Karl A, Tritschler S, Zaak D, Tilki D, Stief C, Burger M
Klinik und Poliklinik für Urologie, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377 München.
Urologe A. 2010 Oct;49(10):1303-11; quiz 1312. doi: 10.1007/s00120-010-2343-3.
Urinary cytology and white light endoscopy have been the gold standard for initial diagnosis of bladder cancer for decades. Furthermore the use of imaging techniques, such as ultrasound or CT scanning can be necessary in certain cases. This article gives an overview on standard diagnostic techniques and introduces new optical diagnostic technologies, such as Raman spectroscopy, optical coherence tomography, narrow band imaging and confocal laser microscopy, which could play a role in the diagnosis of bladder cancer in the future. Furthermore the current indications for photodynamic diagnoses are discussed.
几十年来,尿细胞学检查和白光内镜检查一直是膀胱癌初始诊断的金标准。此外,在某些情况下可能需要使用超声或CT扫描等成像技术。本文概述了标准诊断技术,并介绍了拉曼光谱、光学相干断层扫描、窄带成像和共聚焦激光显微镜等新的光学诊断技术,这些技术未来可能在膀胱癌诊断中发挥作用。此外,还讨论了光动力诊断的当前适应证。