Bladder weight and detrusor thickness as parameters of progression of benign prostatic hyperplasia
Bladder weight and detrusor thickness as parameters of progression of benign prostatic hyperplasia
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DOI：
10.1097/mou.0b013e32833307e0
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发表时间：
2010-01
影响因子：
2.5
通讯作者：
A. Tubaro;S. Mariani;C. de Nunzio;R. Miano
中科院分区：
文献类型：
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作者：
A. Tubaro;S. Mariani;C. de Nunzio;R. Miano
综述目的本文回顾了过去 12 个月内关于良性前列腺肥大患者膀胱/逼尿肌壁厚度测量和超声估计膀胱重量的信息。该主题特别令人感兴趣，因为新颖的技术发展可能有助于测量技术的标准化和自动化。最近的研究结果报告了自动测量膀胱壁厚度的初步数据，表明其具有良好的可重复性，并且与传统超声成像一致，尽管方差比传统超声更高，并且无法正确测量超过 4 毫米的厚度。最近的同行评审文献中出现了一些关于通过测量膀胱壁厚度来诊断膀胱出口梗阻和逼尿肌过度活动的可能性的争议，这无疑需要进一步的合作研究和标准化。新技术发展的初步结果表明，膀胱体积的测量非常准确，膀胱壁和膀胱重量测量的重复性良好。结论 经过十年的研究，膀胱的自动测量将继续存在。膀胱壁和体重测量的标准化将有助于更好地了解下尿路功能障碍中逼尿肌肥大的病理生理学，并可能为我们的日常实践提供有用的预测指标。
Purpose of review This manuscript reviews the information that became available over the last 12 months on the measurement of bladder/detrusor wall thickness and ultrasound-estimated bladder weight in patients with benign prostatic enlargement. The subject is of particular interest because novel technological developments may help to standardize and automate the measurement technique. Recent findings Preliminary data on the automatic measurement of bladder wall thickness were reported, suggesting a good repeatability and agreement with conventional ultrasound imaging, although variance is higher than with conventional ultrasound, and thicknesses above 4 mm were not measured correctly. Some controversies emerged in the most recent peer-review literature on the possibility to diagnose bladder outlet obstruction and detrusor overactivity by measuring bladder wall thickness, and this certainly pleaded for further collaborative research and standardization. Preliminary results from new technological developments suggest a very accurate measure of bladder volume and good repeatability of bladder wall and bladder weight measurements. Conclusion After a decade of research, automated measurement of bladder is here to stay. Standardization of bladder wall and weight measurement will allow better understanding of the physiopathology of detrusor hypertrophy in lower urinary tract dysfunction and possibly provide useful prognosticator indexes for our daily practice.