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Dr. Suzanne Merrill

👤 Person
222 total appearances

Appearances Over Time

Podcast Appearances

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

both white light and blue light together, that you really should kind of not, you know, kind of only resect under blue light, for example, that you do want to use both kind of information gained from when you're doing your cystoscopy under white light, as well as the information gained under blue light. And that's where you're going to get the best accuracy.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

both white light and blue light together, that you really should kind of not, you know, kind of only resect under blue light, for example, that you do want to use both kind of information gained from when you're doing your cystoscopy under white light, as well as the information gained under blue light. And that's where you're going to get the best accuracy.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

Yeah, I mean, I guess there's certainly kind of a learning to it. But I think, again, white light is kind of what has been around historically and traditionally. And it's important that blue light again, how this technology works with SysView and this optical imaging agent and that it accumulates most preferential cancer cells.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

Yeah, I mean, I guess there's certainly kind of a learning to it. But I think, again, white light is kind of what has been around historically and traditionally. And it's important that blue light again, how this technology works with SysView and this optical imaging agent and that it accumulates most preferential cancer cells.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

Yeah, I mean, I guess there's certainly kind of a learning to it. But I think, again, white light is kind of what has been around historically and traditionally. And it's important that blue light again, how this technology works with SysView and this optical imaging agent and that it accumulates most preferential cancer cells.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

It can also accumulate in areas of trauma and areas of inflammation, okay, where you have, again, this kind of increased kind of vascularity and heme biosynthesis taking place and these photoactive porphyrins in high accumulation. So, Ultimately, they've looked at with these pivotal studies kind of what the false positive rate is between, you know, use of blue light and white light.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

It can also accumulate in areas of trauma and areas of inflammation, okay, where you have, again, this kind of increased kind of vascularity and heme biosynthesis taking place and these photoactive porphyrins in high accumulation. So, Ultimately, they've looked at with these pivotal studies kind of what the false positive rate is between, you know, use of blue light and white light.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

It can also accumulate in areas of trauma and areas of inflammation, okay, where you have, again, this kind of increased kind of vascularity and heme biosynthesis taking place and these photoactive porphyrins in high accumulation. So, Ultimately, they've looked at with these pivotal studies kind of what the false positive rate is between, you know, use of blue light and white light.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

And there really is not a significant difference between the two. But we do see, again, where the false positives are occurring are occurring at sites of, again, kind of trauma, potentially previous resection sites, especially on the margins. You can see this happen at the areas of scar. Certainly, if there is kind of active inflammation kind of infection is where this can happen.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

And there really is not a significant difference between the two. But we do see, again, where the false positives are occurring are occurring at sites of, again, kind of trauma, potentially previous resection sites, especially on the margins. You can see this happen at the areas of scar. Certainly, if there is kind of active inflammation kind of infection is where this can happen.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

And there really is not a significant difference between the two. But we do see, again, where the false positives are occurring are occurring at sites of, again, kind of trauma, potentially previous resection sites, especially on the margins. You can see this happen at the areas of scar. Certainly, if there is kind of active inflammation kind of infection is where this can happen.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

So it is important to, again, kind of use your judgment compiled together from both the white light and the blue light as to whether or not you decide to take a biopsy, do a full scraping resection.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

So it is important to, again, kind of use your judgment compiled together from both the white light and the blue light as to whether or not you decide to take a biopsy, do a full scraping resection.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

So it is important to, again, kind of use your judgment compiled together from both the white light and the blue light as to whether or not you decide to take a biopsy, do a full scraping resection.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

No, there shouldn't be. We can certainly talk about the logistics. It's important. But one of the things when you do, you take that patient into the OR, they have the SysView in their bladder still. You evacuate it after either if they come in with the catheter clamped or if they're holding it naturally.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

No, there shouldn't be. We can certainly talk about the logistics. It's important. But one of the things when you do, you take that patient into the OR, they have the SysView in their bladder still. You evacuate it after either if they come in with the catheter clamped or if they're holding it naturally.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

No, there shouldn't be. We can certainly talk about the logistics. It's important. But one of the things when you do, you take that patient into the OR, they have the SysView in their bladder still. You evacuate it after either if they come in with the catheter clamped or if they're holding it naturally.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

evacuate it with the catheter, evacuate it with the scope, and then you should actually cycle the bladder with, again, your saline, wash it out, especially if it's sat in the bladder for longer than that recommended dwell time of an hour. It's definitely kind of accumulated more, so the blue light kind of gets a little bit challenging initially unless you cycle the bladder a couple times and look.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

evacuate it with the catheter, evacuate it with the scope, and then you should actually cycle the bladder with, again, your saline, wash it out, especially if it's sat in the bladder for longer than that recommended dwell time of an hour. It's definitely kind of accumulated more, so the blue light kind of gets a little bit challenging initially unless you cycle the bladder a couple times and look.

BackTable Urology
Ep. 186 Blue Light Cystoscopy: Improving Bladder Cancer Detection with Dr. Suzanne Merrill

evacuate it with the catheter, evacuate it with the scope, and then you should actually cycle the bladder with, again, your saline, wash it out, especially if it's sat in the bladder for longer than that recommended dwell time of an hour. It's definitely kind of accumulated more, so the blue light kind of gets a little bit challenging initially unless you cycle the bladder a couple times and look.