石头指标:石头的体积是新国王吗?
Charlotte Slots1, Matthias Boeykens1,2, Kim Pauwaert1,3
1Department of Urology, Ghent University Hospital, Ghent.
Current opinion in urology
|March 14, 2026
概括
石块体积比线性测量更准确地衡量结石负担. 尽管技术进步使体积评估变得更容易,但它尚未成为标准的临床实践.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 石块体积是 urolithiasis 负担的最准确的指标.
- 线性测量目前是标准的,但有局限性.
- 石块体积尚未纳入临床实践或治疗指南.
研究的目的:
- 审查证据支持石材体积作为最重要的石材度量.
- 评估石块体积评估的当前临床实用性.
- 突出需要将石块体积纳入处理算法.
主要方法:
- 对比石材体积与线性测量的研究的文献综述.
- 分析石材体积评估的成像和人工智能的最新进展.
- 评估石块体积对治疗结果的预测准确性.
主要成果:
- 石块体积准确地预测了冲击波石和尿路透镜后的无石头状态.
- 3D成像,自动细分和人工智能的进步使得CT扫描的石头体积计算更加容易.
- 尽管可访问性有所改善,但石块体积评估在临床实践中尚未得到充分利用.
结论:
- 石材体积评估的技术障碍已经被克服.
- 在临床实践中广泛采用石块体积受阻于对变化的抵抗.
- 需要进一步的研究来建立基于体积的治疗值,并开发新的算法.
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