Study of Tomography of Nephrolithiasis Evaluation (STONE)
Urolithiasis
About this trial
This is an interventional diagnostic trial for Urolithiasis focused on measuring kidney stone, urolithiasis, urinary tract infection, ultrasound, computed tomography, safety, cost, accuracy
Eligibility Criteria
Inclusion Criteria:
- men or women = or >18 but <76 years of age presenting with acute renal colic
- Emergency department physician highly suspects a primary diagnosis of kidney stones (renal colic) or the patient requires imaging to rule out kidney stones.
Exclusion Criteria:
- children < 18 years old
- elderly patients > or = 76 years old
- pregnancy or planning pregnancy
- Morbid obesity (>285 pounds in men, >250 pounds in women)
- patients with an acute abdomen, signs of sepsis, signs of alternate diagnosis (ie appendicitis, abdominal aortic aneurysm, pyelonephritis, kidney stones not suspected).
- history of kidney problems (hemodialysis, kidney transplant, presence of only one kidney)
Sites / Locations
- UCSF at Fresno
- University of California, Davis
- University of California, San Francisco
- Grady Memorial Hospital
- John H. Stroger Jr. Hospital of Cook County
- Massachusetts General Hospital
- Beth Israel Deaconess Medical Center
- Hennepin County Medical Center
- Washington University School of Medicine
- Jacobi Medical Center
- Oregon Health and Science University
- Hospital of the University of Pennsylvania
- Rhode Island Hospital
- University of Texas Houston Medical Center
- University of Utah
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Point-of-care Ultrasound
Radiology Ultrasound
Radiology CT
Patient with suspected urolithiasis will receive ultrasonography performed in the emergency department. Perform ultrasonography in the ED (physician).
Patient with suspected urolithiasis will receive diagnostic ultrasonography in the radiology department. Diagnostic ultrasound completed in the radiology department at time 0.
Patient with suspected urolithiasis will receive computed tomography in the radiology department. Computed tomography of abdomen completed in the radiology department at time 0.