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author:

Yang, Mingjing (Yang, Mingjing.) [1] | Zhu, Zhanpeng (Zhu, Zhanpeng.) [2] | Huang, Liqin (Huang, Liqin.) [3] | Sun, Haoran (Sun, Haoran.) [4] | Lin, Xingtao (Lin, Xingtao.) [5] | Li, Nuoxi (Li, Nuoxi.) [6] | Pan, Lin (Pan, Lin.) [7] | Lin, Shan (Lin, Shan.) [8] | Ding, Wangbin (Ding, Wangbin.) [9]

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Abstract:

Background and objective: Pediatric hydronephrosis is a common disease due to ureteropelvic junction obstruction (UPJO). Non-invasive magnetic resonance urography (MRU) can utilize the water in the urine as a natural contrast agent to image renal pelvis and calyces, which could be used to diagnose UPJO. However, as invasive techniques, MRU fails to provide detailed definitive measurements, such as pressure and velocity. This study aims to provide a non-invasive method to compute urine flow dynamics based on deep learning and computational fluid dynamics (CFD) techniques. The method could gain insights into the urodynamic characteristics of hydronephrosis patients, which facilitates clinical decision-making and further contributes to prognosis. Methods: This work proposed a method to characterize urine flow dynamics with MRU data. Specifically, the method first reconstructs patient-specific three-dimensional renal pelvis mesh models with deep learning techniques. Then, boundary conditions were set according to the mesh models, and the Viscous k-epsilon turbulence model was used to perform CFD simulation of urine. Finally, the method characterizes the dynamics of urinary flows for UPJO diagnosis and prognosis. Results: Experiments are conducted on MRU data via our proposed method. By comparing the preoperative and postoperative urine pressure cloud maps of patients, we found that the pressure in the renal pelvis was significantly lower in the postoperative period than in the preoperative period. Furthermore, we introduced the urine flow velocity ratio (UFVR) index to assess the obstruction of urine in renal pelvis. We compared the UFVR in the preoperative and postoperative phase, and indicated that the obstruction of urine flow has been mitigated following surgery. Conclusions: CFD can simulate the urinary flow field within the renal pelvis, offering the possibility of predicting renal pelvic pressure without the need for painful, invasive interventions such as the Whitaker test. Moreover, numerical simulation provides a new definitive way for evaluating the postoperative efficacy of dismembered pyeloplasty. © 2025 Elsevier B.V.

Keyword:

Body fluids Computational fluid dynamics Decision making Diagnosis Diseases Learning algorithms Learning systems Magnetic resonance Mesh generation Noninvasive medical procedures Numerical models Pediatrics

Community:

  • [ 1 ] [Yang, Mingjing]College of Physics and Information Engineering, Fuzhou University, No. 2 Wulongjiang North Road, Fujian, Fuzhou; 350108, China
  • [ 2 ] [Zhu, Zhanpeng]College of Physics and Information Engineering, Fuzhou University, No. 2 Wulongjiang North Road, Fujian, Fuzhou; 350108, China
  • [ 3 ] [Huang, Liqin]College of Physics and Information Engineering, Fuzhou University, No. 2 Wulongjiang North Road, Fujian, Fuzhou; 350108, China
  • [ 4 ] [Sun, Haoran]Fudan University, Intelligent Medicine Institute, No.130 Dongan Road, Shanghai; 200032, China
  • [ 5 ] [Lin, Xingtao]College of Physics and Information Engineering, Fuzhou University, No. 2 Wulongjiang North Road, Fujian, Fuzhou; 350108, China
  • [ 6 ] [Li, Nuoxi]School of Medical Imaging, Fujian Medical University, No. 1 Xuefu Road, Fujian, Fuzhou; 350122, China
  • [ 7 ] [Pan, Lin]College of Physics and Information Engineering, Fuzhou University, No. 2 Wulongjiang North Road, Fujian, Fuzhou; 350108, China
  • [ 8 ] [Lin, Shan]The Shengli Clinical Medical College, Fujian Medical University, Department of Pediatric Surgery, Fujian Provincial Hospital, No. 134 East street, Fujian, Fuzhou; 350001, China
  • [ 9 ] [Lin, Shan]Fuzhou University Affiliated Provincial Hospital, No. 134 East street, Fujian, Fuzhou; 350001, China
  • [ 10 ] [Ding, Wangbin]School of Medical Imaging, Fujian Medical University, No. 1 Xuefu Road, Fujian, Fuzhou; 350122, China

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Source :

Computer Methods and Programs in Biomedicine

ISSN: 0169-2607

Year: 2026

Volume: 273

4 . 9 0 0

JCR@2023

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ESI Highly Cited Papers on the List: 0 Unfold All

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30 Days PV: 0

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