结石病治疗中的新型成像技术

New Imaging Techniques in the Management of Stone Disease.

作者信息

Koo Kevin, Matlaga Brian R

机构信息

Department of Urology, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USA.

出版信息

Urol Clin North Am. 2019 May;46(2):257-263. doi: 10.1016/j.ucl.2018.12.007. Epub 2019 Mar 4.

DOI:10.1016/j.ucl.2018.12.007

PMID:30961858

Abstract

Recent advances in computed tomography, X-ray-based imaging, and ultrasonography have improved the accuracy of urinary stone detection and differentiation of stone composition while minimizing radiation exposure. Dual-energy computed tomography and digital tomosynthesis show promise in predicting mineral composition to optimize medical and surgical therapy. Electromagnetic tracking may enhance the use of ultrasonography to achieve percutaneous renal access for nephrolithotomy. This article reviews innovations in imaging technology in the contemporary management of urinary stone disease.

摘要

计算机断层扫描、基于X射线的成像和超声检查的最新进展提高了尿路结石检测的准确性以及结石成分的鉴别能力，同时将辐射暴露降至最低。双能计算机断层扫描和数字断层合成在预测矿物质成分以优化药物和手术治疗方面显示出前景。电磁跟踪可能会增强超声检查的应用，以实现经皮肾穿刺取石术的肾穿刺入路。本文综述了当代尿路结石疾病管理中成像技术的创新。