Drainage in ureteropelvic junction obstruction, Hydronephrosis.

Article DOIhttps://doi.org/10.1016/j.jpurol.2022.12.017
ObjectiveTo analyze MAG3 renal scans using machine learning to predict renal complications in prenatal hydronephrosis
AI Approach2 model approaches:
1. CNN
2. Random forrest (RF)
Data Source(s)Single institutional series (152 patients)
Model InputCNN: Radiotracer concentration on MAG3 study images, over time
RF: Age, sex, race, laterality, differential function measurements, T1/2
Model OutcomeRenal complications (defined as decline of greater than 5% in renal function of the affected kidney, increased parenchymal thinning on US, worsening hydronephrosis, new onset flank pain, or occurrence of pyelonephritis)
Model MetricsCNN:
AUC: 0.78
Accuracy: 73%
 
RF:
AUC: 0.67
Accuracy: 0.62
Model UsabilityNA

AI = Artificial intelligence, SFU = Society for Fetal Urology, CNN = Convolutional Neural Network

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