NIRS: Past, Present, and Future in Functional Urology.

IF 0.2 Q4 UROLOGY & NEPHROLOGY

Current Bladder Dysfunction Reports Pub Date : 2022-01-01 DOI:10.1007/s11884-022-00665-4

Alexander Koven, Sender Herschorn

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引用次数: 5

Abstract

Purpose of review: Near infrared spectroscopy (NIRS) is a non-invasive optical technique that uses near infrared light to detect the oxygenation status and hemodynamics of various organs. This article reviews the use of NIRS for the non-invasive assessment of lower urinary tract dysfunction (LUTD). Applications include assessment of bladder outlet obstruction, overactive and underactive bladder, neurogenic LUTD, pediatric LUTD, interstitial cystitis/bladder pain syndrome, and pelvic floor dysfunction. In addition, the article describes how NIRS is elucidating more about the brain-bladder connection. Technological advancements enabling these applications are also discussed.

Recent findings: While evidence exists for the application of NIRS throughout a wide range of LUTD, most of these studies are limited by small sample sizes without matched controls. Investigators have experienced problems with reproducibility and motion artifacts contaminating the data. The literature is also becoming dated with use of older technology.

Summary: NIRS holds potential for the non-invasive acquisition of urodynamic information over time scales and activities not previously accessible, but it is not yet ready for use in routine clinical practice. Advances in wearable technology will address some of the current limitations of NIRS, but to realize its full potential, larger scale validation studies will be required. Moreover, multidisciplinary collaboration between clinicians, scientists, engineers, and patient advocates will be critical to further optimize these systems.

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近红外光谱:功能泌尿学的过去、现在和未来。

综述目的:近红外光谱(NIRS)是一种利用近红外光检测各器官氧合状态和血流动力学的非侵入性光学技术。本文综述了近红外光谱在无创评估下尿路功能障碍(LUTD)中的应用。应用包括评估膀胱出口梗阻，膀胱过度活跃和不活跃，神经源性LUTD，儿科LUTD，间质性膀胱炎/膀胱疼痛综合征和盆底功能障碍。此外，文章还描述了近红外光谱如何更多地阐明了大脑与膀胱的联系。还讨论了实现这些应用的技术进步。最近的发现:虽然有证据表明近红外光谱在广泛的LUTD中应用，但大多数研究受限于小样本量，没有匹配的对照。调查人员遇到了再现性和运动伪影污染数据的问题。随着旧技术的使用，这些文献也变得过时了。摘要:近红外光谱(NIRS)具有非侵入性获取尿动力学信息的潜力，这些信息是以前无法获得的，但尚未准备好在常规临床实践中使用。可穿戴技术的进步将解决目前近红外光谱的一些局限性，但要充分发挥其潜力，还需要更大规模的验证研究。此外，临床医生、科学家、工程师和患者倡导者之间的多学科合作对于进一步优化这些系统至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Bladder Dysfunction Reports UROLOGY & NEPHROLOGY-

CiteScore

0.50

自引率

0.00%

发文量

期刊介绍： The aim of this journal is to help readers understand expert views on current advances in the field of bladder dysfunction by systematically providing review articles that highlight the most important papers recently published. We accomplish this aim by appointing major authorities in key subject areas across the discipline to select topics reviewed by leading experts who emphasize recent developments, novel research, and highlight important papers published over the past year on their topics. We also highlight areas that have not received attention in the past and are important to an international audience, such a voiding dysfunction in reconstructed bladders and voiding dysfunction associated with genitourinary infections. An Editorial Board of internationally diverse members also suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.