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Cologne(ots)-TheDepartmentofUrologyoftheKlinikamRinghasoneofthefirstcentersinGermanyaboutthenewultramodernNarrowband-ImagingsystemfromOlympustoshowthebladdermucosa.Thenewnarrow-bandtechnologyallowsphysiciansbladdertumorsatanearly,curablestagetoidentifyandreducetherecurrencerate.
hurturinationorthereisbloodintheurinewhichcouldindicateabladdercarcinoma.Claritygivesonlyaspecialinvestigation,calledcystoscopy(cystoscopy).Throughtheurethra,thephysicianintroducesathin,flexibleendoscope(cystoscope)withacameralocatedthereonintothebladderofthepatientandthetissueexaminedforchanges.”Foranearlydiagnosis,thequalityofthepictorialrepresentationofthebladderwallplaysanimportantrole,”explainsDr.StephanNeubauer,urologistattheKlinikamRinginCologne.
AsoneoftencentersinGermanyhastheDepartmentofUrologyoftheKlinikamRingsincethebeginningofacompletelynewtechnologytosearchthebladderofpatientsafterlesionssuspected-theso-callednarrow-bandimaging(NBI)technology.Itremovedaspecialfilterfromthenormalwhitelightcertaincolorcomponents.”ContrastsaresharperandthusbloodandtumorvesselsofBla-senschleimhautappearvisuallymoreapparent,”explainsDr.Neubauer.”Evenveryshallow,superficialtumorsthatareeasilyoverlookedwiththeconventionalstandardwhite-lightendoscopes,wecantrackit.”Thetrick:Dependingonyourneeds,thesurgeoncanpushofabuttonbetweenNBI-andwhite-lightimaging,change.
PicturesinHD
Theultra-moderncystoscopealsomakesitpossibletotakethepicturesinHD,thusensuringexcellentimagequality.Whileconventionalendoscopesproduceimagesonabundleoflight-conductingfibers,whichisintegratedatthetopofthecamera,theHDvideoendoscopeusesa.”Chip-on-the-tip”technology.ThismeansthatacamerachipwhichismountedattheendoftheendoscopeproducescomparabletoadigitalcamerahighresolutionpicturesofthebladderinHDquality.
isdetectedearlycurable
“ThenewHDvideoendoscopewithNBI-technologyenablesustodiagnosebladdercancerabladdertumorataveryearlystage.Thisistruenotonlyfortheinitialdiagnosisbutalsoforapossibletumorrecurrence(relapse)aftercancertreatment,”saysDr.Neubauer.Sowasarecentmeta-analysisof1040patientsshowthatthenarrowbandcystoscopyaquartermoretumorswerefoundthanwiththeconventionalwhite-lightcystoscopy.Anotherstudyshowedthereductioninrelapserateby10percentcomparedtostandardmethods.Inorderforthenewtechnologyisalsousedforregularcheck-upsaftertumortherapyofgreatbenefit.Atthesametimetheymustbecarriedoutverysimplyandwithoutanystrainonthepatient.
Everyyearbecomeill,accordingtoestimatesoftheRobertKochInstitute,around28,000peopleinGermanytobladdercancer.Whetherbladdercancercanbecured,thisdependsmainlyonthetumorstage:Whatmattersiswhetherthecancertissuehasalreadyattackedthedeeperlayersofthebladderwall,orislimitedtothesurface.”Forthepatient,earlydetectionofbladdertumorisatimelyonsetoftreatmentandthereforeagreaterchanceofsuccessfultreatment,”saysNeubauer.
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