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Peer-Reviewed Publication
Int Urol Nephrol2025;57(3):801-808.March 1, 2025Journal Article

Artificial intelligence algorithms enhance urine cytology reporting confidence in postoperative follow-up for upper urinary tract urothelial carcinoma.

Cheng-Che Chen1,2,3, Tsung-Han Yen1, Jian-Ri Li1,3, Chih-Jung Chen4,5,6, Chi-Shun Yang6, Jing-Yi Lai6, Shu-Jiuan Lin6, Cheng-Hung Yeh7,8, Shih-Wen Hsu7,8, Ming-Yu Lin7,8, Tien-Jen Liu7,8, Chuan Shu Chen9,10,11
1Department of Urology, Taichung Veterans General Hospital, Taichung, Taiwan.
2BioAnalytical Chemistry and Nanobiomedicine Laboratory, Department of Biochemical Science and Technology, National Taiwan University, Taipei, Taiwan.
3Department of Medicine and Nursing, Hungkuang University, Taichung, Taiwan.
4Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan ROC.
5Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan ROC.
6Department of Pathology and Laboratory Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
7AlxMed Inc., Taipei, 111045, Taiwan.
8AIxMed, Inc., Santa Clara, CA, USA.
9Department of Urology, Taichung Veterans General Hospital, Taichung, Taiwan. r2060d@gmail.com.
10Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan ROC. r2060d@gmail.com.
11Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan ROC. r2060d@gmail.com.

Abstract

PURPOSE: In Taiwan, the incidence of urothelial carcinoma of the upper urinary tract (UTUC) is high and intravesical recurrence is approximately 22%-47%. Thus, postoperative cystoscopy and urine cytology follow-up, which require experienced cytologists, are needed. The AIxURO system aligns with The Paris System (TPS) guidelines for reporting urinary cytology. This study assessed the benefit of ear…

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