Artigo Revisado por pares

ANATOMY OF URETEROVESICAL JUNCTION AND DISTAL URETER STUDIED BY ENDOLUMINAL ULTRASONOGRAPHY IN VITRO

1999; Lippincott Williams & Wilkins; Volume: 161; Issue: 5 Linguagem: Inglês

10.1016/s0022-5347(05)68993-8

ISSN

1527-3792

Autores

Hossain Roshani, N.F. Dabhoiwala, Fons J. Verbeek, K. H. Kurth, Wouter H. Lamers,

Tópico(s)

Pediatric Urology and Nephrology Studies

Resumo

No AccessJournal of UrologyInvestigative Urology1 May 1999ANATOMY OF URETEROVESICAL JUNCTION AND DISTAL URETER STUDIED BY ENDOLUMINAL ULTRASONOGRAPHY IN VITRO H. ROSHANI, N.F. DABHOIWALA, F.J. VERBEEK, K.H. KURTH, and W.H. LAMERS H. ROSHANIH. ROSHANI , N.F. DABHOIWALAN.F. DABHOIWALA , F.J. VERBEEKF.J. VERBEEK , K.H. KURTHK.H. KURTH , and W.H. LAMERSW.H. LAMERS View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)68993-8AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The emerging technique of endoluminal ultrasonography (ELUS) provides a new modality for endoscopic visualization of the urinary tract which needs to be further evaluated. We studied the normal anatomy of distal ureter and ureterovesical junction using ELUS. Materials and Methods: An assessment of in vitro ELUS ureteric images undertaken at 1 mm. intervals from 8 fresh human cadaver pelvis blocs of bladder and distal ureter were compared with findings of serial histological sections of the same specimens (stained for cholinesterase isoenzymes) to assess the degree of correlation. Computer-assisted 3D reconstructions were made. Results: The different components (ureteric, detrusor and periureteric tissue) of the UVJ could be identified on the basis of echogenicity and form, but differentiation between the respective muscle layers in the wall of the ureter or of the detrusor was not possible. Nevertheless, ureteric volume measurements and an assessment of transmural ureteric length and the angle of passage through the bladder wall were possible. Conclusions: ELUS is able to differentiate between the ureteric and detrusor muscle and the UVJ gross anatomy can be reconstructed. ELUS technology, however, fails to differentiate between individual muscular layers of the ureter or the detrusor. Further improvement in ELUS is mandatory. References 1 : The anatomy and function of the ureterovesical junction. Br. J. Urol.1963; 35: 151. Google Scholar 2 : Anatomical aspects of vesicoureteral reflux. In: . Berlin: Springer Verlag1973: 171. Google Scholar 3 : Cross and microscopic anatomy of the urinary bladder. In: . London: Gower1984: 16. Google Scholar 4 : Histological and histochemical study of the vesicoureteric junction in infancy and childhood. Br. J. Urol.1993; 72: 648. Google Scholar 5 : Anatomy and function of the ureteral sheath. J. Urol.1972; 102: 224. Google Scholar 6 : The functional anatomy of the ureterovesical junction. Br. J. Urol.1994; 73: 284. Google Scholar 7 : Functional anatomy of the human ureterovesical junction. Anat. Rec.1996; 254: 645. Google Scholar 8 : Vesicoureteral reflux. In: . Philadelphia: W. B. Saunders1979: 1605. Google Scholar 9 : Vesicoureteral reflux. In: . Los Altos, CA: Lange Medical Publications1975: 128. Google Scholar 10 : The long term follow-up of surgically treated vesicoureteric reflux. Br. J. Urol.1978; 50: 479. Google Scholar 11 : Endoluminal US: experiments with nonvascular uses in animals. Radiol.1990; 175: 431. Google Scholar 12 : Direct-colouring thiocholine method for cholinesterases. J. Histochem. Cytochem.1964; 12: 219. Google Scholar 13 : 3D base: a geometrical data base system for the analysis and visualisation of 3D-shapes obtained from parallel serial sections including three different geometrical representation. Comp. Med. Imag. & Graph.1993; 17: 131. Google Scholar 14 : Design and implementation of a database and program for 3D reconstruction from serial sections: a data-driven approach. Microsc. Res. & Techn.1995; 30: 496. Google Scholar 15 : Diagnosis of pelvi-ureteral duplication by ultrasonically-guided antegrade pyelography. Eur. J. Ultras.1995; 2: 215. Google Scholar 16 : Mechanical scanning in intravascular ultrasound imaging: artefacts and driving mechanisms. Eur. J. Ultras.1995; 2: 227. Google Scholar 17 : Ultrasonic computer imaging of the prostate; correlation between longitudinal and transverse texture description. Eur. J. Ultras.1995; 2: 145. Google Scholar 18 : Transabdominal and endoluminal ultrasonic scanning of the lower ureter. Scand. J. Urol. Nephrol.1994; 157: 19. Google Scholar 19 : Use of endoluminal ultrasound of the ureter. Semin. Urol.1992; 10: 194. Google Scholar 20 : Endoluminal urologic ultrasound. Scand. J. Urol. Nephrol.1991; 137: 147. Google Scholar From the Departments of Urology, Neurology, Anatomy and Embryology, University of Amsterdam, Academic Medical Center Amsterdam, The Netherlands.Accepted for publication October 21, 1998.(Lamers) Requests for reprints: Department of Anatomy and Embryology, University of Amsterdam, Academic Medical Center (AMC), Meibergdreef 15, 1105 AZ, Amsterdam, The Netherlands.Supported by a grant from the J.L. Emmett Foundation.© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byROSHANI H, DABHOIWALA N, DIJKHUIS T, KURTH K and LAMERS W (2018) AN IN VIVO ENDOLUMINAL ULTRASONOGRAPHIC STUDY OF PERISTALTIC ACTIVITY IN THE DISTAL PORCINE URETERJournal of Urology, VOL. 163, NO. 2, (602-606), Online publication date: 1-Feb-2000. Volume 161Issue 5May 1999Page: 1614-1619 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.MetricsAuthor Information H. ROSHANI More articles by this author N.F. DABHOIWALA More articles by this author F.J. VERBEEK More articles by this author K.H. KURTH More articles by this author W.H. LAMERS More articles by this author Expand All Advertisement PDF downloadLoading ...

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