O.I. Apolikhin1, I.A. Kudashov2, A.V. Scherbachev3, M.Yu. Prosyannikov4, N.V. Anokhin5, A.V. Kolpakov6, A.V. Pavlov7

1–3,6,7 Bauman Moscow State Technical University (Moscow, Russia)

4,5 N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation (Moscow, Russia)

1 apolihinoi@bmstu.ru, 2 KydashovV@mail.ru, 3 sa0211825@gmail.com, 4 prosyannikov@gmail.com, 5 anokhinnikolay@yandex.ru, 6 Alexanderkolpakov@bmstu.ru, 7 pavlov@bmstu.ru

Epidemiological data over the past 30 years show a significant increase in the incidence of kidney stone disease in the general population. kidney stone disease accounts for up to 34% of patients with urologic diseases and up to 40% of inpatients. There has been a steady increase in the incidence of kidney stone disease in Russia since 2005, averaging 2-3% per year. In 2019, its prevalence was 754.5 per 100,000 population.

To improve the efficiency of laser lithotripsy, the task of developing a feedback unit allowing automatic correction of laser radiation parameters in the course of surgery is topical. Determination of the possibility of developing feedback in contact lithotripsy based on measuring the parameters of the reflectance spectra of renal concrements.

Currently, the most common technique in clinical practice for the destruction and disintegration of urinary stones is laser lithotripsy. The development of this direction, in particular the development of a feedback unit for stone classification, will make it possible to automatically adjust the parameters of laser radiation, which will significantly reduce the temperature impact on the renal parenchyma and increase the efficiency of renal stone destruction, which will reduce the recovery time of patients after lithotripsy procedures.

The experimental results obtained in the article are of great practical importance for the development of an optical feedback unit for contact laser lithotripsy.

Apolikhin O.I., Kudashov I.A., Scherbachev A.V., Prosyannikov M.Yu., Anokhin N.V., Kolpakov A.V., Pavlov A.V. Study of the possibility of using reflectance spectroscopy to construct a feedback unit for contact laser lithotripsy. Biomedicine Radioengineering. 2023. V. 26. № 5. Р. 33-44. DOI: https://doi.org/10.18127/j15604136-202305-04 (In Russian).

1. Lopatkin N.A. Urologiya. Natsionalnoye rukovodstvo. M.: Geotar-Media. 2013. S. 610–636. (in Russian).
2. Komyakov B.K. Urologiya. 2-e izd. Moskva: Geotar-Media. 2018. 480 s. (in Russian).
3. Türk C., Neisius A., Petrik A. et al. EAU Guidelines on urolithiasis. European Association of Urology. 2020. V. 87.
4. Belay S.I., Dovbysh M.A., Belay I.M. Mochekamennaya bolezn: aktualnost voprosa i perspektivy ego razvitiya. Vestnik Vitebskogo gosudarstvennogo meditsinskogo universiteta. 2016. T. 15(5). S. 19–26. (in Russian).
5. Romero V., Akpinar H., Assimos D.G. Kidney stones: a global рicture of рrevalence, incidence, and associated risk factors. Rev. Urol. 2010. V. 12(2–3). P. 86–96.
6. Apolikhin O.I., Sivkov A.V., Moskaleva N.G. i dr. Analiz uronefrologicheskoy zabolevayemosti i smertnosti v Rossiyskoy Federatsii za desyatiletniy period (2002–2012 gg.) po dannym ofitsialnoy statistiki. Eksperimentalnaya i klinicheskaya urologiya. 2014. T. 2. S. 4–13. (in Russian).
7. Moe O.W. Kidney stones: pathophysiology and medical management. Lancet. 2006. V. 367(9507). P. 333–344.
8. Ramello A., Vitale C., Marangella D. Epidemiology of nephrolithiasis. J. Nephrol. 2000. V. 13. Suppl. 3. P. 45–50.
9. Khan A.S., Rai M.E., Gandapur G., Pervaiz A., Shah A.H., Hussain A.A., Siddiq M. Epidemiological risk factors and composition of urinary stones in Riyadh Saudi Arabia. J. Ayub. Med. Coll. Abbottabad. 2004. V. 16(3). P. 56–58.
10. Bartoletti R., Cai T., Mondaini N., Melone F., Travaglini F., Carini M., Rizzo M. Epidemiology and risk factors in urolithiasis. Urol. Int. 2007. V. 79. Suppl 1. P. 3–7.
11. Geraghty R.M., Cook P., Walker V., Somani B.K. Evaluation of the economic burden of kidney stone disease in the UK: a retrospective cohort study with a mean follow-up of 19 years. BJU Int. 2020. V. 125(4). P. 586–594.
12. Stamatelou K.K., Francis M.E., Jones C.A., Nyberg L.M., Curhan G.C. Time trends in reported prevalence of kidney stones in the United States: 1976-1994. Kidney Int. 2003. V. 63(5). P. 1817–1823.
13. Abrahams H.M., Meng, M.V., Stoller M.L. Urinary stone disease. New Jersey. 2007. P. 157–175.
14. Morgan M.S., Pearle M.S. Medical management of renal stones. BMJ. 2016. P. 352–364.
15. Prezioso D., Illiano E., Piccinocchi G., Cricelli C., Piccinocchi R., Saita A., Micheli C., Trinchieri A. Urolithiasis in Italy: an epidemiological study. Arch. Ital. Urol. Androl. 2014. V. 86(2). P. 99–102.
16. Wolf J.S., Schwartz B.F., Talavera F., O'Connor R.E. Nephrolithiasis [Электронный ресурс] – Режим доступа: Emedicine.medscape.com. (дата обращения: 27.05.2022).
17. Liu Y., Chen Y., Liao B., Luo D., Wang K., Li H., Zeng G. Epidemiology of urolithiasis in Asia. Asian J. Urol. 2018. V. 5(4). P. 205–214.
18. Yoshida O., Okada Y. Epidemiology of urolithiasis in Japan: a chronological and geographical study. Urol. Int. 1990. V. 45(2). P. 104–111.
19. Scales C.D.Jr., Smith A.C., Hanley J.M., Saigal C.S. Urologic Diseases in America Project. Prevalence of kidney stones in the United States. Eur. Urol. 2012. V. 62(1). P. 160–165.
20. Menard O., Murez T., Bertrand J., Daille A.M., Cabaniols L., Robert M., Thuret R. Épidémiologie des calculs urinaires dans le Sud de la France: étude rétrospective monocentrique [Epidemiology of urolithiasis in south of France: A retrospective monocentric study]. Prog. Urol. 2016. V. 26(6). P. 339–345.
21. Daudon M., Traxer O., Lechevallier E., Saussine C. Epidémiologie des lithiases urinaires [Epidemiology of urolithiasis]. Prog. Urol. 2008. V. 18(12). P. 802–814.
22. Apolikhin O.I., Sivkov A.V., Komarova V.A., Prosyannikov M.Yu., Golovanov S.A., Kazachenko A.V., Nikushina A.A., Shaderkina V.A. Zabolevayemost mochekamennoy boleznyu v Rossiyskoy Federatsii (2005-2016 gody). Eksperimentalnaya i klinicheskaya urologiya. 2018. № 4. S. 4–14. (in Russian).
23. Prosyannikov M.Yu. Golovanov S.A., Konstantinova O.V. i dr. Izucheniye problemy mochekamennoy bolezni v NII urologii: istoriya. nastoyashcheye i perspektivy. Eksperimentalnaya i klinicheskaya urologiya. 2019. T. (1). S. 70–76. (in Russian).
24. Gadzhiev N., Prosyannikov M., Sivkov A., Apolikhin O., Kaprin A., Malkhasyan V., Akopyan G., Somani B. Urolithiasis prevalence in the Russian Federation: analysis of trends over a 15-year period. World Journal of Urology. 2021. V. 39. № 10. P. 3939–3944. (in Russian).
25. Nikonov A.V., Davletshin R.V., Yakovleva N.I., Lazarev P.S. Filtratsiya metodom Savitskogo-Goleya spektralnykh kharakteristik chuvstvitelnosti matrichnykh fotopriyemnykh ustroystv. Uspekhi prikladnoy fiziki. 2016. T. 4. № 2. S. 198–205. (in Russian).
26. Shafarevich I.R., Remizov A.O. Lineynaya algebra i geometriya. M.: Fizmatlit. 2009. (in Russian).
27. Shcherbachev A.V., Kudashov I.A., Itkin G.P., Bychkov E.A., Govorin A.N. Approksimatsionnaya model dlya izmereniya konech-nogo diastolicheskogo obyema iskusstvennogo zheludochka serdtsa. Biomeditsinskaya radioelektronika. 2022. T. 25. № 5. S. 32–38. DOI: https://doi.org/10.18127/j15604136-202205-04 (in Russian).
28. Shcherbachev A.V., Kudashov I.A., Shchukin S.I., Itkin G.P., Galyamov A.Z., Bychkov E.A. Razrabotka elektrodnoy sistemy dlya nepreryvnogo izmereniya obyema iskusstvennogo zheludochka serdtsa. Biomeditsinskaya radioelektronika. 2021. T. 24. № 5. S. 41–46. DOI: 10.18127/j15604136-202105-05 (in Russian).