Acute abdominal pain: Is there a potential role for MRI in the setting of the emergency department in a patient with renal calculi?

Bobby T Kalb, Puneet Sharma, Khalil Salman, Kenneth Ogan, John G. Pattaras, Diego R Martin

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Acute flank pain is a frequent clinical presentation encountered in emergency departments, and a work-up for obstructive urolithiasis in this setting is a common indication for computed tomography (CT). However, imaging alternatives to CT for the evaluation of renal colic are warranted in some clinical situations, such as younger patients, pregnancy, patients that have undergone multiple prior CT exams and also patients with vague clinical presentations. MRI, although relatively insensitive for the direct detection of urinary calculi, has the ability to detect the secondary effects of obstructive urolithiasis. Using rapid, single shot T2-weighted sequences without and with fat saturation provides an abdominopelvic MR examination that can detect the sequelae of clinically active stone disease, in addition to alternate inflammatory processes that may mimic the symptoms of renal colic. In addition, MR nephro-urography (MRNU) has the ability to provide quantitative analysis of renal function that has the potential to direct clinical management in the setting of obstructing calculi. This review describes the potential utility and limitations of MRI in the emergency setting for diagnosing causes of flank pain and renal colic, particularly in patients with unusual presentations or when an alternative to CT may be warranted.

Original languageEnglish (US)
Pages (from-to)1012-1023
Number of pages12
JournalJournal of Magnetic Resonance Imaging
Volume32
Issue number5
DOIs
StatePublished - Nov 2010
Externally publishedYes

Fingerprint

Kidney Calculi
Acute Pain
Renal Colic
Abdominal Pain
Hospital Emergency Service
Tomography
Flank Pain
Aptitude
Urolithiasis
Urinary Calculi
Urography
Calculi
Emergencies
Fats
Kidney
Pregnancy

Keywords

  • emergency
  • flank pain
  • kidney stone
  • MR nephro-urography
  • MRI
  • urolithiasis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Acute abdominal pain : Is there a potential role for MRI in the setting of the emergency department in a patient with renal calculi? / Kalb, Bobby T; Sharma, Puneet; Salman, Khalil; Ogan, Kenneth; Pattaras, John G.; Martin, Diego R.

In: Journal of Magnetic Resonance Imaging, Vol. 32, No. 5, 11.2010, p. 1012-1023.

Research output: Contribution to journalArticle

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