Evidence map›Paper›PMID 39202317›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Revolutionizing Bladder Health: Artificial-Intelligence-Powered Automatic Measurement of Bladder Volume Using Two-Dimensional Ultrasound.

Evan Avraham Alpert, Daniel David Gold, Deganit Kobliner-Friedman, Michael Wagner, Ziv Dadon

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Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

5 authors.

Evan Avraham AlpertDepartment of Emergency Medicine, Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem 9112001, Israel.ORCID 0000-0003-1708-5058
Daniel David GoldDepartment of Emergency Medicine, Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem 9112001, Israel.ORCID 0000-0003-1830-1031
Deganit Kobliner-FriedmanDepartment of Emergency Medicine, Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem 9112001, Israel.
Michael WagnerDivision of Hospital Medicine, Department of Medicine, Prisma Health Greenville Memorial Hospital, 701 Grove Rd, Greenville, SC 29605, USA.
Ziv DadonFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9190500, Israel.ORCID 0000-0001-8497-0423

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMeasuring elevated post-void residual volume is important for diagnosing urinary outflow tract obstruction and cauda equina syndrome. Catheter placement is exact but painful, invasive, and may cause infection, whereas an ultrasound is accurate, painless, and safe.

aimThe purpose of this single-center study is to evaluate the accuracy of a module for artificial-intelligence (AI)-based fully automated bladder volume (BV) prospective measurement using two-dimensional ultrasound images, as compared with manual measurement by expert sonographers.

methodsPairs of transverse and longitudinal bladder images were obtained from patients evaluated in an urgent care clinic. The scans were prospectively analyzed by the automated module using the prolate ellipsoid method. The same examinations were manually measured by a blinded expert sonographer. The two methods were compared using the Pearson correlation, kappa coefficients, and the Bland-Altman method.

resultsA total of 111 pairs of transverse and longitudinal views were included. A very strong correlation was found between the manual BV measurements and the AI-based module with r = 0.97 [95% CI: 0.96-0.98]. The specificity and sensitivity for the diagnosis of an elevated post-void residual volume using a threshold ≥200 mL were 1.00 and 0.82, respectively. An almost-perfect agreement between manual and automated methods was obtained (kappa = 0.85). Perfect reproducibility was found for both inter- and intra-observer agreements.

conclusionThis AI-based module provides an accurate automated measurement of the BV based on ultrasound images. This novel method demonstrates a very strong correlation with the gold standard, making it a potentially valuable decision-support tool for non-experts in acute settings.

Indexed as

artificial intelligencebladder outlet obstructioncauda equina syndromeemergency departmentspoint-of-care ultrasoundultrasonography

Identifiers

PMID39202317
PMCPMC11353831

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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.