Medical Journal of Indonesia Vol. 31 No. 3 2022 FKUI
Clinical Research Comparison of Ultrasonography and Fluoroscopy as Guides for Extracorporeal Shock Wave Lithotripsy in Nephrolithiasis Patients: A Systematic Review
Dublin Core
Title
Medical Journal of Indonesia Vol. 31 No. 3 2022 FKUI
Clinical Research Comparison of Ultrasonography and Fluoroscopy as Guides for Extracorporeal Shock Wave Lithotripsy in Nephrolithiasis Patients: A Systematic Review
Clinical Research Comparison of Ultrasonography and Fluoroscopy as Guides for Extracorporeal Shock Wave Lithotripsy in Nephrolithiasis Patients: A Systematic Review
Subject
complications, ESWL, fluoroscopy, nephrolithiasis, treatment outcome,
ultrasonography
ultrasonography
Description
BACKGROUND Extracorporeal shock wave lithotripsy (ESWL) is one of the first-line
treatment options for patients with renal stones <2 cm. The large variability in ESWL
results may be due to the stone visualization methods using ultrasonography (USG),
fluoroscopy, or a combination of both. This study aimed to review the efficacy and safety
of the stone visualization method on the stone-free rate (SFR) and postprocedural
complications in nephrolithiasis patients.
METHODS We conducted a systematic review of USG and fluoroscopy on ESWL until
July 2022, based on the Preferred Reporting Items for Systematic Reviews and Meta-
Analyses guidelines. We assessed and collected summaries of the screened papers.
The main outcomes assessed were the SFR of renal stones and postprocedural
complications between imaging modalities.
RESULTS A total of 7 studies were assessed, including 6 comparative assessments
of USG versus fluoroscopy and 1 comparative assessment of USG and fluoroscopy
versus fluoroscopy only. Although all studies showed that USG had a higher SFR than
fluoroscopy, only 1 study showed a significant difference (p = 0.008). Additionally,
superior results were obtained using a combination of USG and fluoroscopy compared
with fluoroscopy only. Most studies agreed that USG was not inferior in post-ESWL
complication results.
CONCLUSIONS Overall, the use of USG is comparable to fluoroscopy because it does
not provide a significant difference in the SFR and complications. In most cases, USG
is preferred because of the absence of radiation. The combination of fluoroscopy and
USG also provides more promising results than a single modality.
treatment options for patients with renal stones <2 cm. The large variability in ESWL
results may be due to the stone visualization methods using ultrasonography (USG),
fluoroscopy, or a combination of both. This study aimed to review the efficacy and safety
of the stone visualization method on the stone-free rate (SFR) and postprocedural
complications in nephrolithiasis patients.
METHODS We conducted a systematic review of USG and fluoroscopy on ESWL until
July 2022, based on the Preferred Reporting Items for Systematic Reviews and Meta-
Analyses guidelines. We assessed and collected summaries of the screened papers.
The main outcomes assessed were the SFR of renal stones and postprocedural
complications between imaging modalities.
RESULTS A total of 7 studies were assessed, including 6 comparative assessments
of USG versus fluoroscopy and 1 comparative assessment of USG and fluoroscopy
versus fluoroscopy only. Although all studies showed that USG had a higher SFR than
fluoroscopy, only 1 study showed a significant difference (p = 0.008). Additionally,
superior results were obtained using a combination of USG and fluoroscopy compared
with fluoroscopy only. Most studies agreed that USG was not inferior in post-ESWL
complication results.
CONCLUSIONS Overall, the use of USG is comparable to fluoroscopy because it does
not provide a significant difference in the SFR and complications. In most cases, USG
is preferred because of the absence of radiation. The combination of fluoroscopy and
USG also provides more promising results than a single modality.
Creator
Gede Wirya Kusuma Duarsa, Christian Nurtanto Putra, Kevin Ivandi, Kadek Adit Wiryadana, Pande Made Wisnu Tirtayasa, Firman Pribadi
Source
https://doi.org/10.13181/mji.oa.226140
Date
September 13, 2022
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Gede Wirya Kusuma Duarsa, Christian Nurtanto Putra, Kevin Ivandi, Kadek Adit Wiryadana, Pande Made Wisnu Tirtayasa, Firman Pribadi , “Medical Journal of Indonesia Vol. 31 No. 3 2022 FKUI
Clinical Research Comparison of Ultrasonography and Fluoroscopy as Guides for Extracorporeal Shock Wave Lithotripsy in Nephrolithiasis Patients: A Systematic Review,” Repository Horizon University Indonesia, accessed April 26, 2025, https://repository.horizon.ac.id/items/show/1067.
Clinical Research Comparison of Ultrasonography and Fluoroscopy as Guides for Extracorporeal Shock Wave Lithotripsy in Nephrolithiasis Patients: A Systematic Review,” Repository Horizon University Indonesia, accessed April 26, 2025, https://repository.horizon.ac.id/items/show/1067.