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Endoluminal Ultrasonography

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Advances in Image-Guided Urologic Surgery

Abstract

Although the first feasibility study of the use of endoluminal ultrasonography (ELUS) in the upper urinary tract was reported in 1995, just a few further small studies have studied the utility of this technique in this region. In addition, many more patients with urologic cancer receive chemotherapy to downstage tumors prior to surgical excision, which does not permit accurate radiopathological correlation. There is a need for large well-designed studies to validate the use of ELUS in routine practice. Despite the lack of these studies, ELUS of the urinary tract has been shown to be feasible and has the potential to improve the diagnosis, staging, and treatment of many benign and malignant urologic conditions. Currently, its greatest utility is imaging of the upper urinary tract because it overcomes some limitations of cross-sectional imaging and traditional ureteroscopy. The ability of ELUS to capture dynamic images also makes it an attractive tool for evaluation of urethral disease. Further research is needed to determine its true diagnostic capability, the benefit it provides to patients, and its dissemination and acceptance into general practice.

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References

  1. Liu JB, Goldberg BB. 2-D and 3-D endoluminal ultrasound: vascular and nonvascular applications. Ultrasound Med Biol. 1999;25(2):159–73.

    Article  CAS  PubMed  Google Scholar 

  2. Liu J-B, Miller LS, Bagley DH, Goldberg BB. Endoluminal sonography of the genitourinary and gastrointestinal tracts. J Ultrasound Med. 2002;21(3):323–37.

    PubMed  Google Scholar 

  3. Grotas A, Grasso M. Endoluminal sonographic imaging of upper urinary tract: three-dimensional reconstruction. J Endourol. 2001;15(5):485–8.

    Article  CAS  PubMed  Google Scholar 

  4. Kondabolu S, Khan SA, Whyard J, Diblasio C, Ayyala M, Pentyala S. The role of endoluminal ultrasonography in urology: current perspectives. Int Braz J Urol. 2004;30(2):96–101.

    Article  PubMed  Google Scholar 

  5. Lee DI, Bagley DH, Liu JB. Experience with endoluminal ultrasonography in the urinary tract. J Endourol. 2001;15(1):67–74.

    Article  CAS  PubMed  Google Scholar 

  6. Gravante G, Giordano P. The role of three-dimensional endoluminal ultrasound imaging in the evaluation of anorectal diseases: a review. Surg Endosc. 2008;22(7):1570–8.

    Article  PubMed  Google Scholar 

  7. Reid AW, Reid DB, Roditi GH. Imaging in endovascular therapy: our future. J Endovasc Ther. 2009;16 Suppl 1:I22–41.

    PubMed  Google Scholar 

  8. Browne RFJ, Meehan CP, Colville J, Power R, Torreggiani WC. Transitional cell carcinoma of the upper urinary tract: spectrum of imaging findings. Radiographics. 2005;25(6):1609–27.

    Article  PubMed  Google Scholar 

  9. Chancellor MB, Liu JB, Rivas DA, Karasick S, Bagley DH, Goldberg BB. Intraoperative endo-luminal ultrasound evaluation of urethral diverticula. J Urol. 1995;153(1):72–5.

    Article  CAS  PubMed  Google Scholar 

  10. Strasser H, Frauscher F, Helweg G, Colleselli K, Reissigl A, Bartsch G. Transurethral ultrasound: evaluation of anatomy and function of the rhabdosphincter of the male urethra. J Urol. 1998;159(1):100–4; discussion 104–5.

    Article  CAS  PubMed  Google Scholar 

  11. Klauser A, Frauscher F, Strasser H, Helweg G, Kolle D, Strohmeyer D, et al. Age-related rhabdosphincter function in female urinary stress incontinence: assessment of intraurethral sonography. J Ultrasound Med. 2004;23(5):631–7; quiz 638–9.

    PubMed  Google Scholar 

  12. Rivas DA, Chancellor MB, Liu JB, Hanau C, Bagley DH, Goldberg B. Endoluminal ultrasonographic and histologic evaluation of periurethral collagen injection. J Endourol. 1996;10(1):61–6.

    Article  CAS  PubMed  Google Scholar 

  13. Horiuchi K, Tsuboi N, Shimizu H, Matsuzawa I, Kimura G, Yoshida K, et al. High-frequency endoluminal ultrasonography for staging transitional cell carcinoma of the bladder. Urology. 2000;56(3):404–7.

    Article  CAS  PubMed  Google Scholar 

  14. Horiuchi K, Shimizu H, Yoshida K, Nishimura T. Identification of the layers of the bladder wall on high-frequency endoluminal ultrasonography by a needle puncture experiment. Ultrasound Med Biol. 2005;31(3):307–9.

    Article  PubMed  Google Scholar 

  15. Bagley DH, Liu JB, Goldberg BB, Grasso M. Endopyelotomy: importance of crossing vessels demonstrated by endoluminal ultrasonography. J Endourol. 1995;9(6):465–7.

    Article  CAS  PubMed  Google Scholar 

  16. Keeley Jr FX, Moussa SA, Miller J, Tolley DA. A prospective study of endoluminal ultrasound versus computerized tomography angiography for detecting crossing vessels at the ureteropelvic junction. J Urol. 1999;162(6):1938–41.

    Article  PubMed  Google Scholar 

  17. Brown GA, Matin SF, Busby JE, Dinney CPN, Grossman HB, Pettaway CA, et al. Ability of clinical grade to predict final pathologic stage in upper urinary tract transitional cell carcinoma: implications for therapy. Urology. 2007;70:252–6.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Margulis V, Shariat SF, Matin SF, Kamat AM, Zigeuner R, Kikuchi E, et al. Outcomes of radical nephroureterectomy: a series from the upper tract urothelial carcinoma collaboration. Cancer. 2009;115(6):1224–33.

    Article  PubMed  Google Scholar 

  19. Igawa M, Urakami S, Shiina H, Kishi H, Himeno Y, Ishibe T, et al. Neoadjuvant chemotherapy for locally advanced urothelial cancer of the upper urinary tract. Urol Int. 1995;55(2):74–7.

    Article  CAS  PubMed  Google Scholar 

  20. Matin SF, Margulis V, Kamat A, Wood CG, Grossman HB, Brown GA, et al. Incidence of downstaging and complete remission after neoadjuvant chemotherapy for high-risk upper tract transitional cell carcinoma. Cancer. 2010;116(13):3127–34.

    Article  PubMed  Google Scholar 

  21. Hall MC, Womack S, Sagalowsky AI, Carmody T, Erickstad MD, Roehrborn CG. Prognostic factors, recurrence, and survival in transitional cell carcinoma of the upper urinary tract: a 30-year experience in 252 patients. Urology. 1998;52(4):594–601.

    Article  CAS  PubMed  Google Scholar 

  22. Matin SF, Kamat AM, Grossman HB. High-frequency endoluminal ultrasonography as an aid to the staging of upper tract urothelial carcinoma: imaging findings and pathologic correlation. J Ultrasound Med. 2010;29(9):1277–84.

    PubMed  Google Scholar 

  23. Liu JB, Bagley DH, Conlin MJ, Merton DA, Alexander AA, Goldberg BB. Endoluminal sonographic evaluation of ureteral and renal pelvic neoplasms. J Ultrasound Med. 1997;16(8):515–21; quiz 523–4.

    CAS  PubMed  Google Scholar 

  24. Ingram MD, Sooriakumaran P, Palfrey E, Montgomery B, Massouh H. Evaluation of the upper urinary tract using transureteric ultrasound–a review of the technique and typical imaging appearances [review]. Clin Radiol. 2008;63(9):1026–34.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Surena F. Matin MD .

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Porten, S., Vikram, R., Matin, S.F. (2015). Endoluminal Ultrasonography. In: Liao, J., Su, LM. (eds) Advances in Image-Guided Urologic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1450-0_12

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  • DOI: https://doi.org/10.1007/978-1-4939-1450-0_12

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  • Publisher Name: Springer, New York, NY

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