Radiomics and deep learning in upper tract urothelial carcinoma: advancing preoperative risk stratification and clinical decision-making - Summary - MDSpire

Radiomics and deep learning in upper tract urothelial carcinoma: advancing preoperative risk stratification and clinical decision-making

  • By

  • Yanwei Zhang

  • Gang Wu

  • Fengze Sun

  • Bin Wang

  • Yicheng Guo

  • Jitao Wu

  • June 19, 2026

  • 0 min

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Objective:

To summarize current advancements in the application of radiomics and deep learning in upper tract urothelial carcinoma (UTUC) and evaluate the methodological quality of existing studies.

Approach:
    Key Findings:
    • Radiomics and deep learning models show promising performance in predicting pathological grade, differentiating UTUC from renal cell carcinoma, assessing muscle invasion, and stratifying survival or recurrence risk.
    • However, most studies are retrospective, single-center, and limited by small sample sizes, heterogeneous imaging protocols, inconsistent segmentation methods, insufficient external validation, and limited evidence of clinical utility.
    Interpretation:

    Radiomics and deep learning are promising for noninvasive preoperative risk stratification in UTUC, but further methodological standardization and validation are needed.

    Limitations:
    • Studies are primarily retrospective and single-center.
    • Limited sample sizes and heterogeneous imaging protocols.
    • Inconsistent segmentation methods and insufficient external validation.
    Conclusion:

    Future studies should focus on methodological standardization, multicenter external validation, and prospective evaluation.

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