with renal stones and 88 patients with proximal ureteral stones were included in the study. 24 (47%) and 63 (71%) patients were classified as SF for renal and ureteral stones respectively. Only stone size was an independent predictor for stone-free rates after SWL for renal and proximal ureteral stones on multivariate analysis. The Receiver Operating Characteristic (ROC) curves for renal calculi revealed that creatinine level, stone size, stone attitude, Houns-Field Unit (HU) and Skin-to-Stone Distance (SSD) were the predictive factors for the SWL outcome (p<0.05). The ROC curve for ureteral calculi demonstrated that HU, stone size and attitude were the predictive factors (p<0.05). Conclusion: All abdominal fat parameters and the stone density were not related to SWL failure. A large follow-up with more patients is essential to confirm the role of radiological parameters on the outcome of SWL.en_US
dc.identifier.doi10.2174/1573405614666180927112127
dc.identifier.endpage87en_US
dc.identifier.issn1573-4056
dc.identifier.issn1875-6603
dc.identifier.issue1en_US
dc.identifier.pmid31989897en_US
dc.identifier.scopus2-s2.0-85078276015en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage80en_US
dc.identifier.urihttps://doi.org/10.2174/1573405614666180927112127
dc.identifier.urihttps://hdl.handle.net/20.500.14619/6993
dc.identifier.volume16en_US
dc.identifier.wosWOS:000505777700010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBentham Science Publ Ltden_US
dc.relation.ispartofCurrent Medical Imagingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAbdominal faten_US
dc.subjectcomputed tomographyen_US
dc.subjectextracorporeal shockwave lithotripsyen_US
dc.subjectrenal stonesen_US
dc.subjectstone densityen_US
dc.subjectureteral stonesen_US
dc.titleThe Predictive Role of Abdominal Fat Parameters and Stone Density on SWL Outcomesen_US
dc.typeArticleen_US

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