ReviewCurrent urology reports2022
ALARA in Urology: Steps to Minimise Radiation Exposure During All Parts of the Endourological Journey.
Review in Current urology reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Radiation exposure of urologists during endourological procedures: a systematic review.World journal of urology · 2024Pooled it
- Feasibility study of "double-low" scanning protocol combined with artificial intelligence iterative reconstruction algorithm for abdominal computed tomography enhancement in patients with obesity.BMC medical imaging · 2025Trial
- Simulation-based dosimetric analysis of surgeon radiation exposure during robotic-assisted versus conventional URS.World journal of urology · 2026Article
- Tips and tricks for reducing radiation exposure during retrograde intrarenal surgery: A literature review by the European Association of Urology Section of Endourology.Asian journal of urology · 2026Review
- Managing Radiation Exposure to Endourologists during Pregnancy.Current urology reports · 2025Review
- Evaluation of a fluoroscopy-free, ureteral access sheath-free, and stent-free approach to retrograde intrarenal surgery.World journal of urology · 2025Article
- Radiation exposure in flexible ureteroscopy with a flexible and navigable suction ureteral access sheath: A European Association of Urology-Endourology multicenter study.Asian journal of urology · 2025Article
- Radiation Exposure, Knowledge, and Compliance in Upper Tract Urological Surgery: A Systematic Review.Cureus · 2025Review
- Feasibility and future directions of radiation-free retrograde intrarenal surgery.Translational andrology and urology · 2025Article
- Factors affecting radiation exposure in patients undergoing endoscopic treatment for urolithiasis.Urolithiasis · 2024Article
- Trends in the use of radiation protection and radiation exposure of European endourologists: a prospective trial from the EULIS-YAU Endourology Group.World journal of urology · 2024Article
- Training ultrasound-guided percutaneous nephrostomy technique with porcine model.Investigative and clinical urology · 2024Article
- Radiation exposure in emergency ureteric stenting: A subgroup analysis by operator.BJUI compass · 2023Article
- Radiation exposure during different percutaneous renal puncture techniques: A YAU endourology & urolithiasis study.Investigative and clinical urology · 2023Article
- Application of ultrasound imaging in the treatment of urinary tract stones.Journal of medical ultrasonics (2001) · 2023Review
- Ultrasound-Guided PCNL - Why Are We Still Performing Exclusively Fluoroscopic Access?Current urology reports · 2023Review
- Paediatric Ureteroscopy (P-URS) reporting checklist: a new tool to aid studies report the essential items on paediatric ureteroscopy for stone disease.Urolithiasis · 2023Article
- Controversies in ureteroscopy: lasers, scopes, ureteral access sheaths, practice patterns and beyond.Frontiers in surgery · 2023Review
- Ureteral access sheath. Does it improve the results of flexible ureteroscopy? A narrative review.International braz j urol : official journal of the Brazilian Society of UrologyArticle
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose of the reviewThe global burden of kidney stone disease (KSD) and its management relies on ionising radiation. This includes the diagnosis, treatment and follow-up of KSD patients. The concept 'As Low As Reasonably Achievable' (ALARA) developed in response to the radiation risks and the key principles include optimisation, justification and limitation of radiation. This article provides an overview of the topic including background to the risks and steps that can be taken during all stages of endourological management. RECENT
findingsOur review suggests that ionising radiation is an invaluable tool in delineating the anatomy, localising disease, guiding manoeuvres and monitoring treatment in patients with KSD. It therefore plays an integral role in many stages of patient care; preoperatively, intraoperatively and postoperatively. The reduction of radiation pre- and post-surgical intervention relies on the use of low-radiation CT scan and ultrasound scan. It can also be achieved through various intraoperative techniques or fluoroless techniques in selected patients/procedures, customised to the patients and procedural complexity. There are many parts of the patient journey where exposure to radiation can take place. Urologists must be diligent to minimise and mitigate this wherever possible as they too face exposure risks. Implementation of strategies such as teaching programmes, fluoroscopy checklists and judicious use of CT imaging among other things is a step towards improving practice in this area.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.