评估佩罗尼氏病的当前和未来技术发展方向。

IF 2.5 2区 医学 Q2 UROLOGY & NEPHROLOGY Current Urology Reports Pub Date : 2024-10-29 DOI:10.1007/s11934-024-01247-z
Abrar H Mian, Matthew J Ziegelmann
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引用次数: 0

摘要

综述的目的:本综述评估了各种成像模式在诊断和治疗佩罗尼氏病(PD)方面的有效性,探讨了它们的临床实用性和局限性:超声波检查是目前唯一获得美国泌尿外科协会认可的检查方式,它能有效检测钙化并评估血管状态,但在识别不可扪及的斑块方面存在困难。计算机断层扫描和磁共振成像可提供详细的解剖视图,但费用昂贵,还有其他阻碍因素。自动照相术和三维成像可提供方便的家庭评估,但准确性不一。弹性成像技术改进了传统的超声波成像技术,而新兴的人工智能技术则有望自动进行精确的弧度评估,但仍有待进一步验证。根据每位患者的需求量身定制的综合方法可提高诊断准确性。用弹性成像和潜在的人工智能来补充超声波检查,可以改善诊断结果,更好地指导治疗决策。要将这些先进技术融入标准临床实践并制定最新的标准化方案,继续开展研究至关重要。
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Current and Future Directions of Technology in Assessment of Peyronie's Disease.

Purpose of review: This review assesses the effectiveness of various imaging modalities for diagnosing and managing Peyronie's disease (PD), exploring their clinical utility and limitations.

Recent findings: Ultrasonography, currently the only modality endorsed by the American Urological Association, effectively detects calcifications and assesses vascular status but struggles with identifying non-palpable plaques. Computed tomography and magnetic resonance imaging provide detailed anatomical views but are costly along with other deterring factors. Autophotography and 3-dimensional imaging offer convenient home assessments but with variable accuracy. Elastography improves upon traditional ultrasonography, while emerging AI technologies show promise for automating precise curvature assessments, pending further validation. A combined approach tailored to each individual patient based on their needs enhances diagnostic accuracy. Supplementing ultrasonography with elastography and potentially AI could improve diagnostic outcomes and better guide treatment decisions. Continued research is vital to integrate these advancements into standard clinical practice and develop updated standardized protocols.

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来源期刊
Current Urology Reports
Current Urology Reports UROLOGY & NEPHROLOGY-
CiteScore
4.60
自引率
3.80%
发文量
39
期刊介绍: This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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