Evidence map›Paper›PMID 32130734›Full record

ArticleMedical physics2020

A multimodal computer-aided diagnostic system for precise identification of renal allograft rejection: Preliminary results.

Mohamed Shehata, Ahmed Shalaby, Andrew E Switala, Maryam El-Baz, Mohammed Ghazal, Luay Fraiwan, Ashraf Khalil, Mohamed Abou El-Ghar, Mohamed Badawy, Ashraf M Bakr and 5 more

Open access · greenAbstract read
In one paragraph

Article in Medical physics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Artificial intelligence and kidney transplantation.World journal of transplantation · 2021
    Review
  9. Artificial intelligence and machine learning for medical imaging: A technology review.Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2021
    Review
  10. Article
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

15 authors at 4 institutions in 3 countries.

Mohamed ShehataBioImaging Lab, Department of Bioengineering, University of Louisville, Louisville, KY, 40208, USA.
Ahmed ShalabyBioImaging Lab, Department of Bioengineering, University of Louisville, Louisville, KY, 40208, USA.
Andrew E SwitalaBioImaging Lab, Department of Bioengineering, University of Louisville, Louisville, KY, 40208, USA.
Maryam El-BazBioImaging Lab, Department of Bioengineering, University of Louisville, Louisville, KY, 40208, USA.
Mohammed GhazalElectrical and Computer Engineering Department, Abu Dhabi University, Abu Dhabi, 59911, UAE.
Luay FraiwanElectrical and Computer Engineering Department, Abu Dhabi University, Abu Dhabi, 59911, UAE.
Ashraf KhalilComputer Science and Information Technology Department, Abu Dhabi University, Abu Dhabi, 59911, UAE.
Mohamed Abou El-GharUrology and Nephrology Center, Radiology Department, Mansoura University, Mansoura, 35516, Egypt.
Mohamed BadawyUrology and Nephrology Center, Radiology Department, Mansoura University, Mansoura, 35516, Egypt.
Ashraf M BakrPediatric Nephrology Unit, Mansoura University Children's Hospital, University of Mansoura, Mansoura, 35516, Egypt.
Amy DwyerKidney Disease Program, University of Louisville, Louisville, KY, 40202, USA.
Adel ElmaghrabyComputer Engineering and Computer Science Department, University of Louisville, Louisville, KY, 40208, USA.
Guruprasad GiridharanDepartment of Bioengineering, University of Louisville, Louisville, KY, 40208, USA.
Robert KeyntonDepartment of Bioengineering, University of Louisville, Louisville, KY, 40208, USA.
Ayman El-BazDepartment of Bioengineering, University of Louisville, Louisville, KY, 40208, USA.
University of Louisville · USAbu Dhabi University · AEMansoura University · EGChildren's Hospital Mansoura 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 AI135924NIH HHS 1R15AI135924-01A1
6 · The paper itself

Abstract

purposeEarly assessment of renal allograft function post-transplantation is crucial to minimize and control allograft rejection. Biopsy - the gold standard - is used only as a last resort due to its invasiveness, high cost, adverse events (e.g., bleeding, infection, etc.), and the time for reporting. To overcome these limitations, a renal computer-assisted diagnostic (Renal-CAD) system was developed to assess kidney transplant function.

methodsThe developed Renal-CAD system integrates data collected from two image-based sources and two clinical-based sources to assess renal transplant function. The imaging sources were the apparent diffusion coefficients (ADCs) extracted from 47 diffusion-weighted magnetic resonance imaging (DW-MRI) scans at 11 different b-values (b0, b50, b100, ..., b1000 s/mm

resultsUsing a leave-one-subject-out cross-validation approach along with SAEs, the Renal-CAD system demonstrated 93.3% accuracy, 90.0% sensitivity, and 95.0% specificity in differentiating AR from NR. Robustness of the Renal-CAD system was also confirmed by the area under the curve value of 0.92. Using a stratified tenfold cross-validation approach, the Renal-CAD system demonstrated its reproducibility and robustness by a diagnostic accuracy of 86.7%, sensitivity of 80.0%, specificity of 90.0%, and AUC of 0.88.

conclusionThe obtained results demonstrate the feasibility and efficacy of accurate, noninvasive identification of AR at an early stage using the Renal-CAD system.

Indexed as

Kidney TransplantationAllograftsComputersDiffusion Magnetic Resonance ImagingKidneyReproducibility of ResultsADCCrClMultimodal imagingR2*Renal-CADSAEsSCr

Identifiers

PMID32130734
PMCPMC8524762
OpenAlexW3010505543

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.