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Campobasso D, Panizzi M, Bellini V, Ferretti S, Amparore D, Castellani D, Fiori C, Puliatti S, Pietropaolo A, Somani BK, Micali S, Porpiglia F, Maestroni UV, Bignami EG. Application of AI in urolithiasis risk of infection: a scoping review. Minerva Urol Nephrol 2024; 76:295-302. [PMID: 38920010 DOI: 10.23736/s2724-6051.24.05686-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/27/2024]
Abstract
INTRODUCTION Artificial intelligence and machine learning are the new frontier in urology; they can assist the diagnostic work-up and in prognostication bring superior to the existing nomograms. Infectious events and in particular the septic risk, are one of the most common and in some cases life threatening complication in patients with urolithiasis. We performed a scoping review to provide an overview of the current application of AI in prediction the infectious complications in patients affected by urolithiasis. EVIDENCE ACQUISITION A systematic scoping review of the literature was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses for Scoping Reviews (PRISMA-ScR) guidelines by screening Medline, PubMed, and Embase to detect pertinent studies. EVIDENCE SYNTHESIS A total of 467 articles were found, of which nine met the inclusion criteria and were considered. All studies are retrospective and published between 2021 and 2023. Only two studies performed an external validation of the described models. The main event considered is urosepsis in four articles, urinary tract infection in two articles and diagnosis of infection stones in three articles. Different AI models were trained, each of which exploited several types and numbers of variables. All studies reveal good performance. Random forest and artificial neural networks seem to have higher AUC, specificity and sensibility and perform better than the traditional statistical analysis. CONCLUSIONS Further prospective and multi-institutional studies with external validation are needed to better clarify which variables and AI models should be integrated in our clinical practice to predict infectious events.
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Affiliation(s)
| | - Matteo Panizzi
- Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Valentina Bellini
- Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Stefania Ferretti
- Department of Urology, University of Modena e Reggio Emilia, Modena, Italy
| | - Daniele Amparore
- Division of Urology, Department of Oncology, School of Medicine, San Luigi Gonzaga Hospital, University of Turin, Turin, Italy
| | - Daniele Castellani
- Department of Urology, Azienda Ospedaliera Universitaria delle Marche, Università Politecnica delle Marche, Ancona, Italy
| | - Cristian Fiori
- Division of Urology, Department of Oncology, School of Medicine, San Luigi Gonzaga Hospital, University of Turin, Turin, Italy
| | - Stefano Puliatti
- Department of Urology, University of Modena e Reggio Emilia, Modena, Italy
| | - Amelia Pietropaolo
- Department of Urology, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - Bhaskar K Somani
- Department of Urology, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - Salvatore Micali
- Department of Urology, University of Modena e Reggio Emilia, Modena, Italy
| | - Francesco Porpiglia
- Division of Urology, Department of Oncology, School of Medicine, San Luigi Gonzaga Hospital, University of Turin, Turin, Italy
| | | | - Elena G Bignami
- Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Parma, Italy
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Cracco CM, Scoffone CM. Comment on: "Design and internal validation of S.I.C.K.: a novel nomogram predicting infectious and hemorrhagic events after percutaneous nephrolithotomy". Minerva Urol Nephrol 2023; 75:770-772. [PMID: 38126289 DOI: 10.23736/s2724-6051.23.05633-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2023]
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Esperto F, Pietropaolo A, Emiliani E, DE Coninck V, Tailly T, Keller EX, Talso M, Tonyali S, Sener ET, Zeesha Nhameed BM, Tzelves L, Ventimiglia E, Juliebø-Jones P, Faiella E, Mykoniatis I, Tsaturyan A, Scarpa RM. Unveiling the impact of stone disease: enhancing quality of life through comprehensive care. Minerva Urol Nephrol 2023; 75:658-660. [PMID: 37728501 DOI: 10.23736/s2724-6051.23.05537-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/21/2023]
Affiliation(s)
| | - Amelia Pietropaolo
- Department of Urology, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - Esteban Emiliani
- Department of Urology, Puigvert Foundation, Autonomous University of Barcelona, Barcelona, Spain
| | | | - Thomas Tailly
- Department of Urology, Gent University Hospital, Gent, Belgium
| | - Etienne X Keller
- Department of Urology, Zurich University Hospital, University of Zurich, Zurich, Switzerland
| | - Michele Talso
- Department of Urology, ASST Fatebenefratelli-Sacco, Luigi Sacco University Hospital, Milan, Italy
| | - Senol Tonyali
- Department of Urology, Istanbul School of Medicine, Istanbul University, Istanbul, Türkiye
| | - Emre T Sener
- Department of Urology, Marmara University School of Medicine, Istanbul, Türkiye
| | | | - Lazaros Tzelves
- Department of Urology, University College of London Hospital, London, UK
| | - Eugenio Ventimiglia
- Division of Experimental Oncology, Unit of Urology, Urological Research Institute, IRCCS, San Raffaele Hospital, Milan, Italy
| | | | - Eliodoro Faiella
- Department of Radiology, Campus Bio-Medico University, Rome, Italy
| | | | - Arman Tsaturyan
- Department of Urology, Erebouni Medical Center, Yerevan, Armenia
| | - Roberto M Scarpa
- Department of Urology, Campus Bio-Medico University, Rome, Italy
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Esperto F, Pietropaolo A, Emiliani E, De Coninck V, Tailly T, Keller EX, Talso M, Tonyali S, Sener ET, Zeeshan Hameed BM, Tzelves L, Ventimiglia E, Juliebø-Jones P, Faiella E, Mykoniatis I, Tsaturyan A, Scarpa RM. Quality of life of patients with stone disease: timing, planning, strategies, and prevention of a systemic pathology. Minerva Urol Nephrol 2023; 75:422-424. [PMID: 37314814 DOI: 10.23736/s2724-6051.23.05435-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Affiliation(s)
- Francesco Esperto
- Department of Urology, Campus Biomedico University of Rome, Rome, Italy -
| | - Amelia Pietropaolo
- Department of Urology, University Hospital of Southampton NHS Foundation Trust, Southampton, UK
| | - Esteban Emiliani
- Department of Urology, Puigvert Foundation, Autonomous University of Barcelona, Barcelona, Spain
| | | | - Thomas Tailly
- Department of Urology, University Hospital of Ghent, Ghent, Belgium
| | - Etienne X Keller
- Department of Urology, University Hospital of Zurich, University of Zurich, Zurich, Switzerland
| | - Michele Talso
- Department of Urology, ASST Fatebenefratelli-Sacco, Luigi Sacco University Hospital, Milan, Italy
| | - Senol Tonyali
- Department of Urology, Istanbul School of Medicine, University of Istanbul, Istanbul, Türkiye
| | - Emre T Sener
- Department of Urology, Marmara University School of Medicine, Istanbul, Türkiye
| | | | - Lazaros Tzelves
- Department of Urology, University College of London Hospital, London, UK
| | - Eugenio Ventimiglia
- Division of Experimental Oncology, Unit of Urology, Urological Research Institute, IRCCS San Raffaele Hospital, Milan, Italy
| | - Patrick Juliebø-Jones
- Department of Urology, Haukeland University Hospital, Norway University, Bergen, Norway
| | - Eliodoro Faiella
- Department of Radiology, Campus Biomedico University of Rome, Rome, Italy
| | - Ioannis Mykoniatis
- Department of Urology, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Arman Tsaturyan
- Department of Urology, Erebouni Medical Center, Yerevan, Armenia
| | - Roberto M Scarpa
- Department of Urology, Campus Biomedico University of Rome, Rome, Italy
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MAZZON G, ZHU W, ZENG G. Comment on: "Mini percutaneous nephrolithotomy versus standard percutaneous nephrolithotomy for the management of renal stones over 2 cm: a systematic review and meta-analysis of randomized controlled trials". Minerva Urol Nephrol 2022; 74:479-481. [DOI: 10.23736/s2724-6051.22.04963-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Cracco CM, Scoffone CM. Editorial comment to: "Introducing trifecta for percutaneous nephrolithotomies: a proposal for standard reporting outcomes after treatment for renal stones". Minerva Urol Nephrol 2022; 74:381-383. [PMID: 35607789 DOI: 10.23736/s2724-6051.22.04965-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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