Volume 7, Issue 1, March 2019, Page: 11-17
Color Doppler Evaluation of Ureteral Jets in Patients with Ureteral Stones
Sameh Ahmad Khodair, Radiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Mohamad Marzouk Abdallah, Urology Department, Faculty of Medicine, Minoufia University, Minofia, Egypt
Received: Dec. 20, 2018;       Accepted: Jan. 21, 2019;       Published: Feb. 13, 2019
DOI: 10.11648/j.ijmi.20190701.12      View  46      Downloads  10
Objective: To evaluate the characteristics of ureteral jets in patients with ureteral stones by color Doppler ultrasonography. Method: 49 patients (patient group) with unilateral ureteral stones proved by non contrast spiral CT and another 40 healthy volunteers (control group) who have no any previous urinary complaint were examined for their ureteral jets by color Doppler ultrasonography for ureteral jet number per 5 minutes as well as its peak velocity (cm/s). Statistical analysis was done by using Social Sciences computer program (SPSS) version 17, p-values less than or equal to 0.05 were considered statistically significant difference. Results: There was a significant statistical difference between the healthy volunteers and the patients with ureteral stones (p < 0.001). However, there was no statistical difference between the healthy volunteers on both sides and also the healthy volunteers and the non – obstructed side of the patients with ureteral stones (p > 0.05). So the healthy side could be used as a reference to the diseased side according to our results. Conclusion: The color Doppler evaluation of the ureteral jets (its number and velocity) is a valid method of evaluating ureteral calcular obstruction and could be a first line of management to detected ureteric obstruction especially in patients with acute flank pain which may be controversial for other causes of acute abdomen in the emergency department.
Color Doppler, Ureter, Uretral Jets, Urinary Stones
To cite this article
Sameh Ahmad Khodair, Mohamad Marzouk Abdallah, Color Doppler Evaluation of Ureteral Jets in Patients with Ureteral Stones, International Journal of Medical Imaging. Vol. 7, No. 1, 2019, pp. 11-17. doi: 10.11648/j.ijmi.20190701.12
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Matthew Bulttitude, a. J. R., Management of renal colic. www.bmj.com/content/345/bmj.e5499. 2012. August.
Douglas H. Sheafor, Barbara S. Hertzberg, Kelly S. Freed, et al., Nonenhanced helical CT and US in the emergency evaluation of patients with renal colic prospective comparison. Radiology, 2000. 217 (3): p. 792-7.
Karabulut, N. and A. Karabulut, Colour Doppler evaluation of ureteral jets in normal second and third trimester pregnancy: effect of patient position. Br J Radiol, 2002. 75 (892): p. 351-5.
Shannon C. Campbell, Jeanne A. Cullinan, and Deborah J. Rubens, Slow Flow or No Flow? Color and Power Doppler US Pitfalls in the Abdomen and Pelvis. RadioGraphics, 2004. 24: p. 497-506.
P A Dubbins, A B Kurtz, J Darby, and, B B Goldberg., Ureteric jet effect: the echographic appearance of urine entering the bladder. A means of identifying the bladder trigone and assessing ureteral function. Radiology, 1981. 140 (2): p. 513-5.
H J Burge, W D Middleton, B L McClennan, and C F Hildebolt. Ureteral jets in healthy subjects and in patients with unilateral ureteral calculi: comparison with color Doppler US. Radiology, 1991. 180 (2): p. 437-42.
Ajay Singh, Raman Danrad, Peter F. Hahn, Michael A. Blake, Peter R. Mueller, and Robert A. Novelline. MR imaging of the acute abdomen and pelvis: acute appendicitis and beyond. RadioGraphics, 2007. 27 (5): p. 1419-31.
Keeman, J. N., [New diagnostic imaging technology often offers no advantage in the differential diagnosis of acute abdomen]. Ned Tijdschr Geneeskd, 1999. 143 (45): p. 2225-9.
Excoffier, S., P. A. Poletti, and H. Brandstatter, [Acute abdominal pain of the upper abdomen: which imaging to choose?]. Rev Med Suisse. 2013. 9 (399): p. 1710, 1712-4.
Sorensen M. D., Harper JD, His RS, et al., B-mode ultrasound versus color Doppler twinkling artifact in detecting kidney stones. J Endourol. 2013. 27 (2): p. 149-53.
Mishra DS, Magu S, Sharma N, Rattan KN, Tewari AD, and Rohilla S. Imaging in acute abdomen. Indian J Pediatr, 2003. 70 (1): p. 15-9.
de Bessa J Jr, Dénes FT, Chammas MC, Cerri L, et al., Diagnostic accuracy of color Doppler sonographic study of the ureteric jets in evaluation of hydronephrosis. J Pediatr Urol, 2008. 4 (2): p. 113-7.
Drs. Michael Hirsch S, Tamara Palavecino B, and Boris León R. Color doppler twinkling artifact: A misunderstood and useful sign. Revista Chilena de Radiología 2011. 17 (N2): p. 82-84.
Cvitković Kuzmić A, Brkljacić B, Rados M, and Galesić K., Doppler visualization of ureteric jets in unilateral hydronephrosis in children and adolescents. Eur J Radiol, 2001. 39 (3): p. 209-14.
Leung VY, Chu WC, Yeung CK, and Metreweli C., Doppler waveforms of the ureteric jet: an overview and implications for the presence of a functional sphincter at the vesicoureteric junction. Pediatr Radiol, 2007. 37: p. 417–425.
Browse journals by subject