针对男性下尿路症状和膀出口阻塞的非传统诊断工具:一个前景审查
Minore Antonio1, Cacciatore Loris1, Secco Silvia2
1Department of Urology, Fondazione Campus Bio-Medico of Rome, Rome, Italy.
World journal of urology
|June 26, 2025
概括
新的诊断工具正在出现,用于男性下泌尿道症状 (LUTS),由良性排泄物阻塞 (BOO) 引起. 这些方法,包括人工智能和生物标志物,旨在提高精度和效率,超越传统的尿动力学.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医学诊断 医学诊断 医学诊断
- 生物医学工程 生物医学工程
背景情况:
- 由于良性排泄物阻塞 (BOO) 的男性下尿道症状 (LUTS) 存在诊断挑战.
- 像尿动力学 (UDS) 这样的传统诊断方法往往是侵入性的,耗时的和低效的.
- 需要先进的,非传统的诊断方法.
研究的目的:
- 审查新兴的非传统诊断方法来评估良性男性LUTS.
- 探索传统泌尿动力学的替代方案,以评估膀出口阻塞.
- 识别新型工具,以提高诊断准确性和效率.
主要方法:
- 在2024年11月进行了全面的文献搜索.
- 搜索的数据库包括Scopus,PubMed和科学网.
- 重点是男性LUT的评估工具,不包括尿动力学 (UDS).
主要成果:
- 超声波和替代标记 (除器壁厚度,静脉前列腺突起) 是关键的门诊工具.
- 研究方法包括近红外光谱学 (NIRS),避孕套导管检测和阴茎袖口压力分析.
- 生物标志物 (PSA,氨酸,NGF,miRNA),计算建模和人工智能 (AI) 显示出改善诊断准确性和预测建模的希望.
结论:
- 预计人工智能和先进生物标志物等新兴技术将大大改善LUTS评估.
- 这些新的方法为BOO提供了更快,更准确,更少侵入性诊断的潜力.
- 预计机器学习将在未来的LUTS诊断中发挥关键作用.
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