Artificial intelligence in urolithiasis: a systematic review of utilization and effectiveness.

Autor: Altunhan A; Meram School of Medicine, Urology Department, Necmettin Erbakan University, Konya, Türkiye., Soyturk S; Meram School of Medicine, Urology Department, Necmettin Erbakan University, Konya, Türkiye., Guldibi F; Meram School of Medicine, Urology Department, Necmettin Erbakan University, Konya, Türkiye., Tozsin A; School of Medicine, Urology Department, Trakya University, Edirne, Türkiye., Aydın A; Department of Urology, King's College Hospital NHS Foundation Trust, London, UK.; MRC Centre for Transplantation, King's College London, London, UK., Aydın A; Meram School of Medicine, Urology Department, Necmettin Erbakan University, Konya, Türkiye., Sarica K; Department of Urology, Health Sciences University, Prof. Dr. Ilhan Varank Education and Training Hospital, Istanbul, Türkiye.; Department of Urology, Biruni University Medical School, Istanbul, Türkiye., Guven S; Meram School of Medicine, Urology Department, Necmettin Erbakan University, Konya, Türkiye. selcukguven@hotmail.com., Ahmed K; Meram School of Medicine, Urology Department, Necmettin Erbakan University, Konya, Türkiye.; Department of Urology, King's College Hospital NHS Foundation Trust, London, UK.; Sheikh Khalifa Medical City, Abu Dhabi, UAE.; Khalifa University, Abu Dhabi, UAE.
Jazyk: angličtina
Zdroj: World journal of urology [World J Urol] 2024 Oct 17; Vol. 42 (1), pp. 579. Date of Electronic Publication: 2024 Oct 17.
DOI: 10.1007/s00345-024-05268-8
Abstrakt: Purpose: Mirroring global trends, artificial intelligence advances in medicine, notably urolithiasis. It promises accurate diagnoses, effective treatments, and forecasting epidemiological risks and stone passage. This systematic review aims to identify the types of AI models utilised in urolithiasis studies and evaluate their effectiveness.
Methods: The study was registered with PROSPERO. Pubmed, EMBASE, Google Scholar, and Cochrane Library databases were searched for relevant literature, using keywords such as 'urology,' 'artificial intelligence,' and 'machine learning.' Only original AI studies on urolithiasis were included, excluding reviews, unrelated studies, and non-English articles. PRISMA guidelines followed.
Results: Out of 4851 studies initially identified, 71 were included for comprehensive analysis in the application of AI in urolithiasis. AI showed notable proficiency in stone composition analysis in 12 studies, achieving an average precision of 88.2% (Range 0.65-1). In the domain of stone detection, the average precision remarkably reached 96.9%. AI's accuracy rate in predicting spontaneous ureteral stone passage averaged 87%, while its performance in treatment modalities such as PCNL and SWL achieved average accuracy rates of 82% and 83%, respectively. These AI models were generally superior to traditional diagnostic and treatment methods.
Conclusion: The consolidated data underscores AI's increasing significance in urolithiasis management. Across various dimensions-diagnosis, monitoring, and treatment-AI outperformed conventional methodologies. High precision and accuracy rates indicate that AI is not only effective but also poised for integration into routine clinical practice. Further research is warranted to establish AI's long-term utility and to validate its role as a standard tool in urological care.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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