Investig Clin Urol.  2022 Jul;63(4):441-447. 10.4111/icu.20220062.

Prediction of the composition of urinary stones using deep learning

• Kim US
• Kwon HS
• Yang W
• Lee W
• Choi C
• Kim JK
• Lee SH
• Rim D
• Han JH

• KMID: 2530913
• DOI: http://doi.org/10.4111/icu.20220062

Abstract

Purpose
This study aimed to predict the composition of urolithiasis using deep learning from urinary stone images.
Materials and Methods
We classified 1,332 stones into 31 classes according to the stone composition. The top 4 classes with a frequency of 110 or more (class 1: calcium oxalate monohydrate [COM] 100%, class 2: COM 80%+struvite 20%, class 3: COM 60%+calcium oxalate dihydrate [COD] 40%, class 4: uric acid 100%) were selected. With the 965 stone images of the top 4 classes, we used the seven convolutional neural networks (CNN) to classify urinary stones and compared their classification performances.
Results
Among the seven models, Xception_Ir0.001 showed the highest accuracy, precision, and recall and was selected as the CNN model to predict the stone composition. The sensitivity and specificity for the 4 classes by Xception_Ir0.001 were as follows: class 1 (94.24%, 91.73%), class 2 (85.42%, 96.14%), class 3 (86.86%, 99.59%), and class 4 (94.96%, 98.82%). The sensitivity and specificity of the individual components of the stones were as follows. COM (98.82%, 94.96%), COD (86.86%, 99.64%), struvite (85.42%, 95.59%), and uric acid (94.96%, 98.82%). The area under the curves for class 1, 2, 3, and 4 were 0.98, 0.97, 1.00, and 1.00, respectively.
Conclusions
This study showed the feasibility of deep learning for the diagnostic ability to assess urinary stone composition from images. It can be an alternative tool for conventional stone analysis and provide decision support to urologists, improving the effectiveness of diagnosis and treatment.

Keyword

Artificial intelligence; Deep learning; Endoscopy; Machine learning; Urolithiasis