The role of 'artificial intelligence, machine learning, virtual reality, and radiomics' in PCNL: a review of publication trends over the last 30 years

Article Urology & Nephrology

Best Practice in Interventional Management of Urolithiasis: An Update from the European Association of Urology Guidelines Panel for Urolithiasis 2022

Robert M. Geraghty et al.

Summary: The European Association of Urology has updated its guidelines on clinical best practice in urolithiasis for 2021, providing a summary of best clinical practice in surgical intervention for patients with upper tract urolithiasis.

EUROPEAN UROLOGY FOCUS (2023)

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Review Urology & Nephrology

An Update of In Vivo Application of Artificial Intelligence and Robotics for Percutaneous Nephrolithotripsy: Results from a Systematic Review

Vineet Gauhar et al.

Summary: A systematic review was conducted to examine the application, outcomes, and limitations of using artificial intelligence and robotics for kidney puncture in percutaneous nephrolithotomy (PCNL). The review found that 3D printing and virtual reality technologies can improve anatomical understanding and accuracy, leading to a shorter learning curve and higher stone-free rate. Robotic-assisted access improves the accuracy of ultrasound- and fluoroscopic-guided punctures, reducing the number of punctures and radiation exposure.

CURRENT UROLOGY REPORTS (2023)

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Review Urology & Nephrology

The technological future of percutaneous nephrolithotomy: a Young Academic Urologists Endourology and Urolithiasis Working Group update

B. M. Zeeshan Hameed et al.

Summary: This article reviews the latest developments and applications of artificial intelligence (AI), extended reality, 3D printing, and robotics in percutaneous nephrolithotomy (PCNL). The use of AI in PCNL has focused on machine learning predictive models and deep learning convolutional neural networks (DL-CNN) for stone composition identification. However, due to the complexity and lack of generalizability of these models, they have not yet been incorporated into routine clinical practice. Extended reality-based simulation and training models, as well as 3D printed models, have shown advantages in enhancing skills and training in PCNL. The applications of robotics in PCNL show promise but are still in the early stages. Future research should focus on the generalizability and adaptability of technological advancements in PCNL training and improvement of patient outcomes.

CURRENT OPINION IN UROLOGY (2023)

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Article Multidisciplinary Sciences

Efficacy and safety of 3D printing-assisted percutaneous nephrolithotomy in complex renal calculi

Dong Cui et al.

Summary: This study evaluated the efficacy and safety of combining 3D printing technology with percutaneous nephrolithotomy in treating complex renal calculi. The results suggest that using 3D printing models for preoperative communication and guidance can enhance the effectiveness of the surgery, reduce complications, and improve patient outcomes.

SCIENTIFIC REPORTS (2022)

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Article Urology & Nephrology

Effect of a three-dimensional (3D) printed kidney model on patient understanding of the percutaneous nephrolithotomy procedure: a preliminary study

Young Hyo Choi et al.

Summary: Personalized 3D printed kidney models can enhance patient understanding of kidney anatomy and the PCNL procedure, leading to higher patient satisfaction.

UROLITHIASIS (2022)

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Article Urology & Nephrology

A Randomized, Single-Blind Clinical Trial Comparing Robotic-Assisted Fluoroscopic-Guided with Ultrasound-Guided Renal Access for Percutaneous Nephrolithotomy

Kazumi Taguchi et al.

Summary: This study compared the surgical outcomes of robotic-assisted fluoroscopic-guided (RAF group) and ultrasound-guided (US group) renal access in mini-percutaneous nephrolithotomy (PCNL). The results showed no significant difference in single puncture success rate and stone-free rate between the two groups. However, the RAF group had significantly fewer needle punctures and shorter puncture duration. This suggests that RAF guidance may have further potential applications in this field.

JOURNAL OF UROLOGY (2022)

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Review Surgery

Application of Virtual Reality, Augmented Reality, and Mixed Reality in Endourology and Urolithiasis: An Update by YAU Endourology and Urolithiasis Working Group

B. M. Zeeshan Hameed et al.

Summary: The integration of virtual reality, augmented reality, and mixed reality has greatly influenced urological practices and medical education, leading to improved surgical performance and outcomes. These technologies have found applications in endourology and urolithiasis, offering cost-effective and advanced training systems.

FRONTIERS IN SURGERY (2022)

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Article Public, Environmental & Occupational Health

Barriers to Use Artificial Intelligence Methodologies in Health Technology Assessment in Central and East European Countries

Konstantin Tachkov et al.

Summary: The aim of this study is to identify barriers to using AI-based evidence in CEE health technology assessment systems. The study used a literature review and focus group meetings to identify barriers, which include data-related, methodological, technological, regulatory and policy-related, and human factor-related barriers.

FRONTIERS IN PUBLIC HEALTH (2022)

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Review Medicine, General & Internal

Radiomics in Urolithiasis: Systematic Review of Current Applications, Limitations, and Future Directions

Ee Jean Lim et al.

Summary: Radiomics has the potential to be used in the diagnosis and treatment of urolithiasis, allowing differentiation of stone types and prediction of outcomes and complications after endourological procedures.

JOURNAL OF CLINICAL MEDICINE (2022)

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Article Medicine, Research & Experimental

Changing trends in clinical research literature on PubMed database from 1991 to 2020

Xiyi Zhao et al.

Summary: This study analyzed the type and quantity of clinical research publications in the PubMed database over three decades. The results showed significant changes in the composition and number of clinical studies. Case report/series, case control study, and narrative review decreased, while cohort study, cross-sectional study, systematic reviews, and systematic review and meta-analysis literature increased.

EUROPEAN JOURNAL OF MEDICAL RESEARCH (2022)

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Article Urology & Nephrology

Automated Needle Targeting with X-ray (ANT-X)-Robot-assisted device for percutaneous nephrolithotomy (PCNL) with its first successful use in human.

Mon Mon Oo et al.

Summary: The development of the ANT-X system facilitates the PCNL procedure by automatically aligning the puncture needle and reducing radiation exposure, allowing surgeons to perform the surgery more confidently. This system has the potential to reduce complications and encourage more surgeons to adopt this technique.

JOURNAL OF ENDOUROLOGY (2021)

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Review Urology & Nephrology

The Ascent of Artificial Intelligence in Endourology: a Systematic Review Over the Last 2 Decades

B. M. Zeeshan Hameed et al.

Summary: The review highlights the application of artificial intelligence in kidney stone disease, which shows promise in personalized patient care and decision making. Despite its potential benefits, AI is still a research tool and faces challenges in data infrastructure, wider applicability, complexity, and cost. Future research should focus on quality of life and cost of treatment to develop evidence-based AI algorithms that can guide urologists in managing stone disease.

CURRENT UROLOGY REPORTS (2021)

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Review Urology & Nephrology

The best treatment approach for lower calyceal stones ≤20 mm in maximal diameter: mini percutaneous nephrolithotripsy, retrograde intrarenal surgery or shock wave lithotripsy A systematic review and meta-analysis of the literature conducted by the European Section of Uro-Technology and Young Academic Urologists

Panagiotis Kallidonis et al.

Summary: For lower pole stones with a diameter <20 mm, mPCNL has the highest stone-free rate and the lowest retreatment rate, but also a higher complication rate; SWL provides the lowest SFR and the highest retreatment rate; RIRS has a similar complication rate to SWL and may be preferred over SWL.

MINERVA UROLOGY AND NEPHROLOGY (2021)

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Article Urology & Nephrology