Der Urologe最新文献_第2页

[Follow-up of testicular germ cell tumors-historical aspects and current recommendations]. [睾丸生殖细胞肿瘤的随访-历史方面和目前的建议]。

Der Urologe Pub Date : 2022-05-01 Epub Date: 2022-04-06 DOI: 10.1007/s00120-022-01815-6

Klaus-Peter Dieckmann, Christian Guido Ruf, Raphael Gübitz, Christian Wülfing, Friedemann Zengerling

{"title":"[Follow-up of testicular germ cell tumors-historical aspects and current recommendations].","authors":"Klaus-Peter Dieckmann, Christian Guido Ruf, Raphael Gübitz, Christian Wülfing, Friedemann Zengerling","doi":"10.1007/s00120-022-01815-6","DOIUrl":"10.1007/s00120-022-01815-6","url":null,"abstract":"Systematic follow-up examinations of patients cured of testicular cancer first gained attention by caregivers in the 1980s only after the management of the disease had significantly been improved by the introduction of cisplatin-based chemotherapy and almost synchronously, by the implementation of computerized tomography (CT) and serum tumor markers. Follow-up involves three aims: early diagnosis of recurrence, detection of treatment-related toxicity, and detection of secondary diseases. As the clinical presentation of testicular cancer is very heterogeneous, there is no uniform follow-up for the disease. Instead, risk-adapted follow-up schedules are required. Since the release of the German AWMF S3 guideline for the management of testicular cancer in 2019, high level evidence has accumulated for the noninferiority of magnetic resonance imaging (MRI) to CT with regard to abdominal imaging. Therefore, it is appropriate to modify the recommendations for follow-up given in the 2019 issue of the S3 guidelines. The modifications recommended herein relate to three issues: (1) Only three risk groups (instead of formerly four) are identified, i.e., seminoma (all stages); nonseminoma clinical stage 1b (i.e., pT2, with lymphovascular invasion) on surveillance; nonseminoma all other stages. All patients cured from poor risk disease or from relapses require individual follow-up schedules not included in the recommendations tabulated herein. (2) CT and abdominal sonography are replaced by MRI. (3) Chest X‑ray imaging during follow-up of seminoma patients is no longer recommended.","PeriodicalId":11122,"journal":{"name":"Der Urologe","volume":"30 1","pages":"484-494"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73907959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

AUO

Der Urologe Pub Date : 2022-04-01 DOI: 10.1007/s00120-022-01811-w

引用次数: 0

[Blue versus white light for transurethral resection of non-muscle invasive bladder cancer (Review)]. [蓝光与白光在经尿道非肌肉浸润性膀胱癌切除术中的应用[综述]]。

Der Urologe Pub Date : 2022-04-01 Epub Date: 2022-03-08 DOI: 10.1007/s00120-022-01790-y

L Bellut, F Kunath

引用次数: 0

[Ultrasonography of the kidneys, retroperitoneal space and urinary bladder : Importance for urologists in hospitals and medical practice]. [超声检查肾脏、腹膜后间隙和膀胱：对泌尿科医生在医院和医疗实践中的重要性]。

Der Urologe Pub Date : 2022-04-01 Epub Date: 2022-03-08 DOI: 10.1007/s00120-022-01791-x

Thomas Büttner, Manuel Ritter

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Urologie Kolumne

Der Urologe Pub Date : 2022-04-01 DOI: 10.1007/s00120-022-01803-w

引用次数: 0

Aktuelle Bildgebung für Urologen 青春期泌尿科医生的近景图像

Der Urologe Pub Date : 2022-04-01 DOI: 10.1007/s00120-022-01794-8

B. Hadaschik, C. Stief

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Termine

Der Urologe Pub Date : 2022-04-01 DOI: 10.1007/s00120-022-01822-7

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Mitteilungen der DGU 英美情报

Der Urologe Pub Date : 2022-04-01 DOI: 10.1007/s00120-022-01814-7

Mitteilungen der Dgu, Preise der Dgu, Rudolf Hohenfellner-Preis, Maximilian Nitze-Preis, Wolfgang Knipper-Preis

引用次数: 0

[Modern tomography imaging techniques in urological diseases]. [泌尿系统疾病的现代断层成像技术]。

Der Urologe Pub Date : 2022-04-01 Epub Date: 2022-03-09 DOI: 10.1007/s00120-022-01792-w

Gita M Schoenberg, Viktoria Schuetz, Joanne N Nyarangi-Dix, Steffen J Diehl, Rafael Heiss, Boris Adamietz

{"title":"[Modern tomography imaging techniques in urological diseases].","authors":"Gita M Schoenberg, Viktoria Schuetz, Joanne N Nyarangi-Dix, Steffen J Diehl, Rafael Heiss, Boris Adamietz","doi":"10.1007/s00120-022-01792-w","DOIUrl":"10.1007/s00120-022-01792-w","url":null,"abstract":"Background: Radiologic imaging is important for the detection, staging and follow-up of urological tumors. Basic therapy decisions for both oncological (surgical vs. systemic therapy, e.g. in testicular cancer) and non-oncological pathologies (interventional vs. conservative therapy, e.g. for ureteral stones) depend largely on the tomographic imaging performed. Due to its almost ubiquitous availability, speed and cost-effectiveness, computed tomography (CT) plays an important role not only in the clarification of abdominal trauma and non-traumatic emergencies, but also in staging and follow-up of oncological patients. However, the level of radiation exposure, impaired renal function and allergies to iodinated contrast media limit the use of CT. Magnetic resonance imaging (MRI) can be a good alternative for many areas of application in oncological and non-oncological imaging due to its high soft tissue differentiation and functional-specific protocols but without the use of ionizing radiation.Aim: In the following, the main indications of abdominal and pelvic CT and MRI in urology and their limitations are summarized.Results: The areas of application between CT and MRI are increasingly overlapping, since the latest developments in CT continue to further reduce radiation exposure and increase contrast information, while the speed and robustness of MRI are significantly improving at the same time.","PeriodicalId":11122,"journal":{"name":"Der Urologe","volume":"61 1","pages":"374-383"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77862028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Artificial intelligence (AI) in radiology? : Do we need as many radiologists in the future?] 放射学中的人工智能（AI）？将来我们需要那么多放射科医生吗？］

Der Urologe Pub Date : 2022-04-01 Epub Date: 2022-03-11 DOI: 10.1007/s00120-022-01768-w

David Bonekamp, H-P Schlemmer

{"title":"[Artificial intelligence (AI) in radiology? : Do we need as many radiologists in the future?]","authors":"David Bonekamp, H-P Schlemmer","doi":"10.1007/s00120-022-01768-w","DOIUrl":"10.1007/s00120-022-01768-w","url":null,"abstract":"We are in the middle of a digital revolution in medicine. This raises the question of whether subjects such as radiology, which is superficially concerned with the interpretation of images, will be particularly changed by this revolution. In particular, it should be discussed whether in the future the completion of initially simpler, then more complex image analysis tasks by computer systems may lead to a reduced need for radiologists. What distinguishes radiology in particular is its key position between advanced technology and medical care. This article discusses that not only radiology but every medical discipline will be affected by innovations due to the digital revolution, and that a redefinition of medical specialties focusing on imaging and visual interpretation makes sense and that the arrival of artificial intelligence (AI) in radiology is to be welcomed in the context of ever larger amounts of image data-to at all be able to handle the increasing amount of image data in the future at the current number of radiologists. In this respect, the balance between research and teaching in comparison to patient care is more difficult to maintain in the academic environment. AI can help improve efficiency and balance in the areas mentioned. With regard to specialist training, information technology topics are expected to be integrated into the radiological curriculum. Radiology acts as a pioneer designing the entry of AI into medicine. It is to be expected that by the time radiologists can be substantially replaced by AI, the replacement of human contributions in other medical and non-medical fields will also be well advanced.","PeriodicalId":11122,"journal":{"name":"Der Urologe","volume":"90 1","pages":"392-399"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82742261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0