Evidence map›Paper›PMID 40814607›Full record

ArticleKidney international reports2025

Machine Learning for Monoclonal Gammopathies of Renal Significance Risk Stratification Using Clinical and Pathology Data.

Giorgio Cazzaniga, Giulia Capitoli, Raffaella Barretta, Andrew Smith, Gisella Vischini, Giuliana Papalia, Federico Alberici, Federica Mescia, Albino Eccher, Jan Ulrich Becker and 6 more

Abstract read
In one paragraph

Article in Kidney international reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
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

16 authors.

Giorgio CazzanigaDepartment of Medicine and Surgery, Pathology, University of Milano-Bicocca, IRCCS Fondazione San Gerardo dei Tintori, Monza, Italy.
Giulia CapitoliBicocca Bioinformatics Biostatistics and Bioimaging B4 Center, School of Medicine and Surgery, University of Milan - Bicocca, Monza, Italy.
Raffaella BarrettaDepartment of Medicine and Surgery, Pathology, University of Milano-Bicocca, IRCCS Fondazione San Gerardo dei Tintori, Monza, Italy.
Andrew SmithDepartment of Medicine and Surgery, Proteomics and Metabolomics Unit, University of Milano-Bicocca, Monza, Italy.
Gisella VischiniNephrology, Dialysis and Renal Transplant Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Alma Mater Studiorum University of Bologna, Italy.
Giuliana PapaliaDepartment of Medical and Surgical Science, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Federico AlbericiNephrology Unit, Uniersity of Brescia, ASST Spedali Civili di Brescia, Brescia, Italy.
Federica MesciaNephrology Unit, Uniersity of Brescia, ASST Spedali Civili di Brescia, Brescia, Italy.
Albino EccherDepartment of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, University Hospital of Modena, Modena, Italy.
Jan Ulrich BeckerInstitute of Pathology, University Hospital of Cologne, Cologne, Germany.
Maarten NaesensDepartment of Microbiology, Immunology and Transplantation, Nephrology and Kidney Transplantation Research Group, KU Leuven, Leuven, Belgium.
Lucrezia FurianKidney and Pancreas Transplantation Unit, Department of Surgical, Oncological and Gastroenterological Sciences, School of Medicine and Surgery, University of Padua, Padua, Italy.
Bernd SchröppelSection of Nephrology, University Hospital, Ulm, Germany.
Stefania GalimbertiBicocca Bioinformatics Biostatistics and Bioimaging B4 Center, School of Medicine and Surgery, University of Milan - Bicocca, Monza, Italy.
Fabio PagniDepartment of Medicine and Surgery, Pathology, University of Milano-Bicocca, IRCCS Fondazione San Gerardo dei Tintori, Monza, Italy.
Vincenzo L'ImperioDepartment of Medicine and Surgery, Pathology, University of Milano-Bicocca, IRCCS Fondazione San Gerardo dei Tintori, Monza, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The prompt detection of monoclonal gammopathies of renal significance (MGRS) is clinically relevant for the initiation of chemotherapy. Although clinical and laboratory data can suggest the presence of MGRS, renal biopsy still represents the gold standard, despite not always being performed or eventually postponed because it is not deemed useful or informative. In this retrospective study, machine learning (ML) is used to build a tool to assist the prebiopsy risk stratification of MGRS and reinforce the rationale for the histological examination. Methods: The study included a total of 258 patients with monoclonal gammopathy of undetermined significance, of which 168 MGRS cases (65%) and 90 non-MGRS cases (35%) based on the final renal biopsy result. Results: Patients with MGRS were more frequently female (48.2% vs. 28.9%, Conclusion: The ML-based MGRS risk stratification tool can help in the selection of patients with higher probability to have MGRS on renal biopsy, aiming to direct those patients to a complete histological characterization of the disease.

Indexed as

computational pathologydigital healthdigital pathologyMGRSonco-nephrologyrenal biopsy

Identifiers

PMID40814607
PMCPMC12348125

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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.