Artificial intelligence-based evaluation of prognosis in cirrhosis

被引:3
作者
Zhai, Yinping [1 ]
Hai, Darong [2 ]
Zeng, Li [3 ]
Lin, Chenyan [2 ]
Tan, Xinru [4 ]
Mo, Zefei [5 ]
Tao, Qijia [2 ]
Li, Wenhui [2 ]
Xu, Xiaowei [1 ]
Zhao, Qi [6 ,7 ]
Shuai, Jianwei [7 ,8 ]
Pan, Jingye [9 ,10 ,11 ]
机构
[1] Wenzhou Med Univ, Affiliated Hosp 1, Dept Gastroenterol, Nursing Unit, Ward 192, Wenzhou 325000, Peoples R China
[2] Wenzhou Med Univ, Sch Nursing, Wenzhou 325000, Peoples R China
[3] Wenzhou Med Univ, Clin Med Coll 2, Wenzhou 325000, Peoples R China
[4] Wenzhou Med Univ, Sch Med 1, Sch Informat & Engn, Wenzhou 325000, Peoples R China
[5] Wenzhou Med Univ, Eye Hosp, Sch Biomed Engn, Sch Ophthalmol & Optometry, Wenzhou 325000, Peoples R China
[6] Univ Sci & Technol Liaoning, Sch Comp Sci & Software Engn, Anshan 114051, Peoples R China
[7] Univ Chinese Acad Sci, Wenzhou Inst, Wenzhou 325000, Peoples R China
[8] Zhejiang Lab Regenerat Med Vis & Brain Hlth, Oujiang Lab, Wenzhou 325000, Peoples R China
[9] Wenzhou Med Univ, Affiliated Hosp 1, Dept Big Data Hlth Sci, Wenzhou 325000, Peoples R China
[10] Key Lab Intelligent Treatment & Life Support Crit, Wenzhou 325000, Peoples R China
[11] Zhejiang Engn Res Ctr Hosp Emergency & Proc Digiti, Wenzhou 325000, Zhejiang, Peoples R China
基金
中国国家自然科学基金;
关键词
Cirrhosis; Prognosis; Machine learning; Markers; Artificial intelligence; STAGE LIVER-DISEASE; HEPATOCELLULAR-CARCINOMA PATIENTS; PARENCHYMAL ECHO PATTERNS; CHILD-PUGH SCORE; NEURAL-NETWORK; CLINICAL-PRACTICE; EXTRACELLULAR VESICLES; PREDICTING MORTALITY; ACUTE DECOMPENSATION; EXTERNAL VALIDATION;
D O I
10.1186/s12967-024-05726-2
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Cirrhosis represents a significant global health challenge, characterized by high morbidity and mortality rates that severely impact human health. Timely and precise prognostic assessments of liver cirrhosis are crucial for improving patient outcomes and reducing mortality rates as they enable physicians to identify high-risk patients and implement early interventions. This paper features a thorough literature review on the prognostic assessment of liver cirrhosis, aiming to summarize and delineate the present status and constraints associated with the application of traditional prognostic tools in clinical settings. Among these tools, the Child-Pugh and Model for End-Stage Liver Disease (MELD) scoring systems are predominantly utilized. However, their accuracy varies significantly. These systems are generally suitable for broad assessments but lack condition-specific applicability and fail to capture the risks associated with dynamic changes in patient conditions. Future research in this field is poised for deep exploration into the integration of artificial intelligence (AI) with routine clinical and multi-omics data in patients with cirrhosis. The goal is to transition from static, unimodal assessment models to dynamic, multimodal frameworks. Such advancements will not only improve the precision of prognostic tools but also facilitate personalized medicine approaches, potentially revolutionizing clinical outcomes.
引用
收藏
页数:25
相关论文
共 218 条
[21]   Cirrhosis-related sarcopenia may not resolve after liver transplantation [J].
Brown, Sara ;
Richardson, Brooks ;
Bouquet, Erin ;
Reid, Elise ;
Mercer, Evan ;
Goncalves, Michael ;
Spann, Ashley ;
Annis, Jeffrey ;
Brittain, Evan ;
Dreher, Anthony ;
Alexopoulos, Sophoclis ;
Slaughter, James C. ;
Silver, Heidi J. ;
Izzy, Manhal .
JHEP REPORTS, 2023, 5 (11)
[22]   Galad Score as a Prognostic Marker for Patients with Hepatocellular Carcinoma [J].
Cagnin, Silvia ;
Donghia, Rossella ;
Martini, Andrea ;
Pesole, Pasqua Letizia ;
Coletta, Sergio ;
Shahini, Endrit ;
Boninsegna, Giulia ;
Biasiolo, Alessandra ;
Pontisso, Patrizia ;
Giannelli, Gianluigi .
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 2023, 24 (22)
[23]   Exosomal miR-21 regulates the TETs/PTENp1/PTEN pathway to promote hepatocellular carcinoma growth [J].
Cao, Liang-qi ;
Yang, Xue-wei ;
Chen, Yu-bin ;
Zhang, Da-wei ;
Jiang, Xiao-Feng ;
Xue, Ping .
MOLECULAR CANCER, 2019, 18 (01)
[24]   The Use of NACSELD and EASL-CLIF Classification Systems of ACLF in the Prediction of Prognosis in Hospitalized Patients With Cirrhosis [J].
Cao, Zhujun ;
Liu, Yuhan ;
Cai, Minghao ;
Xu, Yumin ;
Xiang, Xiaogang ;
Zhao, Gangde ;
Cai, Wei ;
Wang, Hui ;
Wang, Weijing ;
Xie, Qing .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2020, 115 (12) :2026-2035
[25]   Management of the major complications of cirrhosis: Beyond guidelines [J].
Carlos Garcia-Pagan, Juan ;
Francoz, Claire ;
Montagnese, Sara ;
Senzolo, Marco ;
Mookerjee, Rajeshwar P. .
JOURNAL OF HEPATOLOGY, 2021, 75 :S135-S146
[26]   Management of Decompensated Cirrhosis and Associated Syndromes [J].
Chandna, Shaun ;
Zarate, Eduardo Rodriguez ;
Gallegos-Orozco, Juan F. .
SURGICAL CLINICS OF NORTH AMERICA, 2022, 102 (01) :117-137
[27]   miR-301a-3p promotes hepatic stellate cells activation and liver fibrogenesis via regulating PTEN/PDGFR-β [J].
Chen, Xin ;
Zhu, Sai ;
Chen, Si-Yu ;
Wang, Jia-Nan ;
Sun, Li-Jiao ;
Tao, Shan-Min ;
Li, Xiao-Feng ;
Li, Hai-Di ;
Sun, Ying-Yin ;
Xu, Chuan-Hui ;
Suo, Xiao-Guo ;
Ji, Ming-Lu ;
Huang, Cheng ;
Meng, Xiao-Ming ;
Li, Jun .
INTERNATIONAL IMMUNOPHARMACOLOGY, 2022, 110
[28]   Integrated bioinformatical and in vitro study on drug targets for liver cirrhosis based on unsupervised consensus clustering and immune cell infiltration [J].
Chi, Qingjia ;
Wang, Di ;
Sun, Ting ;
Liang, Hua-Ping .
FRONTIERS IN PHARMACOLOGY, 2023, 13
[29]  
Child C G, 1964, Major Probl Clin Surg, V1, P1
[30]  
Chinese Society of Hepatology,Chinese Medical Association, 2019, Zhonghua Gan Zang Bing Za Zhi, V27, P846, DOI 10.3760/cma.j.issn.1007-3418.2019.11.008