How Reliable Is Endoscopic Stone Recognition? A Comparison Between Visual Stone Identification and Formal Stone Analysis

Objective: To assess the diagnostic accuracy and intra-observer agreement of endoscopic stone recognition (ESR) compared with formal stone analysis.Introduction: Stone analysis is a corner stone in the prevention of stone recurrence. Although X-ray diffraction (XRD) and infrared spectroscopy are the...

ver descrição completa

Detalhes bibliográficos
Autores: Henderickx, MMEL, Stoots, SJM, De Bruin, DM, Wijkstra, H, Freund, JE, Wiseman, OJ, Ploumidis, A, Skolarikos, A, Somani, BK, Sener, TE, Emiliani, E, Dragos, LB, Villa, L, Talso, M, Daudon, M, Traxer, O, Kronenberg, P, Doizi, S, Tailly, T, Tefik, T, Hendriks, N, Beerlage, HP, Baard, J, Kamphuis, GM
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Recursos:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p11974
Acesso em linha:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=11974
https://research.tue.nl/en/publications/how-reliable-is-endoscopic-stone-recognition-a-comparison-between
Access Level:acceso abierto
Palavra-chave:endourology
stone composition
urinary stone analysis
ureterorenoscopy
endoscopic stone recognition
id ES_88f2fd08daa20fe18e0545c4a96013bc
oai_identifier_str oai:iibsantpau.fundanetsuite.com:p11974
network_acronym_str ES
network_name_str España
repository_id_str
spelling How Reliable Is Endoscopic Stone Recognition? A Comparison Between Visual Stone Identification and Formal Stone AnalysisHenderickx, MMELStoots, SJMDe Bruin, DMWijkstra, HFreund, JEWiseman, OJPloumidis, ASkolarikos, ASomani, BKSener, TEEmiliani, EDragos, LBVilla, LTalso, MDaudon, MTraxer, OKronenberg, PDoizi, STailly, TTefik, THendriks, NBeerlage, HPBaard, JKamphuis, GMendourologystone compositionurinary stone analysisureterorenoscopyendoscopic stone recognitionObjective: To assess the diagnostic accuracy and intra-observer agreement of endoscopic stone recognition (ESR) compared with formal stone analysis.Introduction: Stone analysis is a corner stone in the prevention of stone recurrence. Although X-ray diffraction (XRD) and infrared spectroscopy are the recommended techniques for reliable formal stone analysis, this is not always possible, and the process takes time and is costly. ESR could be an alternative, as it would give immediate information on stone composition.Materials and Methods: Fifteen endourologists predicted stone composition based on 100 videos from ureterorenoscopy. Diagnostic accuracy was evaluated by comparing the prediction from visual assessment with stone analysis by XRD. After 30 days, the videos were reviewed again in a random order to assess intra-observer agreement.Results: The median diagnostic accuracy for calcium oxalate monohydrate was 54% in questionnaire 1 (Q1) and 59% in questionnaire 2 (Q2), whereas calcium oxalate dihydrate had a median diagnostic accuracy of 75% in Q1 and 50% in Q2. The diagnostic accuracy for calcium hydroxyphosphate was 10% in Q1 and 13% in Q2. The median diagnostic accuracy for calcium hydrogen phosphate dihydrate and calcium magnesium phosphate was 0% in both questionnaires. The median diagnostic accuracy for magnesium ammonium phosphate was 20% in Q1 and 40% in Q2. The median diagnostic accuracy for uric acid was 22% in both questionnaires. Finally, there was a diagnostic accuracy of 60% in Q1 and 80% in Q2 for cystine. The intra-observer agreement ranged between 45% and 72%.Conclusion: Diagnostic accuracy of ESR is limited and intra-observer agreement is below the threshold of acceptable agreement.MARY ANN LIEBERT, INC2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=11974https://research.tue.nl/en/publications/how-reliable-is-endoscopic-stone-recognition-a-comparison-betweenJOURNAL OF ENDOUROLOGYISSN: 08927790ISSNe: 1557900Xreponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p119742026-06-14T12:41:47Z
dc.title.none.fl_str_mv How Reliable Is Endoscopic Stone Recognition? A Comparison Between Visual Stone Identification and Formal Stone Analysis
title How Reliable Is Endoscopic Stone Recognition? A Comparison Between Visual Stone Identification and Formal Stone Analysis
spellingShingle How Reliable Is Endoscopic Stone Recognition? A Comparison Between Visual Stone Identification and Formal Stone Analysis
Henderickx, MMEL
endourology
stone composition
urinary stone analysis
ureterorenoscopy
endoscopic stone recognition
title_short How Reliable Is Endoscopic Stone Recognition? A Comparison Between Visual Stone Identification and Formal Stone Analysis
title_full How Reliable Is Endoscopic Stone Recognition? A Comparison Between Visual Stone Identification and Formal Stone Analysis
title_fullStr How Reliable Is Endoscopic Stone Recognition? A Comparison Between Visual Stone Identification and Formal Stone Analysis
title_full_unstemmed How Reliable Is Endoscopic Stone Recognition? A Comparison Between Visual Stone Identification and Formal Stone Analysis
title_sort How Reliable Is Endoscopic Stone Recognition? A Comparison Between Visual Stone Identification and Formal Stone Analysis
dc.creator.none.fl_str_mv Henderickx, MMEL
Stoots, SJM
De Bruin, DM
Wijkstra, H
Freund, JE
Wiseman, OJ
Ploumidis, A
Skolarikos, A
Somani, BK
Sener, TE
Emiliani, E
Dragos, LB
Villa, L
Talso, M
Daudon, M
Traxer, O
Kronenberg, P
Doizi, S
Tailly, T
Tefik, T
Hendriks, N
Beerlage, HP
Baard, J
Kamphuis, GM
author Henderickx, MMEL
author_facet Henderickx, MMEL
Stoots, SJM
De Bruin, DM
Wijkstra, H
Freund, JE
Wiseman, OJ
Ploumidis, A
Skolarikos, A
Somani, BK
Sener, TE
Emiliani, E
Dragos, LB
Villa, L
Talso, M
Daudon, M
Traxer, O
Kronenberg, P
Doizi, S
Tailly, T
Tefik, T
Hendriks, N
Beerlage, HP
Baard, J
Kamphuis, GM
author_role author
author2 Stoots, SJM
De Bruin, DM
Wijkstra, H
Freund, JE
Wiseman, OJ
Ploumidis, A
Skolarikos, A
Somani, BK
Sener, TE
Emiliani, E
Dragos, LB
Villa, L
Talso, M
Daudon, M
Traxer, O
Kronenberg, P
Doizi, S
Tailly, T
Tefik, T
Hendriks, N
Beerlage, HP
Baard, J
Kamphuis, GM
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv endourology
stone composition
urinary stone analysis
ureterorenoscopy
endoscopic stone recognition
topic endourology
stone composition
urinary stone analysis
ureterorenoscopy
endoscopic stone recognition
description Objective: To assess the diagnostic accuracy and intra-observer agreement of endoscopic stone recognition (ESR) compared with formal stone analysis.Introduction: Stone analysis is a corner stone in the prevention of stone recurrence. Although X-ray diffraction (XRD) and infrared spectroscopy are the recommended techniques for reliable formal stone analysis, this is not always possible, and the process takes time and is costly. ESR could be an alternative, as it would give immediate information on stone composition.Materials and Methods: Fifteen endourologists predicted stone composition based on 100 videos from ureterorenoscopy. Diagnostic accuracy was evaluated by comparing the prediction from visual assessment with stone analysis by XRD. After 30 days, the videos were reviewed again in a random order to assess intra-observer agreement.Results: The median diagnostic accuracy for calcium oxalate monohydrate was 54% in questionnaire 1 (Q1) and 59% in questionnaire 2 (Q2), whereas calcium oxalate dihydrate had a median diagnostic accuracy of 75% in Q1 and 50% in Q2. The diagnostic accuracy for calcium hydroxyphosphate was 10% in Q1 and 13% in Q2. The median diagnostic accuracy for calcium hydrogen phosphate dihydrate and calcium magnesium phosphate was 0% in both questionnaires. The median diagnostic accuracy for magnesium ammonium phosphate was 20% in Q1 and 40% in Q2. The median diagnostic accuracy for uric acid was 22% in both questionnaires. Finally, there was a diagnostic accuracy of 60% in Q1 and 80% in Q2 for cystine. The intra-observer agreement ranged between 45% and 72%.Conclusion: Diagnostic accuracy of ESR is limited and intra-observer agreement is below the threshold of acceptable agreement.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=11974
https://research.tue.nl/en/publications/how-reliable-is-endoscopic-stone-recognition-a-comparison-between
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=11974
https://research.tue.nl/en/publications/how-reliable-is-endoscopic-stone-recognition-a-comparison-between
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MARY ANN LIEBERT, INC
publisher.none.fl_str_mv MARY ANN LIEBERT, INC
dc.source.none.fl_str_mv JOURNAL OF ENDOUROLOGY
ISSN: 08927790
ISSNe: 1557900X
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
collection r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869412590311964672
score 15,811543

Registos relacionados