Evidence map›Paper›PMID 36931980›Full record

ArticleMayo Clinic proceedings2023

Clinical Implementation of an Artificial Intelligence Algorithm for Magnetic Resonance-Derived Measurement of Total Kidney Volume.

Theodora A Potretzke, Panagiotis Korfiatis, Daniel J Blezek, Marie E Edwards, Jason R Klug, Cole J Cook, Adriana V Gregory, Peter C Harris, Fouad T Chebib, Marie C Hogan and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Mayo Clinic proceedings, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
8.8field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Foam sclerotherapy for symptomatic cysts in ADPKD, ADPLD and solitary cysts.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Observational
  5. Reporting ADPK Disease Phenotypes on Abdominal Scans.Kidney international reports · 2025
    Article
  6. Intergenerational Enlargement of Human Organs as a Driver of Increased Cancer Risk?BioEssays : news and reviews in molecular, cellular and developmental biology · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. MRI of kidney size matters.Magma (New York, N.Y.) · 2024
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 4 institutions in 1 country.

Theodora A PotretzkeDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Panagiotis KorfiatisDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Daniel J BlezekDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Marie E EdwardsDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Jason R KlugDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Cole J CookDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Adriana V GregoryDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Peter C HarrisDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
Fouad T ChebibDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
Marie C HoganDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
Vicente E TorresDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
Candice W BolanDepartment of Radiology, Mayo Clinic, Jacksonville, FL, USA.
Kumaresan SandrasegaranDepartment of Radiology, Mayo Clinic, Phoenix, AZ, USA.
Akira KawashimaDepartment of Radiology, Mayo Clinic, Phoenix, AZ, USA.
Jeremy D CollinsDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Naoki TakahashiDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Robert P HartmanDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Eric E WilliamsonDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Bernard F KingDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Matthew R CallstromDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Bradley J EricksonDepartment of Radiology and Mayo Clinic, Rochester, MN, USA.
Timothy L KlineDepartment of Radiology and Mayo Clinic, Rochester, MN, USA; Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA. Electronic address: kline.timothy@mayo.edu.
Mayo Clinic in Arizona · USMayo Clinic · USMayo Clinic Hospital · USWinnMed · US

Funding

Advanced MR Imaging and Image Analytics as a Precision Medicine Tool to Manage ADPKDK01DK110136 · NIDDK · MAYO CLINIC ROCHESTER · PI KLINE, TIMOTHY LEE · 2017 to 2021
$732k
Artificial Intelligence-Based Approaches for Renal Structure Characterization in Computed Tomography ImagesR03DK125632 · NIDDK · MAYO CLINIC ROCHESTER · PI KLINE, TIMOTHY LEE · 2020 to 2021
$233k
NIDDK NIH HHS K01 DK110136NIDDK NIH HHS R03 DK125632
6 · The paper itself

Abstract

objectiveTo evaluate the performance of an internally developed and previously validated artificial intelligence (AI) algorithm for magnetic resonance (MR)-derived total kidney volume (TKV) in autosomal dominant polycystic kidney disease (ADPKD) when implemented in clinical practice. PATIENTS AND

methodsThe study included adult patients with ADPKD seen by a nephrologist at our institution between November 2019 and January 2021 and undergoing an MR imaging examination as part of standard clinical care. Thirty-three nephrologists ordered MR imaging, requesting AI-based TKV calculation for 170 cases in these 161 unique patients. We tracked implementation and performance of the algorithm over 1 year. A radiologist and a radiology technologist reviewed all cases (N=170) for quality and accuracy. Manual editing of algorithm output occurred at radiology or radiology technologist discretion. Performance was assessed by comparing AI-based and manually edited segmentations via measures of similarity and dissimilarity to ensure expected performance. We analyzed ADPKD severity class assignment of algorithm-derived vs manually edited TKV to assess impact.

resultsClinical implementation was successful. Artificial intelligence algorithm-based segmentation showed high levels of agreement and was noninferior to interobserver variability and other methods for determining TKV. Of manually edited cases (n=84), the AI-algorithm TKV output showed a small mean volume difference of -3.3%. Agreement for disease class between AI-based and manually edited segmentation was high (five cases differed).

conclusionPerformance of an AI algorithm in real-life clinical practice can be preserved if there is careful development and validation and if the implementation environment closely matches the development conditions.

Indexed as

Polycystic Kidney, Autosomal DominantAdultAlgorithmsArtificial IntelligenceHumansKidneyMagnetic Resonance ImagingMagnetic Resonance Spectroscopy

Identifiers

PMID36931980
PMCPMC10159957
OpenAlexW4327605992

What OpenQuestion holds

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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.