Electronic Documentation of Intraoperative Observation of Cystoscopic Procedures Using the cMDX Information System

Area of Science:

• Urology
• Oncology
• Medical Informatics

Background:

• Accurate documentation of bladder lesions during transurethral resection of bladder tumors (TURBT) is crucial but optimizing schematic documentation has been overlooked.
• Current methods may lack the detail needed for comprehensive diagnosis and treatment planning.

Purpose of the Study:

• To evaluate a novel cMDX-based documentation system for schematic representation of bladder lesions during TURBT.
• To investigate the utility of graphical representation, lesion-specific questionnaires, and heatmap analysis for intraoperative data.

Main Methods:

• A prospective observational study involving 97 TURBT cases (176 lesions) between 2021-2023.
• Utilized a cMDX system with graphical bladder schemes, lesion questionnaires, and heatmap analysis for spatial distribution.
• Applied spatial analyses to determine lesion frequency and distribution patterns.

Main Results:

• Identified 176 lesions across various bladder areas, with specific frequency patterns observed (posterior, trigone, lateral, etc.).
• Lesion sizes ranged from 5 to 29 mm, with most categorized as indeterminate or moderate suspicion.
• Demonstrated varying lesion frequencies in different anatomical regions of the bladder.

Conclusions:

• Schematic documentation techniques, integrated with cMDX and heatmap analysis, offer significant potential for TURBT data.
• This approach aids in informed decision-making, quality assessment, and research by providing insights into lesion distribution and characteristics.