Concordance among experts in assessing apical mucosal preservation during holmium laser enucleation of the prostate (HoLEP): implications for artificial intelligence model development - Summary - MDSpire
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Concordance among experts in assessing apical mucosal preservation during holmium laser enucleation of the prostate (HoLEP): implications for artificial intelligence model development
To evaluate the consistency of expert urologists in assessing apical mucosal preservation in HoLEP videos and its association with postoperative urinary incontinence, highlighting the significance of incontinence rates.
Key Findings:
High interrater reliability was observed among experts in classifying apical mucosal preservation, which is crucial for AI model training.
The majority vote method provided a consensus rating for each video.
There was a significant correlation between mucosal preservation ratings and postoperative continence outcomes.
Interpretation:
The findings suggest that expert consensus on mucosal preservation can inform AI model training, potentially improving predictions of postoperative outcomes by providing clearer criteria.
Limitations:
No formal training for evaluators may have influenced consistency, potentially affecting the reliability of the ratings.
Conclusion:
Establishing reliable expert consensus on apical mucosal preservation is crucial for developing AI tools aimed at predicting postoperative urinary continence in HoLEP, emphasizing the need for consistent evaluation criteria.
by Archan Khandekar, Aravindh Rathinam, Ansh Bhatia, Diana M. Lopategui, Jonathan Katz, Roger L. Sur, Nicholas Smith, Pankaj N. Maheshwari, Hemendra N. Shah
