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ArticleInternational urology and nephrology2024

Prediction of spontaneous distal ureteral stone passage using artificial intelligence.

Tugay Aksakalli, Isil Karabey Aksakalli, Ahmet Emre Cinislioglu, Adem Utlu, Saban Oguz Demirdogen, Feyzullah Celik, Ibrahim Karabulut

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Article in International urology and nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Tugay AksakalliDepartment of Urology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey. tugay_daydreamer@hotmail.com.ORCID http://orcid.org/0000-0001-6781-738X
Isil Karabey AksakalliDepartment of Computer Engineering, Erzurum Technical University, Erzurum, Turkey.
Ahmet Emre CinisliogluDepartment of Urology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.
Adem UtluDepartment of Urology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.
Saban Oguz DemirdogenDeparment of Urology, Ataturk University, Erzurum, Turkey.
Feyzullah CelikDepartment of Urology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.
Ibrahim KarabulutDepartment of Urology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIdentifying factors predicting the spontaneous passage of distal ureteral stones and evaluating the effectiveness of artificial intelligence in prediction. MATERIALS AND

methodsThe files of patients presenting with distal ureteral stones were retrospectively evaluated. Those who experienced spontaneous passage were assigned to Group P, while those who did not were assigned to Group N. Demographic and clinical data of both groups were compared. Then, logistic regression analysis was performed to determine the factors predicting spontaneous stone passage. Based on these factors, a logistic regression model was prepared, and artificial intelligence algorithms trained on the dataset were compared with this model to evaluate the effectiveness of artificial intelligence in predicting spontaneous stone passage.

resultsWhen comparing stone characteristics and NCCT findings, it was found that the stone size was significantly smaller in Group P (4.9 ± 1.7 mm vs. 6.8 ± 1.4 mm), while the ureteral diameter was significantly higher in Group P (3.3 ± 0.9 mm vs. 3.1 ± 1.1 mm) (p < 0.05). Parameters such as stone HU, stone radiopacity, renal pelvis AP diameter, and perirenal stranding were similar between the groups. In multivariate analysis, stone size and alpha-blocker usage were significant factors in predicting spontaneous stone passage. The ROC analysis for the logistic regression model constructed from the significant variables revealed an area under the curve (AUC) of 0.835, with sensitivity of 80.1% and specificity of 68.4%. AI algorithms predicted the spontaneous stone passage up to 92% sensitivity and up to 86% specifity.

conclusionsAI algorithms are high-powered alternatives that can be used in the prediction of spontaneous distal ureteral stone passage.

Indexed as

Artificial IntelligenceUreteral CalculiAdultAlgorithmsFemaleHumansLogistic ModelsMaleMiddle AgedPredictive Value of TestsRemission, SpontaneousRetrospective StudiesROC CurveTomography, X-Ray ComputedArtificial intelligenceSpontaneous stone passageUrolithiasis

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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.