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