Optimizing cystoscopy and TURBT: enhanced imaging and artificial intelligence.

IF 12.1 1区 医学 Q1 UROLOGY & NEPHROLOGY Nature Reviews Urology Pub Date : 2024-07-09 DOI:10.1038/s41585-024-00904-9
Eugene Shkolyar, Steve R Zhou, Camella J Carlson, Shuang Chang, Mark A Laurie, Lei Xing, Audrey K Bowden, Joseph C Liao
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Abstract

Diagnostic cystoscopy in combination with transurethral resection of the bladder tumour are the standard for the diagnosis, surgical treatment and surveillance of bladder cancer. The ability to inspect the bladder in its current form stems from a long chain of advances in imaging science and endoscopy. Despite these advances, bladder cancer recurrence and progression rates remain high after endoscopic resection. This stagnation is a result of the heterogeneity of cancer biology as well as limitations in surgical techniques and tools, as incomplete resection and provider-specific differences affect cancer persistence and early recurrence. An unmet clinical need remains for solutions that can improve tumour delineation and resection. Translational advances in enhanced cystoscopy technologies and artificial intelligence offer promising avenues to overcoming the progress plateau.

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优化膀胱镜检查和 TURBT:增强成像和人工智能。
诊断性膀胱镜检查结合经尿道膀胱肿瘤切除术是诊断、手术治疗和监测膀胱癌的标准方法。目前对膀胱进行检查的能力源于成像科学和内窥镜技术的长足进步。尽管取得了这些进步,但内窥镜切除术后膀胱癌的复发率和进展率仍然很高。这种停滞不前是癌症生物学的异质性以及手术技术和工具的局限性造成的,因为不完全切除和提供者的特异性差异会影响癌症的持续存在和早期复发。目前仍未满足临床需求,需要能改善肿瘤分界和切除的解决方案。增强型膀胱镜检查技术和人工智能方面的转化进展为克服进展停滞不前的问题提供了前景广阔的途径。
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来源期刊
Nature Reviews Urology
Nature Reviews Urology 医学-泌尿学与肾脏学
CiteScore
12.50
自引率
2.60%
发文量
123
审稿时长
6-12 weeks
期刊介绍: Nature Reviews Urology is part of the Nature Reviews portfolio of journals.Nature Reviews' basic, translational and clinical content is written by internationally renowned basic and clinical academics and researchers. This journal targeted readers in the biological and medical sciences, from the postgraduate level upwards, aiming to be accessible to professionals in any biological or medical discipline. The journal features authoritative In-depth Reviews providing up-to-date information on topics within a field's history and development. Perspectives, News & Views articles, and the Research Highlights section offer topical discussions and opinions, filtering primary research from various medical journals. Covering a wide range of subjects, including andrology, urologic oncology, and imaging, Nature Reviews provides valuable insights for practitioners, researchers, and academics within urology and related fields.
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