Key Points
■ The clinical presentation of pediatric nephrolithiasis and urinary tract calculi can be non-specific (moderate evidence).
■ A single abdominal radiograph (“KUB”) is recommended as the initial screening test (moderate evidence).
■ The Intravenous Pyelogram (IVP) is no longer used for evaluating children for renal stones but has a limited role after ureteral surgery (moderate evidence).
■ Ultrasound is the most frequently used imaging test for young children with suspected stones but has a wide range of sensitivity and specificity because of limitations inherent in the modality and because it is user dependent (moderate evidence).
■ CT is highly sensitive for the detection of nephrolithiasis and urinary tract calculi but incurs added cost and ionizing radiation (moderate evidence).
■ In older and/or larger children, CT is the imaging modality of choice to evaluate for nephrolithiasis and urinary tract calculi. The ability to localize renal, ureteral, and bladder calculi and the inherent high spatial resolution allows exact anatomic detail that may be helpful for surgical planning (moderate evidence).
■ MR is not currently recommended for evaluation of renal stones but shows promise for imaging in obstruction (limited evidence).
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Fordham, L.A., Sutherland, R.W., Gipson, D.S. (2010). Imaging of Nephrolithiasis and Urinary Tract Calculi in Children. In: Medina, L., Applegate, K., Blackmore, C. (eds) Evidence-Based Imaging in Pediatrics. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0922-0_37
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