实时监测在冲击波石流症期间尿路石的状态
1Department of Microbiology, University of Alabama Birmingham, Birmingham, AL.
Urology
|July 27, 2025
概括
这项研究引入了对冲击波石 (SWL) 的实时反系统,以监测尿路石块的碎片化. 该系统在SWL手术过程中提高了治疗效率和患者安全.
科学领域:
- 医疗成像医学成像
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 人工智能的人工智能
背景情况:
- 冲击波石 (SWL) 是治疗结石的常见程序.
- 在SWL期间实时监测石块碎裂对于优化治疗疗效和患者安全至关重要.
- 目前在SWL过程中评估石块碎片化的方法可能是主观的,并且缺乏实时反.
研究的目的:
- 开发一种标准化的实时反系统,用于在SWL期间监测尿路结石碎片化的情况.
- 通过客观的实时评估,优化SWL治疗效率并最大限度地降低患者风险.
- 在SWL程序中为临床医生提供可操作的见解.
主要方法:
- 在C臂X射线图像中使用双边方法来量化石块碎片化.
- 石块面积的损失是通过比较预处理图像和后续图像来衡量的.
- 一个卷积神经网络 (CNN) 被训练来估计含有尿路结石的图像的概率.
主要成果:
- 开发的系统整合了石块面积损失和CNN输出,以实时评估石块碎片.
- 利用来自522个SWL治疗和4057张图像的数据,该系统展示了一致的实时反能力.
- 该系统提供可操作的反,以在各种临床场景中指导SWL.
结论:
- 拟议的系统提供了一种新且可靠的方法,用于在SWL期间监测尿路结石碎片化.
- 它有助于平衡治疗疗效与患者安全.
- 该系统对半自动化SWL平台充满希望,特别是在资源有限的环境和延长太空任务中.
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