Deep learning of renal scans in children with antenatal hydronephrosis.

Journal: Journal of pediatric urology
Published Date:

Abstract

INTRODUCTION: Antenatal hydronephrosis (ANH) is one of the most common anomalies identified on prenatal ultrasound, found in up to 4.5% of all pregnancies. Children with ANH are surveilled with repeated renal ultrasound and when there is high suspicion for a ureteropelvic junction obstruction on renal ultrasound, a mercaptuacetyltriglycerine (MAG3) Lasix renal scan is performed to evaluate for obstruction. However, the challenging interpretation of MAG3 renal scans places patients at risk of misdiagnosis.

Authors

  • J K Weaver
    Division of Urology Rainbow Babies and Children's Hospital/Case Western Reserve University School of Medicine, Cleveland, OH, USA. Electronic address: jkw22@case.edu.
  • J Logan
    Division of Urology, Children's Hospital of Philadelphia, PA, USA; Department of Biostatistics, Epidemiology and Informatics and Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
  • R Broms
    Division of Urology, Children's Hospital of Philadelphia, PA, USA.
  • M Antony
    Division of Urology, Children's Hospital of Philadelphia, PA, USA.
  • M Rickard
    Division of Urology for Sick Children, Toronto, ON, Canada.
  • L Erdman
    Division of Urology for Sick Children, Toronto, ON, Canada.
  • R Edwins
    Division of Urology Rainbow Babies and Children's Hospital/Case Western Reserve University School of Medicine, Cleveland, OH, USA.
  • R Pominville
    Division of Urology Rainbow Babies and Children's Hospital/Case Western Reserve University School of Medicine, Cleveland, OH, USA.
  • J Hannick
    Division of Urology Rainbow Babies and Children's Hospital/Case Western Reserve University School of Medicine, Cleveland, OH, USA.
  • L Woo
    Division of Urology Rainbow Babies and Children's Hospital/Case Western Reserve University School of Medicine, Cleveland, OH, USA.
  • B Viteri
    Division of Nephrology, Children's Hospital of Philadelphia, PA, USA.
  • N D'Souza
    Division of Urology, Children's Hospital of Philadelphia, PA, USA.
  • S E Viswanath
    Department of Radiology, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
  • C Flask
    Department of Radiology, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
  • A Lorenzo
    Division of Urology for Sick Children, Toronto, ON, Canada.
  • Y Fan
    Department of Radiology, School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA. Electronic address: yong.fan@uphs.upenn.edu.
  • G E Tasian
    Department of Surgery, Division of Pediatric Urology, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Center for Pediatric Clinical Effectiveness, The Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Biostatistics, Epidemiology, and Informatics, The University of Pennsylvania, Philadelphia, PA, USA.