Evidence map›Paper›PMID 41055603›Full record

ArticleClinical transplantation2025

Deep Learning-Based MRI Volumetry for Living Kidney Donor Assessment: A New Tool for Predicting Post-Donation Renal Function.

Dominik Thomas Koch, Felix Oliver Hofmann, Dimitrios Trompoukis, Malte Schirren, Severin Jacobi, Tobias Seibt, Stephan Kemmner, Maximilian Scheifele, Matthias Ilmer, Bernhard Renz and 4 more

Abstract read
In one paragraph

Article in Clinical transplantation, 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. Article
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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

14 authors.

Dominik Thomas KochDepartment of General, Visceral and Transplantation Surgery, LMU University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-7409-0032
Felix Oliver HofmannDepartment of General, Visceral and Transplantation Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Dimitrios TrompoukisDepartment of General, Visceral and Transplantation Surgery, LMU University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0009-0003-4940-6909
Malte SchirrenDepartment of General, Visceral and Transplantation Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Severin JacobiDepartment of General, Visceral and Transplantation Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Tobias SeibtTransplant Center, LMU University Hospital, LMU Munich, Munich, Germany.
Stephan KemmnerTransplant Center, LMU University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-1242-4914
Maximilian ScheifeleDepartment of Nuclear Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Matthias IlmerDepartment of General, Visceral and Transplantation Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Bernhard RenzDepartment of General, Visceral and Transplantation Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Jens WernerDepartment of General, Visceral and Transplantation Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Manfred StanglDepartment of General, Visceral and Transplantation Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Markus GubaDepartment of General, Visceral and Transplantation Surgery, LMU University Hospital, LMU Munich, Munich, Germany.
Dionysios KoliogiannisDepartment of General, Visceral and Transplantation Surgery, LMU University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiving kidney donation is a crucial option for addressing the global organ shortage and providing kidney transplantation for patients suffering from end-stage kidney disease. Ensuring donor safety necessitates a comprehensive preoperative assessment of kidney anatomy and function. This study evaluates the relationship between kidney volumes derived from deep learning-based MRI volumetry, intraoperative kidney volume measurements, split renal function measured by renal scintigraphy, and post-donation eGFR. Deep learning-based MRI volumetry is hypothesized to be a reliable method with good correlation.

methodsThis retrospective study analyzed 178 living kidney donors. Deep learning MRI volumetry-based kidney volumes were compared with intraoperative volumes of the explanted donor kidneys obtained using the water displacement method. Additionally, MRI-based volume ratios were compared with scintigraphy-based split renal function ratios to determine their ability to predict the kidney with poorer renal function and post-donation eGFR.

resultsDeep learning-based MRI volumetry strongly correlated with intraoperatively measured kidney volumes (Pearson's correlation; r = 0.7671; p < 0.0001), confirming its precision in volume estimation. Although MRI-based kidney volume ratios demonstrated only a moderate correlation with scintigraphy-based split renal function ratios (r = 0.4798), MRI volumetry correlated with 1-year post-donation eGFR. It tended to be better than renal scintigraphy (r = 0.6829 versus r = 0.6191).

conclusionDeep learning-based MRI volumetry is a reliable, non-invasive tool for estimating kidney volumes in living donors, offering a radiation-free alternative for preoperative assessment. While it differs from renal scintigraphy in evaluating split renal function ratios, its correlation with post-donation eGFR tends to be better, supporting its potential role in living kidney donor assessment.

Indexed as

Deep LearningKidneyKidney Failure, ChronicKidney TransplantationLiving DonorsMagnetic Resonance ImagingNephrectomyAdultFemaleFollow-Up StudiesGlomerular Filtration RateHumansKidney Function TestsMaleMiddle AgedOrgan Sizedeep learning‐based MRI volumetrydiagnostic techniques and imagingkidney functionkidney transplantationliving kidney donationmagnetic resonance imaging (MRI)renal scintigraphy

Identifiers

PMID41055603
PMCPMC12503087

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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.