人工智能混合现实技术在特殊类型复杂性上尿路结石经皮肾镜手术规划中的应用.pdfVIP

586JModUrol,Vol.29No.7Jul.2024

·机器人微创专题·

人工智能混合现实技术在特殊类型复杂性上尿路结石经皮肾镜手术规划

中的应用

刘宇保，宋海峰，王碧霄，肖博，胡卫国，苏博兴，刘晕，徐瑞，罗智超，李建兴

（清华大学附属北京清华长庚医院泌尿外科，清华大学临床医学院，北京102218)

ApplicationofAI-MRintheplanningofPCNLforspecialtypesofcomplexupper

urinarystones

LIUYubao,SONGHaifeng,WANGBixiao,XIAOBo,HUWeiguo,SUBoxing,LIUHui,XURui,

LUOZhichao,LIJianxing

(DepartmentofUrology,BeijingTsinghuaChanggungHospital,SchoolofClinicalMedicine,Tsinghua

University,Beijing102218,China)

ABSTRACT:ObjectiveToevaluatetheapplicationvalueofartificialintelligencemixedreality(AI-MR)technologyinthe

planningofultrasound-guidedpercutaneousnephrolithotomy(PCNL)forspecialtypesofcomplexupperurinarystones.

MethodsTheprospectivesingle-center,single-armclinicalstudyinvolved15patientswithcomplexupperurinarystones

undergoingultrasound-guidedPCNLduringAug.2022andMay2023,including9maleand6female,3casesofpelvicectopic

kidneystones,5casesofhorseshoekidneystones,3casesofrenalstonescombinedwithspinaldeformity,and4casesof

transplantkidneystones.Basedonpreoperativecomputedtomographyurography(CTU)data,digitalthree-dimensional

reconstructionwasperformed,andAl-MRwasusedtoprojectsurgery-relatedthree-dimensionalimagesinrealspacetoobtain

“perspectiveinformationofthesurgicalarea.Thisfacilitatedpreoperativedesignandplanning,includingtargetcalyx,number

ofchannels,andauxiliarymeasures.Thecomplianceoftargetcalyxandnumberofchannels,stoneclearancerate,totaloperation

time,timerequiredtoestablishthepercutaneousrenalchannel,decreaseinhemoglobinlevel,surgicalcomplications,and

postoperativehospitalstaywereanalyzed.ResultsAll15patientsunderwentpreoperativeplanningusingAI-MRand

successfullycompletedone-stageultrasound-guidedPCNL