CT 'Fingerprint' may predict kidney stone smash success in kids
NCT ID NCT07657832
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether a measurement called the stone heterogeneity index (SHI), taken from a CT scan, can predict how well shock wave lithotripsy (SWL) breaks up upper urinary tract stones in children aged 1 to 18. Researchers will follow 286 children for three months after their last SWL session to see if SHI is linked to stone-free outcomes. They will also track any leftover stone fragments for one year to understand factors affecting regrowth or the need for further procedures.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If the stone heterogeneity index reliably predicts success, doctors could better select children for shock wave therapy, avoiding ineffective treatments.
- What could go wrong
- This is an observational study, not a treatment trial. The index may not prove accurate enough to change clinical practice, and results may not apply to all stone types.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
About 286 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Mar 2025
- Expected to finish
-
Aug 2026
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The medical records of pediatric patients who underwent SWL at the Urologyy and Nephrology Center from January 2016 toDecember 2024 willl be retrospectively reviewed. Gender, age, history of SWL or stone surgery, and comorbidities will be recorded as patients' characteristics. Stone features on NCCT include the size, location, skin to stone distance (SSD), MSD, and SHI. Hounsfield unit (HU): Multiple regions of interest (ROI), incorporating the stone but not the surrounding soft tissue. This will be done creating single elliptical ROI, a squared 10 × 10-pixel map, or a freehand ROI drawn along the stone edge to take into account abnormal shapes. We will used 3 ROI within the image, either over-lapping or non-overlapping, and taking the mean of the three results or the peak HU. Stone heterogeneity index (SHI): SHI will be designated as the standard deviation of Hounsfield's units in the same specified region of interest.
- Ages
-
1 year to 18 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age between 1year and 18 years. * Both ureteric stone with size 5 mm-10 mm and renal stone with size 10 mm-20 mm. * Only those patients who had NCCT available for review after at least 3 months from the last session of SWL will be included in the study. Exclusion Criteria: * Patients \>18 years of age. * Subjects suffering from active urinary tract infection. * Multiple renal calculi. * Presence of anatomical renal abnormalities that may affect stone clearance and renal insufficiency.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Shock wave lithotripsy are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Mansoura University
Al Mansurah, Mansoura, Egypt
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Three ways to clear a blocked kidney: which works best?
- Two routes to clear bladder stones: which surgery works better?
- Can a blood pressure drug make kidney stone surgery safer?
- Which kidney stone surgery is safer for your ureter? a large study investigates
- A simple ultrasound test might predict who suffers most from stent pain
- Can a simple tool predict who will be Stone-Free after kidney surgery?