内镜石材成分识别:在激光石术期间,石材外观是否提高了精度?
Juan Sebastian Rodriguez-Alvarez1, Prajit Khooblall1, Harmenjit Brar2
1Cleveland Clinic Glickman Urological & Kidney Institute, Cleveland, OH.
Urology
|October 6, 2023
概括
激光石术期间的视频对泌尿科医生来说,在石头识别准确度上提供了最小的改善. 虽然信心增加了,但整体准确性仍然很低,警告不要仅仅依靠视觉内镜外观来指导代谢管理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 医疗成像医学成像
背景情况:
- 准确的结石鉴定对于有效的治疗和代谢管理至关重要.
- 目前的方法依赖于视觉评估在手术过程中,如尿路透镜与激光石.
- 动态视频与静态图像对改善诊断准确性的实用性尚未得到充分证实.
研究的目的:
- 为了比较泌尿科医生的准确性和信心在识别石类型使用视频与静止图片在holmium激光石术期间.
- 评估视频可视化对石头识别答案的纠正和混的影响.
主要方法:
- 一项调查分发给泌尿科医生,展示了用holmium激光光透术进行尿道镜检查的四种主要石头类型的图像和视频.
- 参与者回答了关于石头组成和信心水平的多选题.
- 分析了视频观看后的准确性,信心和答案变化 (纠正/混).
主要成果:
- 石头识别的整体准确性很低,图片 (43.8%) 和视频 (46.1%) 之间没有显著差异.
- 视频仅对一个特定的石头类型 (氨酸) 的精度略有提高.
- 泌尿科医生在观看视频时 (65.4%) 与单独的图片 (53.7%) 相比,报告了显著更高的信心,但这与更好的准确性无关.
结论:
- 在激光石术中使用内镜外观对结石的视觉识别的准确性很低,无论使用视频还是静止图片.
- 增加对视频可视化的信心并不能转化为更好的诊断准确性.
- 泌尿科医生在使用内镜石的外观来指导代谢管理策略时应谨慎.
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