Macroscopic concretions of crystals in urinary system ± mixed with proteins
IMAGING
General Features
Ultrasonographic Findings
Radiographic Findings
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Liu N et al: Sonographic twinkling artifact for diagnosis of acute ureteral calculus. World J Urol. 38(2):489-95, 2020
Miller N et al: Evaluation and medical management of urinary lithiasis. In Partin et al: Campbell-Walsh Urology. 12th ed. Elsevier. 2036-68, 2020
Nourian A et al: Dual-energy CT for urinary stone evaluation. Curr Urol Rep. 22(1):1, 2020
Pearle M et al: Urinary Lithiasis: etiology, epidemiology, and pathogenesis. In Partin A et al: Campbell-Walsh Urology. 12th ed. Elsevier. 2005-35, 2020
Rule AD et al: Management of kidney stones in 2020. JAMA. 323(19):1961-2, 2020
Masch WR et al: Clinical effectiveness of prospectively reported sonographic twinkling artifact for the diagnosis of renal calculus in patients without known urolithiasis. AJR Am J Roentgenol. 206(2):326-31, 2016
Ripollés T et al: Sonographic diagnosis of symptomatic ureteral calculi: usefulness of the twinkling artifact. Abdom Imaging. 38(4):863-9, 2013
Spettel S et al: Using Hounsfield unit measurement and urine parameters to predict uric acid stones. Urology. 82(1):22-6, 2013
Cheng PM et al: What the radiologist needs to know about urolithiasis: part 2--CT findings, reporting, and treatment. AJR Am J Roentgenol. 198(6):W548-54, 2012
Cheng PM et al: What the radiologist needs to know about urolithiasis: part 1--pathogenesis, types, assessment, and variant anatomy. AJR Am J Roentgenol. 198(6):W540-7, 2012
Dillman JR et al: Sonographic twinkling artifact for renal calculus detection: correlation with CT. Radiology. 259(3):911-6, 2011
Kambadakone AR et al: New and evolving concepts in the imaging and management of urolithiasis: urologists' perspective. Radiographics. 30(3):603-23, 2010
Eisner BH et al: Nephrolithiasis: what surgeons need to know. AJR Am J Roentgenol. 196(6):1274-8, 2011
Oh Y et al: Urolithiasis. In Kim S: Radiology Illustrated: Uroradiology. 2nd ed. Springer. 552-95, 2012
Palmer JS et al: Diagnosis of pediatric urolithiasis: role of ultrasound and computerized tomography. J Urol. 174(4 Pt 1):1413-6, 2005
Kamaya A et al: Twinkling artifact on color Doppler sonography: dependence on machine parameters and underlying cause. AJR Am J Roentgenol. 180(1):215-22, 2003
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Ureterovesicular junction (UVJ); ureteropelvic junction (UPJ); IV pyelogram (IVP)
Macroscopic concretions of crystals in urinary system ± mixed with proteins
IMAGING
General Features
Ultrasonographic Findings
Radiographic Findings
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Liu N et al: Sonographic twinkling artifact for diagnosis of acute ureteral calculus. World J Urol. 38(2):489-95, 2020
Miller N et al: Evaluation and medical management of urinary lithiasis. In Partin et al: Campbell-Walsh Urology. 12th ed. Elsevier. 2036-68, 2020
Nourian A et al: Dual-energy CT for urinary stone evaluation. Curr Urol Rep. 22(1):1, 2020
Pearle M et al: Urinary Lithiasis: etiology, epidemiology, and pathogenesis. In Partin A et al: Campbell-Walsh Urology. 12th ed. Elsevier. 2005-35, 2020
Rule AD et al: Management of kidney stones in 2020. JAMA. 323(19):1961-2, 2020
Masch WR et al: Clinical effectiveness of prospectively reported sonographic twinkling artifact for the diagnosis of renal calculus in patients without known urolithiasis. AJR Am J Roentgenol. 206(2):326-31, 2016
Ripollés T et al: Sonographic diagnosis of symptomatic ureteral calculi: usefulness of the twinkling artifact. Abdom Imaging. 38(4):863-9, 2013
Spettel S et al: Using Hounsfield unit measurement and urine parameters to predict uric acid stones. Urology. 82(1):22-6, 2013
Cheng PM et al: What the radiologist needs to know about urolithiasis: part 2--CT findings, reporting, and treatment. AJR Am J Roentgenol. 198(6):W548-54, 2012
Cheng PM et al: What the radiologist needs to know about urolithiasis: part 1--pathogenesis, types, assessment, and variant anatomy. AJR Am J Roentgenol. 198(6):W540-7, 2012
Dillman JR et al: Sonographic twinkling artifact for renal calculus detection: correlation with CT. Radiology. 259(3):911-6, 2011
Kambadakone AR et al: New and evolving concepts in the imaging and management of urolithiasis: urologists' perspective. Radiographics. 30(3):603-23, 2010
Eisner BH et al: Nephrolithiasis: what surgeons need to know. AJR Am J Roentgenol. 196(6):1274-8, 2011
Oh Y et al: Urolithiasis. In Kim S: Radiology Illustrated: Uroradiology. 2nd ed. Springer. 552-95, 2012
Palmer JS et al: Diagnosis of pediatric urolithiasis: role of ultrasound and computerized tomography. J Urol. 174(4 Pt 1):1413-6, 2005
Kamaya A et al: Twinkling artifact on color Doppler sonography: dependence on machine parameters and underlying cause. AJR Am J Roentgenol. 180(1):215-22, 2003
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