[Enhanced imaging in urological endoscopy].
Erweiterte Bildgebung in der urologischen Endoskopie.
Bladder cancer
Cystscopy
Fluorescence
Photodynamic imaging
Urothelial carcinoma
Journal
Der Urologe. Ausg. A
ISSN: 1433-0563
Titre abrégé: Urologe A
Pays: Germany
ID NLM: 1304110
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
accepted:
16
11
2020
pubmed:
11
12
2020
medline:
26
1
2021
entrez:
10
12
2020
Statut:
ppublish
Résumé
White light cystoscopy and the concise documentation of pathological findings are standard diagnostic procedures in urology. Additional imaging modalities and technical innovations may support clinicians in the detection of bladder tumors. Modern endoscopy systems provide ultra-high-resolution imaging and the option of digital contrast enhancement. Photodynamic diagnostics and narrow band imaging are well-established in clinical routine and have shown significant benefits in the detection of bladder cancer. By means of multispectral imaging, different modalities can now be combined in real-time. Probe-based procedures such as optical coherence tomography (OCT) or Raman spectroscopy can further contribute to advanced imaging through an "optical biopsy" which may primarily improve diagnostics in the upper urinary tract. The aim of all techniques is to optimize the detection rate in order to achieve a more accurate diagnosis, resection and lower recurrence rates. Current research projects aim to digitalize the documentation of endoscopy and also make it more patient- and user-friendly. In the future, the use of image processing and artificial intelligence may automatically support the surgeon during endoscopy. Die Weißlichtendoskopie und die schriftliche Befunddokumentation gelten als diagnostischer Standard in der urologischen Endoskopie. Zusätzliche Bildgebungsmodalitäten und technische Innovationen werden bereits jetzt unterstützend bei der Erkennung von Harnblasentumoren eingesetzt. So verfügen moderne Endoskopiesysteme mittlerweile über ultrahochauflösende Bildgebung und die Möglichkeit der digitalen Kontrastverstärkung. Als zusätzliche Bildgebungsmodalitäten sind die photodynamische Diagnostik und das „narrow band imaging“ im klinischen Alltag etabliert. Mittels Multispektralbildgebung können unterschiedliche Modalitäten in Echtzeit kombiniert werden. Sondenbasierte Verfahren wie die optische Kohärenztomographie (OCT) oder die Raman-Spektroskopie können durch eine „optische Biopsie“ zu einer erweiterten Bildgebung beitragen, die v. a. die Diagnostik im oberen Harntrakt verbessern könnte. Das Ziel aller Techniken ist die verbesserte Detektion, um damit eine genauere Diagnose, Resektion und geringere Rezidivrate zu erreichen. Aktuelle Forschungsprojekte haben darüber hinaus das Ziel, die Dokumentation der Endoskopie zu digitalisieren und patienten- und anwenderorientierter zu gestalten. Der Einsatz der Bildverarbeitung und künstlichen Intelligenz kann zukünftig dazu beitragen, den Operateur bereits während der Endoskopie automatisiert zu unterstützen.
Autres résumés
Type: Publisher
(ger)
Die Weißlichtendoskopie und die schriftliche Befunddokumentation gelten als diagnostischer Standard in der urologischen Endoskopie. Zusätzliche Bildgebungsmodalitäten und technische Innovationen werden bereits jetzt unterstützend bei der Erkennung von Harnblasentumoren eingesetzt. So verfügen moderne Endoskopiesysteme mittlerweile über ultrahochauflösende Bildgebung und die Möglichkeit der digitalen Kontrastverstärkung. Als zusätzliche Bildgebungsmodalitäten sind die photodynamische Diagnostik und das „narrow band imaging“ im klinischen Alltag etabliert. Mittels Multispektralbildgebung können unterschiedliche Modalitäten in Echtzeit kombiniert werden. Sondenbasierte Verfahren wie die optische Kohärenztomographie (OCT) oder die Raman-Spektroskopie können durch eine „optische Biopsie“ zu einer erweiterten Bildgebung beitragen, die v. a. die Diagnostik im oberen Harntrakt verbessern könnte. Das Ziel aller Techniken ist die verbesserte Detektion, um damit eine genauere Diagnose, Resektion und geringere Rezidivrate zu erreichen. Aktuelle Forschungsprojekte haben darüber hinaus das Ziel, die Dokumentation der Endoskopie zu digitalisieren und patienten- und anwenderorientierter zu gestalten. Der Einsatz der Bildverarbeitung und künstlichen Intelligenz kann zukünftig dazu beitragen, den Operateur bereits während der Endoskopie automatisiert zu unterstützen.
Identifiants
pubmed: 33301070
doi: 10.1007/s00120-020-01400-9
pii: 10.1007/s00120-020-01400-9
doi:
Types de publication
Journal Article
Review
Langues
ger
Sous-ensembles de citation
IM
Pagination
8-18Commentaires et corrections
Type : ErratumIn
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