Evidence map›Paper›PMID 35312969›Full record

ArticleHepatology international2022

Diagnosis of significant liver fibrosis in patients with chronic hepatitis B using a deep learning-based data integration network.

Zhong Liu, Huiying Wen, Ziqi Zhu, Qinyuan Li, Li Liu, Tianjiao Li, Wencong Xu, Chao Hou, Bin Huang, Zhiyan Li and 2 more

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Article in Hepatology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Zhong Liu *National-Regional Key Technology Engineering Laboratory for Medical Ultrasound, Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, School of Biomedical Engineering, Shenzhen University, Shenzhen, People's Republic of China.ORCID http://orcid.org/0000-0001-9650-6097
Huiying Wen *National-Regional Key Technology Engineering Laboratory for Medical Ultrasound, Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, School of Biomedical Engineering, Shenzhen University, Shenzhen, People's Republic of China.
Ziqi Zhu *National-Regional Key Technology Engineering Laboratory for Medical Ultrasound, Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, School of Biomedical Engineering, Shenzhen University, Shenzhen, People's Republic of China.
Qinyuan LiFirst Medical College of Guangdong Medical University, Zhanjiang, People's Republic of China.
Li LiuShenzhen Research Institute of Big Data, The Chinese University of Hong Kong, Shenzhen, People's Republic of China.
Tianjiao LiNational-Regional Key Technology Engineering Laboratory for Medical Ultrasound, Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, School of Biomedical Engineering, Shenzhen University, Shenzhen, People's Republic of China.
Wencong XuNational-Regional Key Technology Engineering Laboratory for Medical Ultrasound, Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, School of Biomedical Engineering, Shenzhen University, Shenzhen, People's Republic of China.
Chao HouNational-Regional Key Technology Engineering Laboratory for Medical Ultrasound, Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, School of Biomedical Engineering, Shenzhen University, Shenzhen, People's Republic of China.
Bin HuangNational-Regional Key Technology Engineering Laboratory for Medical Ultrasound, Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, School of Biomedical Engineering, Shenzhen University, Shenzhen, People's Republic of China.
Zhiyan LiNational Clinical Research Centre for Infectious Disease, Department of Ultrasound, Shenzhen Third People's Hospital, Shenzhen, People's Republic of China.
Changfeng DongNational Clinical Research Centre for Infectious Disease, Department of Ultrasound, Shenzhen Third People's Hospital, Shenzhen, People's Republic of China. chaosheng-02@szsy.sustech.edu.cn.
Xin ChenNational-Regional Key Technology Engineering Laboratory for Medical Ultrasound, Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, School of Biomedical Engineering, Shenzhen University, Shenzhen, People's Republic of China. chenxin@szu.edu.cn.ORCID http://orcid.org/0000-0002-5406-4136

Funding

National Natural Science Foundation of China 61901282National Natural Science Foundation of China 81871429
6 · The paper itself

Abstract

BACKGROUND AND

aimsChronic hepatitis B virus (CHB) infection remains a major global health burden and the non-invasive and accurate diagnosis of significant liver fibrosis (≥ F2) in CHB patients is clinically very important. This study aimed to assess the potential of the joint use of ultrasound images of liver parenchyma, liver stiffness values, and patients' clinical parameters in a deep learning model to improve the diagnosis of ≥ F2 in CHB patients.

methodsOf 527 CHB patients who underwent US examination, liver elastography and biopsy, 284 eligible patients were included. We developed a deep learning-based data integration network (DI-Net) to fuse the information of ultrasound images of liver parenchyma, liver stiffness values and patients' clinical parameters for diagnosing ≥ F2 in CHB patients. The performance of DI-Net was cross-validated in a main cohort (n = 155) of the included patients and externally validated in an independent cohort (n = 129), with comparisons against single-source data-based models and other non-invasive methods in terms of the area under the receiver-operating-characteristic curve (AUC).

resultsDI-Net achieved an AUC of 0.943 (95% confidence interval [CI] 0.893-0.973) in the cross-validation, and an AUC of 0.901 (95% CI 0.834-0.945) in the external validation, which were significantly greater than those of the comparative methods (AUC ranges: 0.774-0.877 and 0.741-0.848 for cross- and external validations, respectively, p

conclusionThe joint use of ultrasound images of liver parenchyma, liver stiffness values, and patients' clinical parameters in a deep learning model could significantly improve the diagnosis of ≥ F2 in CHB patients.

Indexed as

Deep LearningElasticity Imaging TechniquesHepatitis B, ChronicBiopsyHumansLiverLiver CirrhosisROC CurveChronic hepatitis BDeep learningFatty liver diseaseFeature fusionFibrosis biomarkerLiver elastographyLiver fibrosisNon-invasive fibrosis stagingSignificant liver fibrosisUltrasonography

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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.