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Purpose: The aim of this study was to investigate the changing pattern in the use ofintravenous pyelogram (IVP), conventional computed tomography (CT), and non–contrast-enhanced computed tomography (NECT) for evaluation of patients with acuteflank pain. Materials and Methods: We retrospectively reviewed the medical records of 2,180 patientswith acute flank pain who had visited Bundang Jesaeng General Hospital betweenJanuary 2008 and December 2012 and analyzed the use of IVP, conventionalCT, and NECT for these patients. Results: During the study period there was a significant increase in NECT use (p<0.001)and a significant decrease in IVP use (p<0.001). Conventional CT use was also increasedsignificantly (p=0.001). During this time the proportion of patients with acute flank painwho were diagnosed with urinary calculi did not change significantly (p=0.971). Conclusions: There was a great shift in the use of imaging study from IVP to NECTbetween 2008 and 2012 for patients with acute flank pain.

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