Toward improved endoscopic examination of urinary stones: a concordance study between endoscopic digital pictures vs microscopy.
Toward improved endoscopic examination of urinary stones: a concordance study between endoscopic digital pictures vs microscopy.
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DOI：
10.1111/bju.15312
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发表时间：
2021-09
影响因子：
4.5
通讯作者：
Daudon M
中科院分区：
文献类型：
--
作者：
Estrade V;Denis de Senneville B;Meria P;Almeras C;Bladou F;Bernhard JC;Robert G;Traxer O;Daudon M
提高内窥镜对最常见泌尿系结石形态的识别，以便泌尿科医师更好地采用病因学方法治疗结石。一位泌尿科专家在术中和前瞻性（2015 年 6 月至 2018 年 6 月）检查了所有遇到的肾结石的表面、切片和核。随后，生物学家根据显微镜形态学（即双目放大镜）和红外（即傅里叶变换红外光谱）检查（显微镜学家对内窥镜数据不知情）对碎石进行了分析。收集形态学标准并分类用于内窥镜和显微镜研究。 Wilcoxon-Mann-Whitney 检验用于检测内窥镜诊断和显微镜诊断之间的差异。由于非统计显着性差异，特定尿路结石的诊断被视为“确诊”。本研究共纳入 399 例泌尿系结石：51.4%的结石只有一种形态类型，48.6%为混合结石（41%至少有两种形态，7.6%有三种形态）。总体匹配率为81.6%。以下形态的诊断已得到确认：钙磷灰石（Ia 或 Ib）、威氏石（IIa 或 IIb）、尿酸（IIIa 或 IIIb）、碳磷灰石-鸟粪石联合体（IVb）和透钙磷石（IVd）。我们的初步研究证明了使用内窥镜形态学治疗最常见的尿路结石的可行性，并提供了经证实的内窥镜图像的教学板。本研究构成了内窥镜结石识别的第一步，这对于结石病至关重要。我们提供经确认的内窥镜图像的教学板，为自动计算机辅助原位识别铺平道路。
To improve endoscopic recognition of the most frequently encountered urinary stone morphologies for a better aetiological approach in lithiasis by urologists. An expert urologist intraoperatively and prospectively (between June 2015 and June 2018) examined the surface, the section, and the nucleus of all encountered kidney stones. Fragmented stones were subsequently analysed by a biologist based on both microscopic morphological (i.e. binocular magnifying glass) and infrared (i.e. Fourier transform‐infrared spectroscopy) examinations (microscopists were blinded to the endoscopic data). Morphological criteria were collected and classified for the endoscopic and microscopic studies. The Wilcoxon–Mann–Whitney test was used to detect differences between the endoscopic and microscopic diagnoses. A diagnosis for a given urinary stone was considered ‘confirmed’ for a non‐statistically significant difference. A total of 399 urinary stones were included in this study: 51.4% of the stones had only one morphological type, while 48.6% were mixed stones (41% had at least two morphologies and 7.6% had three morphologies). The overall matching rate was 81.6%. Diagnostics were confirmed for the following morphologies: whewellite (Ia or Ib), weddellite (IIa or IIb), uric acid (IIIa or IIIb), carbapatite‐struvite association (IVb), and brushite (IVd). Our preliminary study demonstrates the feasibility of using endoscopic morphology for the most frequently encountered urinary stones and didactic boards of confirmed endoscopic images are provided. The present study constitutes the first step toward endoscopic stone recognition, which is essential in lithiasis. We provide didactic boards of confirmed endoscopic images that pave the way for automatic computer‐aided in situ recognition.
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影响因子：
1.1
作者：
Daudon, M.;Traxer, O.;Saussine, C.
通讯作者：
Saussine, C.
影响因子：
3.4
作者：
Keller, Etienne Xavier;De Coninck, Vincent;Traxer, Olivier
通讯作者：
Traxer, Olivier
影响因子：
1.1
作者：
Doizi, S.;Raynal, G.;Traxer, O.
通讯作者：
Traxer, O.
影响因子：
6.6
作者：
Emiliani, Esteban;Talso, Michele;Traxer, Olivier
通讯作者：
Traxer, Olivier
影响因子：
1.1
作者：
Estrade, V.;Daudon, M.;Meria, P.
通讯作者：
Meria, P.