Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences
  • Register
  • Login

Urology Journal

  • Home
  • Instant Online
    • Instant 2023
    • Instant 2022
    • Instant 2021
    • Instant 2020
  • Current
  • Archives
  • Announcements
  • Submissions
  • Author Guidelines
  • About
    • About the Journal
    • Privacy Statement
    • Contact
Advanced Search
  1. Home
  2. Archives
  3. Vol. 20 (2023): Instant 2023
  4. ORIGINAL PAPER (ENDOUROLOGY AND STONE DISEASE)

ISSN: 1735-1308

Instant 2023
Vol. 20 (2023)

A A Novel Computed Tomography-Ultrasound Image Fusion Technique for Guiding the Percutaneous Kidney Access

  • Xiaobo Shen
  • Kaiwen Li
  • Zhenyu Wu
  • Cheng Lu
  • Hao Yu
  • Cong Lai
  • Zhuang Tang
  • Kuiqing Li
  • Kewei Xu

Urology Journal, Vol. 20 (2023), , Page 7465
https://doi.org/10.22037/uj.v20i.7465 Published 25 February 2023

  • View Article
  • Download
  • Cite
  • References
  • Statastics
  • Share

Abstract

Purpose: To describe the feasibility of computed tomography (CT)-ultrasound image fusion technique on guiding percutaneous kidney access in vitro and vivo.


Materials and Methods: we compare CT-ultrasound image fusion technique and ultrasound for percutaneous kidney puncture guidance by using an in vitro pig kidney model. The fusion method, fusion time, ultrasound screening time, and success rate of puncture were compared between the groups. Next, patients with kidney stones in our hospital were randomized in the study of simulated puncture guidance. The general condition of patients, fusion method, fusion time, and ultrasound screening time were compared between the groups.


Results: A total of 45 pig models were established, including 23 in CT-ultrasound group and 22 in ultrasound group. The ultrasound screening time in CT-ultrasound group was significantly shorter than that in ultrasound group (P < .001). In addition, the success rate of puncture in CT-ultrasound group was significantly higher than that in ultrasound group (P =.015). Furthermore, in simulated PCNL puncture study, baseline data including age, BMI, and S.T.O.N.E score between the two groups showed no statistical difference. The ultrasound screening time of the two groups was (2.60 ± 0.33) min and (3.37 ± 0.51) min respectively, and the difference was statistically significant (P < .001).


Conclusion: Our research revealed that CT-ultrasound image fusion technique was a feasible and safe method to guide PCNL puncture. Compared with traditional ultrasound guidance, CT-ultrasound image fusion technique can shorten the learning curve of PCNL puncture, improve the success rate of puncture, and shorten the ultrasound screening time.

Keywords:
  • Kidney stone, Percutaneous nephrolithotomy, Computed tomography, Ultrasound, puncture
  • Just Accepted-7465

How to Cite

Shen, X., Li, K., Wu, Z., Lu, C., Yu, H., Lai, C., Tang, Z., Li, K., & Xu, K. (2023). A A Novel Computed Tomography-Ultrasound Image Fusion Technique for Guiding the Percutaneous Kidney Access. Urology Journal, 20, 7465. https://doi.org/10.22037/uj.v20i.7465
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

References

Turk C, Petrik A, Sarica K, et al. EAU Guidelines on Interventional Treatment for Urolithiasis. Eur Urol. 2016;69:475-82.

Michel MS, Trojan L, Rassweiler JJ. Complications in percutaneous nephrolithotomy. Eur Urol. 2007;51:899-906; discussion

Patel RM, Okhunov Z, Clayman RV, Landman J. Prone Versus Supine Percutaneous Nephrolithotomy: What Is Your Position? Curr Urol Rep. 2017;18:26.

de la Rosette JJ, Laguna MP, Rassweiler JJ, Conort P. Training in percutaneous nephrolithotomy--a critical review. Eur Urol. 2008;54:994-1001.

Rodrigues PL, Rodrigues NF, Fonseca J, Lima E, Vilaça JL. Kidney targeting and puncturing during percutaneous nephrolithotomy: recent advances and future perspectives. J Endourol. 2013;27:826-34.

de la Rosette J, Kashi AH, Farshid S. Newer Advances in Access. In: Agrawal MS, Mishra DK, Somani B, eds. Minimally Invasive Percutaneous Nephrolithotomy. Singapore: Springer Singapore; 2022:145-55.

Brisbane W, Bailey MR, Sorensen MD. An overview of kidney stone imaging techniques. Nat Rev Urol. 2016;13:654-62.

Xu ZF, Xie XY, Kuang M, et al. Percutaneous radiofrequency ablation of malignant liver tumors with ultrasound and CT fusion imaging guidance. J Clin Ultrasound. 2014;42:321-30.

Hacker A, Wendt-Nordahl G, Honeck P, Michel MS, Alken P, Knoll T. A biological model to teach percutaneous nephrolithotomy technique with ultrasound- and fluoroscopy-guided access. J Endourol. 2007;21:545-50.

Fernstrom I, Johansson B. Percutaneous pyelolithotomy. A new extraction technique. Scand J Urol Nephrol. 1976;10:257-9.

Hajiha M, Baldwin DD. New Technologies to Aid in Percutaneous Access. Urol Clin North Am. 2019;46:225-43.

Rassweiler JJ, Müller M, Fangerau M, et al. iPad-assisted percutaneous access to the kidney using marker-based navigation: initial clinical experience. Eur Urol. 2012;61:628-31.

Li R, Li T, Qian X, Qi J, Wu D, Liu J. Real-time ultrasonography-guided percutaneous nephrolithotomy using SonixGPS navigation: clinical experience and practice in a single center in China. J Endourol. 2015;29:158-61.

Li X, Long Q, Chen X, He D, He H. Real-time ultrasound-guided PCNL using a novel SonixGPS needle tracking system. Urolithiasis. 2014;42:341-6.

Ritter M, Rassweiler MC, Michel MS. The Uro Dyna-CT Enables Three-dimensional Planned Laser-guided Complex Punctures. Eur Urol. 2015;68:880-4.

  • Abstract Viewed: 0 times
  • Just Accepted-7465 Downloaded: 0 times

Download Statastics

  • Linkedin
  • Twitter
  • Facebook
  • Google Plus
  • Telegram

In case of persistent problems in registration, primary uploading of a submission or uploading of a revision, please send us the submission files on the journal email at:

urologyjournal@sbmu.ac.ir

and please attach the screenshot of the error or problem you encountered in uploading.

 

Make a Submission

          Journal Research in Urology

Information
  • For Readers
  • For Authors
Keywords
  • Home
  • Archives
  • Submissions
  • About the Journal
  • Editorial Team
  • Contact
The template of this website is designed by Sinaweb