A clinical decision support system for interventional urinary stone management planning

Abstract

Urinary stone disease is a very common disease of the urinary tract where excessive mineral content in the kidneys form stones and obstruct the urinary tract, due to which affected patients experience severe pain and uneasiness. Identification of the appropriate interventional stone management method is usually done based on the size and location of the stone. Improper planning of the interventional method can lead to multiple revisits and unnecessary radiation exposure and thus an intelligent clinical decision system to precisely provide a treatment plan is required. In this paper, an intelligent system that recommends an appropriate interventional stone management system is proposed. Stone management data of 600 patients containing information about the stone size, location and the treatment provided to them was used to train machine learning models. The training and testing performance of different machine learning models with the dataset has been compared. Results showed that decision trees and support vector machines showed better results in predicting the right treatment planning method while given necessary inputs (stone size and location). This system can be useful in clinical setups in assisting urologists in planning treatment for urinary stone disease.

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

This study did not receive any funding

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

Institutional Ethics Committee of SRM Medical College Hospital & Research Centre gave ethical approval for this work

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

Yes

Data Availability

All data produced in the present study are available upon reasonable request to the authors

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