Machine learning-assisted fluoroscopy of bladder function in awake mice
Abstract
Understanding the lower urinary tract (LUT) and development of highly needed novel therapies to treat LUT disorders depends on accurate techniques to monitor LUT (dys)function in preclinical models. We recently developed videocystometry in rodents, which combines intravesical pressure measurements with X-ray-based fluoroscopy of the LUT, allowing the in vivo analysis of the process of urine storage and voiding with unprecedented detail. Videocystometry relies on the precise contrast-based determination of the bladder volume at high temporal resolution, which can readily be achieved in anesthetized or otherwise motion-restricted mice but not in awake and freely moving animals. To overcome this limitation, we developed a machine-learning method, in which we trained a neural network to automatically detect the bladder in fluoroscopic images, allowing the automatic analysis of bladder filling and voiding cycles based on large sets of time-lapse fluoroscopic images (>3 hours at 30 images/second) from behaving mice and in a non-invasive manner. With this approach, we found that urethane, an injectable anesthetic that is commonly used in preclinical urological research, has a profound, dose-dependent effect on urethral relaxation and voiding duration. Moreover, both in awake and in anaesthetized mice, the bladder capacity was decreased ~4-fold when cystometry was performed acutely after surgical implantation of a suprapubic catheter. Our findings provide a paradigm for the non-invasive, in vivo monitoring of a hollow organ in behaving animals and pinpoint important limitations of the current gold standard techniques to study the LUT in mice.
Data availability
Raw data for Figures 1-4 are available via https://doi.org/10.6084/m9.figshare.19826050.v1.
Article and author information
Author details
Funding
Fonds Wetenschappelijk Onderzoek (I001322N)
- Sebastian Munck
Fonds Wetenschappelijk Onderzoek (G0B7620N)
- Thomas Voets
Fonds Wetenschappelijk Onderzoek (I000321N)
- Sebastian Munck
KU Leuven (KA/20/085)
- Sebastian Munck
KU Leuven (IDN/19/039)
- Sebastian Munck
Fonds Wetenschappelijk Onderzoek (Senior Clinical Investigator fellowship)
- Wouter Everaerts
Fonds Wetenschappelijk Onderzoek (G066322N)
- Wouter Everaerts
KU Leuven (C24M/21/028)
- Wouter Everaerts
Queen Elisabeth Medical Foundation
- Thomas Voets
Vlaams Instituut voor Biotechnologie (Unrestricted grant)
- Thomas Voets
The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.
Ethics
Animal experimentation: All animal experiments were carried out after approval of the Ethical Committee Laboratory Animals of the Faculty of Biomedical Sciences of the KU Leuven under project number P035/2018.
Copyright
© 2022, De Bruyn et al.
This article is distributed under the terms of the Creative Commons Attribution License permitting unrestricted use and redistribution provided that the original author and source are credited.
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