You have accessJournal of UrologyCME1 Apr 2023PD22-12 STATISTICAL SPATIAL MAPPING OF KIDNEY STONES BASED ON A KIDNEY ATLAS DERIVED FROM CT SCANS Jiong Wu, Katherine Fischer, Yuemeng Li, Benjamin Schurhamer, Axel Largent, Joey Logan, Abhay Singh, Joanie Garratt, Justin Ziemba, Gregory Tasian, and Yong Fan Jiong WuJiong Wu More articles by this author , Katherine FischerKatherine Fischer More articles by this author , Yuemeng LiYuemeng Li More articles by this author , Benjamin SchurhamerBenjamin Schurhamer More articles by this author , Axel LargentAxel Largent More articles by this author , Joey LoganJoey Logan More articles by this author , Abhay SinghAbhay Singh More articles by this author , Joanie GarrattJoanie Garratt More articles by this author , Justin ZiembaJustin Ziemba More articles by this author , Gregory TasianGregory Tasian More articles by this author , and Yong FanYong Fan More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003295.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Kidney stones vary in size and location. Precise characterization of the kidney stones’ size and location may facilitate effective treatment planning, and spatial mapping of the kidney stones of a group of patients offers a quantitative means to understand how kidney stones spatially distribute across subjects within the kidney. This study evaluated the feasibility to create a kidney atlas, assess individual kidney stones’ location and size, and statistically map kidney stones of a group of patients based on their CT scans using image segmentation and registration algorithms. METHODS: Non-contrast CT scans of 122 patients with kidney stones were retrospectively identified. A deep learning (DL) image segmentation model was built to segment kidneys automatically. Kidney stones were automatically identified as outlier voxels with Hounsfield Unit (HU) larger than mean plus 5-sigma of HUs of all voxels within the kidney, and a kidney stone image was generated to have unit intensity value at locations of stone voxels and zero otherwise. Bilateral kidney atlases were created by aligning all kidney images to a manually selected one using affine-transformation and diffeomorphic deformable image registration algorithms subsequently. The kidney stone image of each kidney was spatially transformed to the corresponding left or right kidney atlas with the same image deformation information obtained for creating the atlases. Statistical spatial maps of the kidney stones were generated for the bilateral kidneys separately to quantify frequency of the stones at every voxel of the kidney atlases. RESULTS: The DL image segmentation model segmented the kidneys with an average dice value of 0.96. The automatic stone identification algorithm detected individual kidney stones with 100% sensitivity. Statistical spatial maps of the kidney stones quantified spatial frequency of the kidney stones across subjects, with the highest frequency up to 6%. CONCLUSIONS: The statistical spatial mapping of kidney stones provide a quantitative means to characterize frequency of stones within the kidneys. The method can be used to assess kidney stones’ location for individual subjects with reference to group atlases that encode statistical spatial distribution information at a group level. Source of Funding: NIDDK P20 CHOP/ Penn Center for Machine Learning in Urology (P20DK127488)AUA Care Foundation and SPU Sushil Lacy Research Scholar Award (KMF) © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e669 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jiong Wu More articles by this author Katherine Fischer More articles by this author Yuemeng Li More articles by this author Benjamin Schurhamer More articles by this author Axel Largent More articles by this author Joey Logan More articles by this author Abhay Singh More articles by this author Joanie Garratt More articles by this author Justin Ziemba More articles by this author Gregory Tasian More articles by this author Yong Fan More articles by this author Expand All Advertisement PDF downloadLoading ...
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