Evidence map›Paper›PMID 30976081›Full record

ArticleScientific reports2019

A Novel CNN-Based CAD System for Early Assessment of Transplanted Kidney Dysfunction.

Hisham Abdeltawab, Mohamed Shehata, Ahmed Shalaby, Fahmi Khalifa, Ali Mahmoud, Mohamed Abou El-Ghar, Amy C Dwyer, Mohammed Ghazal, Hassan Hajjdiab, Robert Keynton and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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  18. Artificial intelligence and kidney transplantation.World journal of transplantation · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 3 countries.

Hisham AbdeltawabBioengineering Department, University of Louisville, Louisville, KY, USA.
Mohamed ShehataBioengineering Department, University of Louisville, Louisville, KY, USA.ORCID http://orcid.org/0000-0001-6640-6183
Ahmed ShalabyBioengineering Department, University of Louisville, Louisville, KY, USA.
Fahmi KhalifaBioengineering Department, University of Louisville, Louisville, KY, USA.ORCID http://orcid.org/0000-0003-3318-2851
Ali MahmoudBioengineering Department, University of Louisville, Louisville, KY, USA.
Mohamed Abou El-GharRadiology Department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Amy C DwyerKidney Disease Program, University of Louisville, Louisville, KY, USA.
Mohammed GhazalBioengineering Department, University of Louisville, Louisville, KY, USA.
Hassan HajjdiabElectrical and Computer Engineering Department, Abu Dhabi University, Abu Dhabi, UAE.
Robert KeyntonBioengineering Department, University of Louisville, Louisville, KY, USA.
Ayman El-BazBioengineering Department, University of Louisville, Louisville, KY, USA. aselba01@louisville.edu.ORCID http://orcid.org/0000-0001-7264-1323
University of Louisville · USAbu Dhabi University · AEMansoura University · EG

Funding

Big data in acute renal rejectionR15AI135924 · NIAID · UNIVERSITY OF LOUISVILLE · PI EL-BAZ, AYMAN S · 2018 to 2018
$455k
NIAID NIH HHS R15 AI135924
6 · The paper itself

Abstract

This paper introduces a deep-learning based computer-aided diagnostic (CAD) system for the early detection of acute renal transplant rejection. For noninvasive detection of kidney rejection at an early stage, the proposed CAD system is based on the fusion of both imaging markers and clinical biomarkers. The former are derived from diffusion-weighted magnetic resonance imaging (DW-MRI) by estimating the apparent diffusion coefficients (ADC) representing the perfusion of the blood and the diffusion of the water inside the transplanted kidney. The clinical biomarkers, namely: creatinine clearance (CrCl) and serum plasma creatinine (SPCr), are integrated into the proposed CAD system as kidney functionality indexes to enhance its diagnostic performance. The ADC maps are estimated for a user-defined region of interest (ROI) that encompasses the whole kidney. The estimated ADCs are fused with the clinical biomarkers and the fused data is then used as an input to train and test a convolutional neural network (CNN) based classifier. The CAD system is tested on DW-MRI scans collected from 56 subjects from geographically diverse populations and different scanner types/image collection protocols. The overall accuracy of the proposed system is 92.9% with 93.3% sensitivity and 92.3% specificity in distinguishing non-rejected kidney transplants from rejected ones. These results demonstrate the potential of the proposed system for a reliable non-invasive diagnosis of renal transplant status for any DW-MRI scans, regardless of the geographical differences and/or imaging protocol.

Indexed as

AlgorithmsNeural Networks, ComputerAdolescentAdultAgedDiagnosis, Computer-AssistedDiffusion Magnetic Resonance ImagingFemaleFollow-Up StudiesGlomerular Filtration RateGraft RejectionGraft SurvivalHumansImage Interpretation, Computer-AssistedKidney Function TestsKidney Transplantation

Identifiers

PMID30976081
PMCPMC6459833
OpenAlexW2938497713

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.