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https://doi.org/10.55640/
DOPPLER ULTRASONOGRAPHY OF THE KIDNEYS IN UROLITHIASIS
Shakirova Nigina Sobirovna, Akhmedov Farkhod Khakimovich , Bukhara State Medical Institute named after Abu Ali Ibn Sino Department of Nuclear Medicine and Medical Radiology.Abstract
Urolithiasis is one of the most pressing clinical problems in urology, as the incidence of the disease increases annually, this disease is diagnosed in 12% of the world's population, being the most common disease of the urinary tract. This increase can be explained by many factors, including missed cases of small stones, sedentary lifestyle, high BMI, lack of physical activity and poor nutrition. In addition, a significant contribution to the formation of urolithiasis can be made by an increase in the incidence of comorbidities such as diabetes, dyslipidemia, infections and multiple surgeries on the urinary tract. Kidney stones have been shown to exhibit a “twinkle artifact” (TA) on color Doppler ultrasound. Although this technique has better specificity than conventional B-mode imaging, it has lower sensitivity. To improve the overall performance of TA as a diagnostic tool, the Doppler output parameters were optimized in vitro . The data collected support the previous hypothesis that TA is caused by random vibrations of micron-sized bubbles trapped in the cracks and crevices of kidney stones. A set of optimized parameters was implemented such that MI and TI remained within FDA-approved limits. Several clinical renal scans were performed with the optimized settings and stones were detected with improved SNR compared to the default settings.
Keywords
ultrasound, diplography, kidney stones, flicker artifact detection, optimization, urolithiasis.
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