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用于监测膀胱容积和大小的电阻抗断层成像技术。

Electric impedance tomography for monitoring volume and size of the urinary bladder.

作者信息

Leonhardt Steffen, Cordes Axel, Plewa Harry, Pikkemaat Robert, Soljanik Irina, Moehring Klaus, Gerner Hans J, Rupp Rüdiger

机构信息

Philips Chair for Medical Information Technology, RWTH Aachen University, Germany.

出版信息

Biomed Tech (Berl). 2011 Dec;56(6):301-7. doi: 10.1515/BMT.2011.022. Epub 2011 Nov 22.

Abstract

A novel non-invasive technique for monitoring fluid content in the human bladder is described. Specifically, a precommercial electric impedance tomograph (EIT) was applied to measure and visualize impedance changes in the lower torso due to changes in bladder volume. Preliminary measurements were conducted during routine urodynamic tests of nine male paraplegic patients, in whom a contrast agent was slowly infused into the bladder for diagnostic purposes. In some patients, a good correlation between bladder volume and EIT measurements was found, whereas in others the correlation was still good but inverted, presumably due to a poor electrode positioning. These preliminary results indicate that a sufficiently accurate finite element modeling of the impedance distribution in the abdomen, and proper electrode positioning aids, are important prerequisites to enable this technology to be used for routine measurement of bladder volume.

摘要

本文描述了一种用于监测人体膀胱内液体含量的新型非侵入性技术。具体而言,使用一种尚未商业化的电阻抗断层扫描仪(EIT)来测量并可视化因膀胱容积变化而导致的下半身阻抗变化。在对九名男性截瘫患者进行的常规尿动力学测试过程中进行了初步测量,测试中为诊断目的向膀胱缓慢注入了造影剂。在一些患者中,发现膀胱容积与EIT测量值之间具有良好的相关性,而在其他患者中,相关性仍然良好但呈反向关系,推测是由于电极定位不佳所致。这些初步结果表明,对腹部阻抗分布进行足够精确的有限元建模以及合适的电极定位辅助工具,是使该技术能够用于膀胱容积常规测量的重要先决条件。

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