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Related Concept Videos

Kidney Structure01:45

Kidney Structure

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The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
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Related Experiment Video

Updated: Jun 28, 2025

Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
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UroAngel: a single-kidney function prediction system based on computed tomography urography using deep learning.

Qingyuan Zheng1,2, Xinmiao Ni1,2, Rui Yang1,2

  • 1Department of Urology, Renmin Hospital of Wuhan University, 99 Zhang Zhi-Dong Road, Wuhan, 430060, Hubei, People's Republic of China.

World Journal of Urology
|April 16, 2024
PubMed
Summary
This summary is machine-generated.

A new deep learning system, UroAngel, accurately predicts single-kidney function in obstructive nephropathy patients using CT urography images. This non-invasive method offers a reliable alternative for assessing kidney function and guiding treatment.

Keywords:
Computed tomography urographyConvolutional neural networkDeep learningGlomerular filtration rateObstructive nephropathy

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Nephrology

Background:

  • Accurate estimation of glomerular filtration rate (GFR) is vital for managing obstructive nephropathy (ON).
  • Current methods for assessing single-kidney function in ON can be invasive or lack precision.
  • There is a need for non-invasive and convenient tools to predict kidney function in ON patients.

Purpose of the Study:

  • To develop and validate UroAngel, a deep learning system for non-invasive prediction of single-kidney function in ON patients.
  • To assess the accuracy of UroAngel compared to established equations and expert radiologists.

Main Methods:

  • Retrospective collection of computed tomography urography (CTU) images and reports from 520 ON patients.
  • Utilized a 3D U-Net model for renal parenchyma segmentation.
  • Employed a logistic regression model for renal function level prediction, validated against MDRD, CKD-EPI equations, and expert radiologists.

Main Results:

  • The 3D U-Net model achieved accurate renal cortex segmentation (Dice similarity coefficient: 0.861).
  • UroAngel demonstrated high performance in predicting renal function stage with 0.918 accuracy.
  • UroAngel outperformed MDRD, CKD-EPI equations, and two expert radiologists in predictive accuracy.

Conclusions:

  • An automated 3D U-Net-based system (UroAngel) can directly predict single-kidney function stage from CTU images.
  • UroAngel provides an accurate, reliable, convenient, and non-invasive method for assessing kidney function in ON patients.
  • This deep learning approach represents a novel advancement in managing obstructive nephropathy.