ArticleBJU international2021
Toward improved endoscopic examination of urinary stones: a concordance study between endoscopic digital pictures vs microscopy.
Article in BJU international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 33 citations in OpenAlex.
- Rock-on or crumble: Do kidney stones pass the test of time? A European Association of Urology Section of Endourology study.Asian journal of urology · 2026Article
- Comprehensive analysis of 55,213 stones: understanding common morphological associations advances endoscopic stone recognition and AI integration.World journal of urology · 2025Article
- Agreement Between Visual Assessment of Urinary Stones Morphology During Endo-Urological Procedure and Fourier Transform Infrared Spectroscopy-based Composition Analysis: An Observational Study.JNMA; journal of the Nepal Medical Association · 2025Observational
- Direct in-scope suction: an in vitro evaluation of a single use flexible ureteroscope with integrated suction capability.World journal of urology · 2024Article
- Advancements in stone classification: unveiling the beauty of urolithiasis.World journal of urology · 2024Review
- Predicting Urinary Stone Composition in Single-Use Flexible Ureteroscopic Images with a Convolutional Neural Network.Medicina (Kaunas, Lithuania) · 2023Article
- On the rocks: can urologists identify stone composition based on endoscopic images alone? A worldwide survey of urologists.World journal of urology · 2023Article
- Evaluation and understanding of automated urinary stone recognition methods.BJU international · 2022Article
- Towards automatic recognition of pure and mixed stones using intra-operative endoscopic digital images.BJU international · 2022Article
- Endoscopic Papillary Abnormalities and Stone Recognition (EPSR) during Flexible Ureteroscopy: A Comprehensive Review.Journal of clinical medicine · 2021Review
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Authors and funding
9 authors at 4 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo improve endoscopic recognition of the most frequently encountered urinary stone morphologies for a better aetiological approach in lithiasis by urologists. MATERIALS AND
methodsAn expert urologist intraoperatively and prospectively (between June 2015 and June 2018) examined the surface, the section, and the nucleus of all encountered kidney stones. Fragmented stones were subsequently analysed by a biologist based on both microscopic morphological (i.e. binocular magnifying glass) and infrared (i.e. Fourier transform-infrared spectroscopy) examinations (microscopists were blinded to the endoscopic data). Morphological criteria were collected and classified for the endoscopic and microscopic studies. The Wilcoxon-Mann-Whitney test was used to detect differences between the endoscopic and microscopic diagnoses. A diagnosis for a given urinary stone was considered 'confirmed' for a non-statistically significant difference.
resultsA total of 399 urinary stones were included in this study: 51.4% of the stones had only one morphological type, while 48.6% were mixed stones (41% had at least two morphologies and 7.6% had three morphologies). The overall matching rate was 81.6%. Diagnostics were confirmed for the following morphologies: whewellite (Ia or Ib), weddellite (IIa or IIb), uric acid (IIIa or IIIb), carbapatite-struvite association (IVb), and brushite (IVd).
conclusionsOur preliminary study demonstrates the feasibility of using endoscopic morphology for the most frequently encountered urinary stones and didactic boards of confirmed endoscopic images are provided. The present study constitutes the first step toward endoscopic stone recognition, which is essential in lithiasis. We provide didactic boards of confirmed endoscopic images that pave the way for automatic computer-aided in situ recognition.
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