Journal of Medical Imaging,
Journal Year:
2023,
Volume and Issue:
10(02)
Published: March 20, 2023
PurposeAccurate
detection
of
small
renal
masses
(SRM)
is
a
fundamental
step
for
automated
classification
benign
and
malignant
or
indolent
aggressive
tumors.
Magnetic
resonance
image
(MRI)
may
outperform
computed
tomography
(CT)
SRM
subtype
differentiation
due
to
improved
tissue
characterization,
but
less
explored
compared
CT.
The
objective
this
study
autonomously
detect
on
contrast-enhanced
magnetic
images
(CE-MRI).ApproachIn
paper,
we
described
novel,
fully
methodology
accurate
localization
CE-MRI.
We
first
determine
the
kidney
boundaries
using
U-Net
convolutional
neural
network.
then
search
within
localized
regions
mixture-of-experts
ensemble
model
based
architecture.
Our
dataset
contained
CE-MRI
scans
118
patients
with
different
solid
tumor
subtypes
including
cell
carcinomas,
oncocytomas,
fat-poor
angiomyolipoma.
evaluated
proposed
entire
5-fold
cross
validation.ResultsThe
developed
algorithm
reported
Dice
similarity
coefficient
91.20
±
5.41
%
(mean
standard
deviation)
segmentation
from
volumes
consisting
25,025
slices.
yielded
recall
precision
86.2%
83.3%
dataset,
respectively.ConclusionsWe
deep-learning-based
method
CE-MR
images,
which
has
not
been
studied
previously.
results
are
clinically
important
as
pre-step
diagnosis
subtypes.
European Journal of Radiology,
Journal Year:
2021,
Volume and Issue:
141, P. 109777 - 109777
Published: May 15, 2021
The
wide
availability
of
cross-sectional
imaging
is
responsible
for
the
increased
detection
small,
usually
asymptomatic
renal
masses.
More
than
50
%
cell
carcinomas
(RCCs)
represent
incidental
findings
on
noninvasive
imaging.
Multimodality
imaging,
including
conventional
US,
contrast-enhanced
US
(CEUS),
CT
and
multiparametric
MRI
(mpMRI)
pivotal
in
diagnosing
characterizing
a
mass,
but
also
provides
information
regarding
its
prognosis,
therapeutic
management,
follow-up.
In
this
review,
data
masses
that
urologists
need
accurate
treatment
planning
will
be
discussed.
role
CEUS,
mpMRI
characterization
masses,
RCC
staging
follow-up
surgically
treated
or
untreated
localized
presented.
percutaneous
image-guided
ablation
management
reviewed.
Cancers,
Journal Year:
2023,
Volume and Issue:
15(2), P. 354 - 354
Published: Jan. 5, 2023
Cross-sectional
imaging
is
the
standard
diagnostic
tool
to
determine
underlying
biology
in
renal
masses,
which
crucial
for
subsequent
treatment.
Currently,
CT
limited
its
ability
differentiate
benign
from
malignant
disease.
Therefore,
various
modalities
have
been
investigated
identify
imaging-based
parameters
improve
noninvasive
diagnosis
of
masses
and
cell
carcinoma
(RCC)
subtypes.
MRI
was
reported
predict
grading
RCC
subtypes,
has
shown
a
small
cohort
response
targeted
therapy.
Dynamic
promising
staging
RCC.
PET/CT
radiotracers,
such
as
18F-fluorodeoxyglucose
(FDG),
124I-cG250,
radiolabeled
prostate-specific
membrane
antigen
(PSMA),
11C-acetate,
identification
histology,
grading,
detection
metastasis,
assessment
systemic
therapy,
oncological
outcomes.
Moreover,
99Tc-sestamibi
SPECT
scans
results
distinguishing
low-grade
lesions.
Radiomics
used
further
characterize
based
on
semantic
textural
analyses.
In
preliminary
studies,
integrated
machine
learning
algorithms
using
radiomics
proved
be
more
accurate
compared
radiologists’
interpretations.
radiogenomics
are
complement
risk
classification
models
Imaging-based
biomarkers
hold
strong
potential
RCC,
but
require
standardization
external
validation
before
integration
into
clinical
routines.
Clinical Cancer Research,
Journal Year:
2023,
Volume and Issue:
30(4), P. 663 - 672
Published: Oct. 24, 2023
Abstract
The
incidence
of
renal
cell
carcinoma
(RCC)
is
increasing
worldwide,
yet
research
within
this
field
lagging
behind
other
cancers.
Despite
increased
detection
early
disease
as
a
consequence
the
widespread
use
diagnostic
CT
scans,
25%
patients
have
disseminated
at
diagnosis.
Similarly,
around
progress
to
metastatic
following
curatively
intended
surgery.
Surgery
cornerstone
in
treatment
RCC;
however,
when
disseminated,
immunotherapy
or
combination
with
tyrosine
kinase
inhibitor
patient's
best
option.
Immunotherapy
potent
treatment,
durable
responses
and
potential
cure
patient,
but
only
half
benefit
from
administered
there
are
currently
no
methods
that
can
identify
which
will
respond
immunotherapy.
Moreover,
need
greatest
risk
relapsing
after
surgery
for
localized
direct
adjuvant
there.
Even
though
several
molecular
biomarkers
been
published
date,
we
still
lacking
routinely
used
guide
optimal
clinical
management.
purpose
review
highlight
some
most
promising
biomarkers,
discuss
efforts
made
describe
barriers
needed
be
overcome
reliable
robust
predictive
prognostic
clinic
cancer.
American Society of Clinical Oncology Educational Book,
Journal Year:
2022,
Volume and Issue:
42, P. 300 - 310
Published: May 17, 2022
Artificial
intelligence
is
rapidly
expanding
into
nearly
all
facets
of
life,
particularly
within
the
field
medicine.
The
diagnosis,
characterization,
management,
and
treatment
kidney
cancer
ripe
with
areas
for
improvement
that
may
be
met
promises
artificial
intelligence.
Here,
we
explore
impact
current
research
work
in
clinicians
caring
patients
renal
cancer,
a
focus
on
perspectives
radiologists,
pathologists,
urologists.
Promising
preliminary
results
indicate
assist
diagnosis
risk
stratification
newly
discovered
masses
help
guide
clinical
cancer.
However,
much
this
still
its
early
stages,
limited
broader
applicability,
hampered
by
small
datasets,
varied
appearance
presentation
cancers,
intrinsic
limitations
rigidly
structured
tasks
algorithms
are
trained
to
complete.
Nonetheless,
continued
exploration
holds
promise
toward
improving
care
Journal of Multidisciplinary Healthcare,
Journal Year:
2025,
Volume and Issue:
Volume 18, P. 195 - 207
Published: Jan. 1, 2025
The
traditional
tool
for
predicting
distant
metastasis
in
renal
cell
carcinoma
(RCC)
is
still
insufficient.
We
aimed
to
establish
an
interpretable
machine
learning
model
RCC
patients.
involved
a
population-based
cohort
of
121433
patients
(mean
age
=
63
years;
63.58%
men)
diagnosed
with
between
2004
and
2015
from
the
Surveillance,
Epidemiology,
End
Results
(SEER)
database.
lightGBM
algorithm
was
used
develop
prediction
assessed
by
area
under
receiver-operating
characteristic
curve
(AUC),
accuracy,
sensitivity,
specificity.
LightGBM
then
externally
validated
36395
enrolled
SEER
database
2016
2018.
Shapley
Additive
exPlanations
(SHAP)
method
applied
provide
insights
into
model's
outcome
or
prediction.
Of
study
cohort,
10730
(8.84%)
had
metastasis.
showed
good
performance
internal
validation
set
(AUC:
0.955,
95%
CI:
0.951-0.959)
temporal
external
sets
(0.963,
0.959-0.967;
0.961,
0.954-0.966).
Performance
also
well
performed
different
sub-cohort
stratified
age,
gender,
ethnicity.
calibration
indicated
that
predicted
values
are
highly
consistent
actual
observed
values.
SHAP
plots
demonstrated
chemotherapy
most
vital
variable
developed
capable
accurately
risk
presented
could
help
identify
high-risk
who
require
additional
treatment
strategies
follow-up
regimens.