Artificial intelligence in stone disease
- PMID: 33965985
- DOI: 10.1097/MOU.0000000000000896
Artificial intelligence in stone disease
Abstract
Purpose of review: Artificial intelligence (AI) is the ability of a machine, or computer, to simulate intelligent behavior. In medicine, the use of large datasets enables a computer to learn how to perform cognitive tasks, thereby facilitating medical decision-making. This review aims to describe advancements in AI in stone disease to improve diagnostic accuracy in determining stone composition, to predict outcomes of surgical procedures or watchful waiting and ultimately to optimize treatment choices for patients.
Recent findings: AI algorithms show high accuracy in different realms including stone detection and in the prediction of surgical outcomes. There are machine learning algorithms for outcomes after percutaneous nephrolithotomy, extracorporeal shockwave lithotripsy, and for ureteral stone passage. Some of these algorithms show better predictive capabilities compared to existing scoring systems and nomograms.
Summary: The use of AI can facilitate the development of diagnostic and treatment algorithms in patients with stone disease. Although the generalizability and external validity of these algorithms remain uncertain, the development of highly accurate AI-based tools may enable the urologist to provide more customized patient care and superior outcomes.
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
References
-
- Frankish K, Ramsey WM. The Cambridge handbook of artificial intelligence. Cambridge, UK: Cambridge University Press; 2014.
-
- Fulgham PF, Assimos DG, Pearle MS, Preminger GM. Clinical effectiveness protocols for imaging in the management of ureteral calculous disease: AUA technology assessment. J Urol 2013; 189:1203–1213.
-
- Längkvist M, Jendeberg J, Thunberg P, et al. Computer aided detection of ureteral stones in thin slice computed tomography volumes using Convolutional Neural Networks. Comput Biol Med 2018; 97:153–160.
-
- Parakh A, Lee H, Lee JH, et al. Urinary stone detection on CT images using deep convolutional neural networks: evaluation of model performance and generalization. Radiol Artif Intell 2019; 1:e180066.
-
- Jendeberg J, Thunberg P, Lidén M. Differentiation of distal ureteral stones and pelvic phleboliths using a convolutional neural network. Urolithiasis 2021; 49:41–49.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Research Materials