Evidence map›Paper›PMID 33684933›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2021

Development of a novel machine learning model to predict presence of nonalcoholic steatohepatitis.

Matt Docherty, Stephane A Regnier, Gorana Capkun, Maria-Magdalena Balp, Qin Ye, Nico Janssens, Andreas Tietz, Jürgen Löffler, Jennifer Cai, Marcos C Pedrosa and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

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  8. AI-Based Platelet-Independent Noninvasive Test for Liver Fibrosis in MASLD Patients.JGH open : an open access journal of gastroenterology and hepatology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 3 countries.

Matt DochertyZS, Princeton, New Jersey, USA.
Stephane A RegnierNovartis Pharma AG, Basel, Switzerland.
Gorana CapkunNovartis Pharma AG, Basel, Switzerland.
Maria-Magdalena BalpNovartis Pharma AG, Basel, Switzerland.
Qin YeZS, Princeton, New Jersey, USA.
Nico JanssensNovartis Pharma AG, Basel, Switzerland.
Andreas TietzNovartis Pharma AG, Basel, Switzerland.
Jürgen LöfflerNovartis Pharma AG, Basel, Switzerland.
Jennifer CaiNovartis Pharmaceuticals Inc, East Hanover, USA.
Marcos C PedrosaNovartis Pharma AG, Basel, Switzerland.
Jörn M SchattenbergMetabolic Liver Research Program. I. Department of Medicine, University Medical Center, Mainz, Germany.
Novartis (Switzerland) · CHNovartis (United States) · USUniversity Medical Center of the Johannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop a computer model to predict patients with nonalcoholic steatohepatitis (NASH) using machine learning (ML). MATERIALS AND

methodsThis retrospective study utilized two databases: a) the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) nonalcoholic fatty liver disease (NAFLD) adult database (2004-2009), and b) the Optum® de-identified Electronic Health Record dataset (2007-2018), a real-world dataset representative of common electronic health records in the United States. We developed an ML model to predict NASH, using confirmed NASH and non-NASH based on liver histology results in the NIDDK dataset to train the model.

resultsModels were trained and tested on NIDDK NAFLD data (704 patients) and the best-performing models evaluated on Optum data (~3,000,000 patients). An eXtreme Gradient Boosting model (XGBoost) consisting of 14 features exhibited high performance as measured by area under the curve (0.82), sensitivity (81%), and precision (81%) in predicting NASH. Slightly reduced performance was observed with an abbreviated feature set of 5 variables (0.79, 80%, 80%, respectively). The full model demonstrated good performance (AUC 0.76) to predict NASH in Optum data. DISCUSSION: The proposed model, named NASHmap, is the first ML model developed with confirmed NASH and non-NASH cases as determined through liver biopsy and validated on a large, real-world patient dataset. Both the 14 and 5-feature versions exhibit high performance.

conclusionThe NASHmap model is a convenient and high performing tool that could be used to identify patients likely to have NASH in clinical settings, allowing better patient management and optimal allocation of clinical resources.

Indexed as

Non-alcoholic Fatty Liver DiseaseAdultBiopsyHumansMachine LearningRetrospective StudiesUnited Statesartificial intelligencemachine learningNAFLDNASHnon-alcoholic fatty liver disease

Identifiers

PMID33684933
PMCPMC8200272
OpenAlexW3134936147

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.