4.5 Review

Hi, how can i help you?: embracing artificial intelligence in kidney research

Journal

AMERICAN JOURNAL OF PHYSIOLOGY-RENAL PHYSIOLOGY
Volume 325, Issue 4, Pages F395-F406

Publisher

AMER PHYSIOLOGICAL SOC
DOI: 10.1152/ajprenal.00177.2023

Keywords

artificial intelligence; computational modeling; deep learning; machine learning; neural network

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In recent years, biology and precision medicine have made significant progress in generating and analyzing large-scale molecular and biomedical datasets using advanced machine learning algorithms. However, the adoption of machine learning in kidney research has been slower due to the complex physiology and disease manifestations of the kidney, as well as the limited resources allocated to kidney diseases. This review discusses the potential applications of machine learning in renal research and emphasizes the need for the kidney research community to embrace this powerful tool for better understanding and improving patient care.
In recent years, biology and precision medicine have benefited from major advancements in generating large-scale molecular and biomedical datasets and in analyzing those data using advanced machine learning algorithms. Machine learning applications in kidney physiology and pathophysiology include segmenting kidney structures from imaging data and predicting conditions like acute kidney injury or chronic kidney disease using electronic health records. Despite the potential of machine learning to revolutionize nephrology by providing innovative diagnostic and therapeutic tools, its adoption in kidney research has been slower than in other organ systems. Several factors contribute to this underutilization. The complexity of the kidney as an organ, with intricate physiology and specialized cell populations, makes it challenging to extrapolate bulk omics data to specific processes. In addition, kidney diseases often present with overlapping manifestations and morphological changes, making diagnosis and treatment complex. Moreover, kidney diseases receive less funding compared with other pathologies, leading to lower awareness and limited public-private partnerships. To promote the use of machine learning in kidney research, this review provides an introduction to machine learning and reviews its notable applications in renal research, such as morphological analysis, omics data examination, and disease diagnosis and prognosis. Challenges and limitations associated with data-driven predictive techniques are also discussed. The goal of this review is to raise awareness and encourage the kidney research community to embrace machine learning as a powerful tool that can drive advancements in understanding kidney diseases and improving patient care.

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