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CanadaHealthcare and life sciences2024 – ongoing

The Hospital for Sick Children

Hydronephrosis ultrasound AI silent trial

SickKids reported a clinician's invasive-scan referral rate fell from 80% to 58% after observing an ultrasound AI model

WorkingCompany's own claimOfficial ↗

Problem

Children with hydronephrosis could require invasive nuclear scans to investigate kidney obstruction. Ultrasound interpretation helped clinicians decide which children needed further investigation.

Approach

SickKids developed an AI model to predict hydronephrosis severity from ultrasound images. A nurse practitioner repeatedly observed its inputs and outputs during a silent trial, in which model predictions did not directly inform care decisions. She subsequently anticipated its classifications.

Results

58%children referred for invasive nuclear scans by the nurse practitioner, down from 80% over 3 years, according to SickKidsCompany's own claim[1]

Takeaway

Observing a model can change clinical judgment even during a silent trial. The reported referral change concerned a single clinician and did not establish a hospital-wide treatment effect.

Categories

Business function
Production and quality
Innovation type
Process innovation
Evidence
Company's own claim

Sources

Source summaries

[1]SickKids16 Jan 2024

SickKids described clinician learning during a hydronephrosis AI silent trial. It reported referrals falling from 80% to 58% and warned that model exposure could influence clinical behavior.

Full details are in the original sources.

Added 1 Nov 2026 · Updated 1 Nov 2026
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