<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852020000200006</article-id>
<article-id pub-id-type="doi">10.48193/rmu.v80i2.450</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Variación en la interpretación radiológica y urológica de la tomografía computarizada para litiasis en el tracto urinario superior, en un hospital de referencia nacional]]></article-title>
<article-title xml:lang="en"><![CDATA[Variation in the radiologic and urologic interpretation of computed tomography in relation to upper urinary tract stones, at a national referral hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calvo-Vázquez]]></surname>
<given-names><![CDATA[Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Rodríguez]]></surname>
<given-names><![CDATA[Baudelio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Méndez]]></surname>
<given-names><![CDATA[Erick Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bravo-López]]></surname>
<given-names><![CDATA[Guadalupe Michel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Aquino]]></surname>
<given-names><![CDATA[Ulises Cristóbal]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Véliz-Cabrera]]></surname>
<given-names><![CDATA[Gustavo Adolfo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Arroyo]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Noyola]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Montor]]></surname>
<given-names><![CDATA[Jorge Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cantellano-Orozco]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacheco-Gahbler]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud Hospital General &#8220;Dr. Manuel Gea González&#8221; ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>80</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852020000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852020000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852020000200006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Comparar la discrepancia en las interpretaciones de tomografía computarizada (TC) entre urólogos y radiólogos para litiasis, determinando si podrían afectar el tratamiento.  Material y Métodos: Se analizaron todos los pacientes con reporte radiológico de litiasis urinaria, desde noviembre 2017 a mayo 2018, utilizando el índice Kappa de Cohen y prueba de U de Mann Whitney.  Resultados: 142 pacientes, 56.3% masculinos y 43.7% femeninos, edad media de 46 años, la mayor indicación de TC fue dolor (74.6%), siendo simple la más solicitada (82.4%), 36.6% bilateral. El tamaño del lito, las UH y el grado de ectasia no estaban presentes en el reporte radiológico en el 8.6%, 17.3% y 12.3% respectivamente. La concordancia para el tamaño total del lito fue del 20% si había más de 1 lito y 55% si había un lito único (p=&lt;0.001). Al clasificarlos en una categoría de tamaño de acuerdo con la AUA se encontró una concordancia del 77% (p=&lt;0.001).  Conclusiones:  Existe una variación importante entre ambas especialidades, enfatizando en la necesidad de utilizar la morfometría como método estandarizado, obteniendo una mejor y precisa interpretación, es importante que el urólogo revise la TC, antes de decidir un manejo, estimando que el 31% de los urólogos se basan solo en el informe de radiología.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To compare the discrepancy in computed tomography (CT) interpretations between urologists and radiologists in relation to urolithiasis and determine whether it can affect treatment.  Materials and methods: All the patients with a radiologic report of urolithiasis were analyzed, utilizing the Cohen&#8217;s kappa statistic and the Mann-Whitney U test, within the time frame of November 2017 to May 2018.  Results: A total of 142 patients, made up of 56.3% men and 43.7% women, with a mean age of 46 years, were included in the study. The main indication for CT was pain (74.6%), the most frequently ordered CT was a non-contrast scan (82.4%), and 36.6% of the studies were bilateral. Stone size, HU, and ectasia grade were not present in the radiologic reports at 8.6%, 17.3%, and 12.3%, respectively. Overall concordance for stone size was 20% when there was more than one stone, and 55% when there was a single stone (p(0.001). Concordance was 77% when stone size was classified according to the AUA (p(0.001).  Conclusions: There was considerable variation between the two specialties, emphasizing the need to utilize morphometry as a standardized method, thus obtaining a better, more accurate interpretation. It is important for the urologist to view the CT scan before deciding upon management. An estimated 31% of urologists rely solely on the report of the radiologist.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Computed tomography interpretation]]></kwd>
<kwd lng="en"><![CDATA[upper urinary tract stones]]></kwd>
<kwd lng="en"><![CDATA[urologist]]></kwd>
<kwd lng="en"><![CDATA[radiologist]]></kwd>
<kwd lng="es"><![CDATA[Interpretación de tomografía computarizada]]></kwd>
<kwd lng="es"><![CDATA[litiasis en el tracto urinario superior]]></kwd>
<kwd lng="es"><![CDATA[urólogo]]></kwd>
<kwd lng="es"><![CDATA[radiólogo]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Türk]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Neisius]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Petrik]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Seitz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Skolarikos]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Thomas]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<source><![CDATA[EAU Guidelines of Urolithiasis]]></source>
<year>2018</year>
<publisher-name><![CDATA[European Association of Urology]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medina-Escobedo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Zaidi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[León]]></surname>
<given-names><![CDATA[ER]]></given-names>
</name>
<name>
<surname><![CDATA[Orozco-Rivadeneyra]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia y factores de riesgo en Yucatán, México, para litiasis urinaria]]></article-title>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2002</year>
<volume>44</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>541-5</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Assimos]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Krambeck]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[NL]]></given-names>
</name>
<name>
<surname><![CDATA[Monga]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Murad]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Nelson]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I]]></article-title>
<source><![CDATA[J Urol]]></source>
<year>2016</year>
<volume>196</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1153-60</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jordan]]></surname>
<given-names><![CDATA[GH]]></given-names>
</name>
</person-group>
<source><![CDATA[Information for applicants and candidates]]></source>
<year>2018</year>
<edition>65</edition>
<publisher-name><![CDATA[The American Board of Urology]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hirsch]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Rosenkrantz]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Ansari]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Manchikanti]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Nicola]]></surname>
<given-names><![CDATA[GN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[MACRA 2.0: are you ready for MIPS?]]></article-title>
<source><![CDATA[J Neurointerv Surg]]></source>
<year>2017</year>
<volume>9</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>714-6</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Heidenreich]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Desgrandschamps]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Terrier]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Modern approach of diagnosis and management of acute flank pain: review of all imaging modalities]]></article-title>
<source><![CDATA[Eur Urol]]></source>
<year>2002</year>
<volume>41</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>351-62</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
<name>
<surname><![CDATA[Verga]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[McCarthy]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rosenfield]]></surname>
<given-names><![CDATA[AT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnosis of acute flank pain: value of unenhanced helical CT]]></article-title>
<source><![CDATA[AJR Am J Roentgenol]]></source>
<year>1996</year>
<volume>166</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>97-101</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Niall]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Russell]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[MacGregor]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Duncan]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Mullins]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A comparison of noncontrast computerized tomography with excretory urography in the assessment of acute flank pain]]></article-title>
<source><![CDATA[J Urol]]></source>
<year>1999</year>
<volume>161</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>534-7</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Connolly]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Younis]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Meade]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Gallagher]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Lovett]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Brady]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Can computed tomography in the protocol for renal colic be interpreted by urologists?]]></article-title>
<source><![CDATA[BJU Int]]></source>
<year>2004</year>
<volume>94</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1332-5</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kampa]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ghani]]></surname>
<given-names><![CDATA[KR]]></given-names>
</name>
<name>
<surname><![CDATA[Wahed]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Patel]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Anson]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Size matters: a survey of how urinary-tract stones are measured in the UK]]></article-title>
<source><![CDATA[J Endourol]]></source>
<year>2005</year>
<volume>19</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>856-60</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coursey Moreno]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Beland]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Goldfarb]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Harvin]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Heilbrun]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Heller]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Appropriateness Criteria-Acute Onset Flank Pain-Suspicion of Stone Disease]]></article-title>
<source><![CDATA[American College of Radiology]]></source>
<year>2016</year>
<page-range>1-11</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Metser]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Ghai]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ong]]></surname>
<given-names><![CDATA[YY]]></given-names>
</name>
<name>
<surname><![CDATA[Lockwood]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Radomski]]></surname>
<given-names><![CDATA[SB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessment of urinary tract calculi with 64-MDCT: The axial versus coronal plane]]></article-title>
<source><![CDATA[AJR Am J Roentgenol]]></source>
<year>2009</year>
<volume>192</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1509-13</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[W-C]]></given-names>
</name>
<name>
<surname><![CDATA[Uppot]]></surname>
<given-names><![CDATA[RN]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[C-S]]></given-names>
</name>
<name>
<surname><![CDATA[Hahn]]></surname>
<given-names><![CDATA[PF]]></given-names>
</name>
<name>
<surname><![CDATA[Sahani]]></surname>
<given-names><![CDATA[DV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Value of automated coronal reformations from 64-section multidetector row computerized tomography in the diagnosis of urinary stone disease]]></article-title>
<source><![CDATA[J Urol]]></source>
<year>2007</year>
<volume>178</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>907-11</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tzou]]></surname>
<given-names><![CDATA[DT]]></given-names>
</name>
<name>
<surname><![CDATA[Isaacson]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Usawachintachit]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[ZJ]]></given-names>
</name>
<name>
<surname><![CDATA[Taguchi]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Hills]]></surname>
<given-names><![CDATA[NK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Variation in Radiologic and Urologic Computed Tomography Interpretation of Urinary Tract Stone Burden: Results from ReSKU]]></article-title>
<source><![CDATA[Urology]]></source>
<year>2018</year>
<volume>111</volume>
<page-range>59-64</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
