October 11, 2025TomographyOpen Access

Can Clinical Scores Reduce CT Use in Renal Colic? A Head-to-Head Comparison

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Discussion

Prospective study shows CHOKAI and modified STONE outperform original STONE in predicting urinary-stone disease.

Clinical scoring systems can potentially minimize CT usage in patients with renal colic, reducing radiation exposure.
Predictive performance for urinary stones was significantly enhanced with CHOKAI and modified STONE scores compared to the original.
Multivariable logistic regression indicated strong associations among nausea, stone history, and hydronephrosis with stone detection.
Further multicenter validation studies are needed before widespread clinical implementation of these scoring systems.

Kıyak et al. (2025) studied this question.

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