Wednesday, June 17, 2015

New technology improves early detection of bladder tumors (PHOTO) – Presseportal.de (press release)

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earlydetectionofbladdertumorsbyNBI-cystoscopesignificantlyimproved:HDRecordingabladdermucosawithwhitelight(left)HDRecordingthesamebasemucosawiththeNBItechnology(right).Furthertextbyotsandwww.presseportal.de/pm/65687/Theuseofthispictureisfreeofchargeforeditorialpurposes….

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.

literature:LiKetal.:Diagnosisofnarrow-bandimaginginnon-muscle-invasivebladdercancer:asystematicreviewandmeta-analysis.IntJUrol.2013June;20(6):602-9.doi:10.1111/j.1442-2042.2012.03211.x.Epub20121NovReview.NaselliAetal.:Arandomizedprospectivetrialtoassesstheimpactoftransurethralresectioninnarrowbandimagingmodalityonnon-muscle-invasivebladdercancerre-Currence.EURUrol.2012May;61(5):908-13.doi:10.1016/j.eururo.2012.01.018.Epub201220Jan

Contact:

AndreaHertlein
Researcher
UrologicalDepartment
intheKlinikamRing
Hohenstaufenring25
50674Köln
Tel:(049)22192424455
Fax:(049)22192424460
Email:a.hertlein@wpz-koeln.de
Internet:www.uro-koeln.de LikeTweet

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