{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T06:36:59Z","timestamp":1781851019929,"version":"3.54.5"},"reference-count":22,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\n                      The thulium fiber laser (TFL) generates a focused beam, which can be transmitted to laser fibers with small core diameters and may facilitate\n                      <jats:italic toggle=\"yes\">in situ<\/jats:italic>\n                      lower-pole lithotripsy. This study compares lithotripsy performance of the 150 and 200 \u00b5m TFL in a lower pole benchtop kidney model.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Using a 3D model printed from an actual kidney,\n                      <jats:italic toggle=\"yes\">in situ<\/jats:italic>\n                      laser lithotripsy was performed on 1 cm lower-pole BegoStones (calcium oxalate monohydrate consistency) using four different settings (all 20W) and two fiber sizes (150 and 200 \u00b5m). Procedure time, laser time, total pulse energy, and fiber stripping were compared between the two fibers using an ANOVA or independent\n                      <jats:italic toggle=\"yes\">t-test<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The 150 \u00b5m fiber at 0.2 J \u00d7 100 Hz had the shortest lasing and procedure time (17.3 and 18.5 minutes) and lowest total pulse energy (20.75 kJ) compared with other study arms (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Overall procedure time, lasing time, and total pulse energy were significantly different between the 8 settings (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001 for all). At higher frequency (100 and 200 Hz), lasing time was significantly faster compared with 20 and 50 Hz (19.9\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      27.3 minutes;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Furthermore, the average total procedure time was shorter with 150 \u00b5m compared with 200 \u00b5m regardless of settings (23.2\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      29.8 minutes;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      The 150 \u00b5m fiber results in shorter procedure and lasing time at lower total energy levels during lower-pole\n                      <jats:italic toggle=\"yes\">in situ<\/jats:italic>\n                      lithotripsy. Overall, the fastest setting was 0.2 J and 100 Hz with the 150 \u00b5m fiber. Smaller laser fibers can potentially allow more efficient\n                      <jats:italic toggle=\"yes\">in situ<\/jats:italic>\n                      laser lithotripsy with better irrigation and visibility at higher deflection angles.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2024.0223","type":"journal-article","created":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T12:40:15Z","timestamp":1720010415000},"page":"1104-1109","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Is Bigger Better? Comparison of 150 \u00b5m and 200 \u00b5m Thulium Fiber for\n                    <i>In Situ<\/i>\n                    Lower-Pole Lithotripsy"],"prefix":"10.1177","volume":"38","author":[{"given":"Akin S.","family":"Amasyali","sequence":"first","affiliation":[{"name":"Department of Urology, Loma Linda University Health, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toby","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Urology, Loma Linda University Health, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Urology, Loma Linda University Health, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ala\u2019a","family":"Farkouh","sequence":"additional","affiliation":[{"name":"Department of Urology, Loma Linda University Health, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Jhang","sequence":"additional","affiliation":[{"name":"Department of Urology, Loma Linda University Health, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai Wen","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Urology, Loma Linda University Health, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruby","family":"Kuang","sequence":"additional","affiliation":[{"name":"Department of Urology, Loma Linda University Health, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. Daniel","family":"Baldwin","sequence":"additional","affiliation":[{"name":"Department of Urology, Loma Linda University Health, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Goyne","sequence":"additional","affiliation":[{"name":"Department of Urology, Loma Linda University Health, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Baldwin","sequence":"additional","affiliation":[{"name":"Department of Urology, Loma Linda University Health, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhamshid","family":"Okhunov","sequence":"additional","affiliation":[{"name":"Department of Urology, Loma Linda University Health, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. Duane","family":"Baldwin","sequence":"additional","affiliation":[{"name":"Department of Urology, Loma Linda University Health, Loma Linda, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,1]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2004.18.818"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2013.0436"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.22037\/uj.v0i0.4681"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-014-1395-1"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-019-02654-5"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41585-018-0035-8"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-020-03186-z"},{"issue":"6","key":"e_1_3_4_9_2","first-page":"11371","article-title":"Thulium versus holmium for in situ lower pole laser lithotripsy","volume":"29","author":"Buell MI","year":"2022","unstructured":"Buell MI, , Amasyali AS, , Chen N, et al. 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