Evidence of Microbubbles on Kidney Stones in Humans
The color Doppler ultrasound twinkling artifact has been found to improve detection of kidney stones with ultrasound; however, it appears on only ∼60% of stones. Evidence from ex vivo kidney stones suggests twinkling arises from microbubbles stabilized in crevices on the stone surface. Yet it is unknown whether these bubbles are present on stones in humans. Here, we used a research ultrasound system to quantify twinkling in humans with kidn ey stones in a hyperbaric chamber. Eight human patients with non-obstructive kidney stones previously observed to twinkle were exposed to a maximum pressure of 4 atmospheres absolute (ATA) while breathing air, except during the 10-min pause at 1.6 ATA and while the pressure decreased to 1 ATA, durin g which patients breathed oxygen to minimize the risk of decompression sickness.
Source: Ultrasound in Medicine and Biology - Category: Radiology Authors: Julianna C. Simon, James R. Holm, Jeffrey Thiel, Barbrina Dunmire, Bryan W. Cunitz, Michael R. Bailey Tags: Clinical Note Source Type: research
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