ClinicalTrials.gg
Active, not recruitingNCT06412900RISUS_AIUpdated Aug 11, 2025

Radiomics and Image Segmentation of Urinary Stones by Artificial Intelligence

An observational study in Urinary Stone, Renal Colic and Obstruction Ureter, sponsored by Oslo University Hospital. Active, not recruiting at 1 site in Norway. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-11.

Primary conditionKidney CalculiRegistry: Urinary CalculiReclassifiedWhy we changed it
Registry
Urinary Calculi — the first condition term the registry derived for this study.
ClinicalTrials.gg
Kidney Calculi
Why
  1. The study's listed conditions name Kidney Calculi, a narrower term within Urinary Calculi.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Oslo University Hospital · Observational

From the registry’s dates

  • Primary completion was expected by Aug 2025, 1 year 3 months ago, but the record still lists the study as active, not recruiting.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
522
Ages
18 Years and older
Sex
All
01

Study summary

Kidney stone disease causes significant morbidity, and stones obstructing the ureter can have serious consequences. Imaging diagnostics with computed tomography (CT) are crucial for diagnosis, treatment selection, and follow-up. Segmentation of CT images can provide objective data on stone burden and signs of obstruction. Artificial intelligence (AI) can automate such segmentation but can also be used for the diagnosis of stone disease and obstruction.

In this project, the aim is to investigate if:

Manual segmentation of CT scans can provide more accurate information about kidney stone disease compared to conventional interpretation.

AI segmentation yields valid results compared to manual segmentation. AI can detect ureteral stones and obstruction or predict spontaneous passage.

Read the detailed description

Background:

Goals and Objectives:

The project aims to contribute to personalized and improved treatment and follow-up of patients with kidney stones using radiomics and the development of an artificial intelligence tool for CT examination assessment. The objectives are to assess:

  • Whether manual segmentation of CT images of the urinary tract provides equivalent or more accurate information about kidney stone disease compared to conventional interpretation and reporting.
  • Whether segmentation performed with AI yields valid results compared to manual segmentation.
  • Whether AI can detect ureteral stones and obstruction and/or predict spontaneous passage of stones.

Method:

Cohort:

Patients are recruited to the study at Oslo University Hospital, Radiology Department, Section Aker, which performs approximately 1350 CT examinations for urinary tract stones in approximately 1000 patients each year. Approximately 500 patients with a new episode or newly occurring colic pain and clinical suspicion of kidney stones are expected to be included.

Clinical data (where available):

  • Baseline CT: date and image data
  • Initial treatment (conservative, URS, PCN, ESWL) decision after baseline CT
  • Follow-up CT: date and image data
  • Time to spontaneous stone passage (negative control CT) or completed surgical intervention (URS)
  • Any other surgical/invasive procedure
  • Stone chemical analysis
  • Clinical biochemistry: creatinine/eGFR, CRP, leukocytes (at baseline and follow-ups).

Image data:

Clinical radiology report:

  • Stone: (largest calculus and any obstructing calculus): largest diameter in any plane, density (ROI set by clinical judgment, largest possible ROI - in the slice where the stone is largest), location (upper ureter: above crossing of vessels, lower ureter: below crossing of vessels, ostial: in bladder wall)
  • Renal pelvis: largest diameter of calyx neck lower calyx, clinical assessment of dilation (not dilated/slight/moderate/severe).
  • Segmentation:
  • Stone: total segmented stone volume, largest diameter, and density of segmented stone.
  • Collecting system: total segmented volume of the collecting system and renal pelvis.
02

Conditions studied

  • Urinary Stone
  • Renal Colic
  • Obstruction Ureter
  • Urosepsis
  • Urolithiasis
  • Ureter Stone
  • Kidney Stone

Keywords

  • Urolithiasis
  • Computed tomography
  • Image segmentation
  • Ureteral obstruction
  • Artificial intelligence
03

In context

Kidney Calculi Reclassified

509 studies on the registry are indexed under Kidney Calculi; 146 are open to participants now.

This study's enrollment of 522 is above the median of 160 across 96 observational studies indexed under Kidney Calculi.

Browse Kidney Calculi studies →

Lead sponsor

Oslo University Hospital is the lead sponsor of 834 studies on the registry; 149 are open to participants now.

Compared within Kidney Calculi, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Urinary Calculi. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients referred for CT for new/acute episode of renal colic and suspicion of /or known urinary stone disease.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Referral for CT due to episode of renal colic and clinical suspicion of urinary stone disease or
  • Referral for CT due to new episode of pain in patient with known urinary stone disease
  • Age ≥ 18 years

Exclusion criteria

Exclusion Criteria:

  • Referral for control CT of asymptomatic patients with known urinary stone disease
  • Referral for control CT after treatment
  • Referral for control CT for spontaneous passage of stone.
  • Lack of for any reason.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
522 participants (actual)
Target follow-up
3 Months
Patient registry
Yes

Groups and cohorts

  • Adults investigated with CT for suspected urinary stone disease

    Newly occurring colic pain and clinical suspicion of kidney stones or known kidney stone with new/increasing symptoms. Age ≥ 18 years

06

What researchers measure

Primary outcomes

  1. Comparison of stone diameter from manual segmentation with radiology report

    Stone diameter (in mm) compared between manual segmentation and radiology report (paired t-test or wilcoxon rank sum test if non-normally distributed data)

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

  2. Comparison of AI-segmentation of stones (DICE-score) with manual segmentation

    DICE-score for AI-segmentation of stones, compared to manual segmenation (gold standard)

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

  3. Prospective performance (diagnostic accuracy) of AI detection of ureteral stone (compared to radiology report (gold standard)

    Comparison of differences in dicotomous proportions in paired data according to Newcombe

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

Secondary outcomes

  1. Comparison of stone density from manual segmentation with radiology report

    Stone density (in Hounsfield Units) compared between manual segmentation and radiology report (paired t-test or wilcoxon rank sum test if non-normally distributed data)

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

  2. Comparison of distention of renal pelvis from manual segmentation with radiology report

    Distention of renal pelvis (in mm) compared between manual segmentation and radiology report (paired t-test or wilcoxon rank sum test if non-normally distributed data)

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

  3. Comparison of AI-segmentation of stones (Hausdorff distance) with manual segmentation

    Haussdorff distance for AI-segmentation of stones, compared to manual segmenation (gold standard)

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

  4. Comparison of AI-segmentation of stones (diagnostic accuracy) with manual segmentation

    Diagnostic accuracy for AI-segmentation of stones compared to manual segmenation (gold standard)

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

  5. Comparison of AI-segmentation of renal pelvis (Dice-score) with manual segmentation

    DICE-score for AI-segmentation of renal pelvis compared to manual segmenation (gold standard)

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

  6. Comparison of AI-segmentation of renal pelvis (Hausdorff distance) with manual segmentation

    Hausdorff distance for AI-segmentation of renal pelvis compared to manual segmenation (gold standard)

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

  7. Comparison of AI-segmentation of renal pelvis (diagnostic accuracy) with manual segmentation

    Diagnostic accuracy for AI-segmentation of renal pelvis compared to manual segmenation (gold standard)

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

  8. Comparison of AI-segmentation of renal parenchyma (DICE-score) with manual segmentation

    DICE-score for AI-segmentation of renal parenchyma compared to manual segmenation (gold standard)

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

  9. Comparison of AI-segmentation of renal parenchyma (Hausdorff distance) with manual segmentation

    Hausdorff distance for AI-segmentation of renal parenchyma compared to manual segmenation (gold standard)

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

  10. Comparison of AI-segmentation of renal parenchyma (diagnostic accuracy) with manual segmentation

    Diagnostic accuracy for AI-segmentation of renal parenchyma compared to manual segmenation (gold standard)

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

  11. Prospective performance (diagnostic accuracy) of AI detection of ureteral obstruction (compared to radiology report (gold standard)

    Comparison of differences in dicotomous proportions in paired data according to Newcombe

    Time frame: At time of CT examination (inclusion and follow up - expected average 12 weeks)

07

Study locations

1 site
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2024 (actual). Primary completion is estimated for Aug 2025, 14 months after the start.

Of 39 observational studies under Kidney Calculi, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 52. This study's planned 14 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 30, 2024
First posted
May 14, 2024
StartActual
May 21, 2024
Primary completionEst.
Aug 2, 2025
CompletionEst.
Mar 28, 2028
Last update
Aug 11, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06412900
Responsible party
Peter Mæhre Lauritzen (Principal investigator, Oslo University Hospital) — Principal investigator
First posted
May 14, 2024
Start date
May 21, 2024
Primary completion
Aug 2, 2025 (estimated)
Completion
Mar 28, 2028 (estimated)
Last update
Aug 11, 2025

Study contacts

Peter M. Lauritzen, MD, PhD
principal investigator · Oslo University Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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