Evidence map›Paper›PMID 36362649›Full record

ArticleJournal of clinical medicine2022

A Novel Deep Learning Model as a Donor-Recipient Matching Tool to Predict Survival after Liver Transplantation.

Nikolaus Börner, Markus B Schoenberg, Philipp Pöschke, Christian Heiliger, Sven Jacob, Dominik Koch, Benedikt Pöllmann, Moritz Drefs, Dionysios Koliogiannis, Christian Böhm and 3 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

13 authors.

Nikolaus BörnerDepartment of General, Visceral and Transplantation Surgery, Ludwig-Maximilians-University, 81377 Munich, Germany.ORCID 0000-0002-1310-6600
Markus B SchoenbergDepartment of General, Visceral and Transplantation Surgery, Ludwig-Maximilians-University, 81377 Munich, Germany.ORCID 0000-0002-5806-8249
Philipp PöschkeInstitute of Informatics, Ludwig-Maximilians-University, 81377 Munich, Germany.
Christian HeiligerDepartment of General, Visceral and Transplantation Surgery, Ludwig-Maximilians-University, 81377 Munich, Germany.
Sven JacobDepartment of General, Visceral and Transplantation Surgery, Ludwig-Maximilians-University, 81377 Munich, Germany.ORCID 0000-0002-0990-2292
Dominik KochDepartment of General, Visceral and Transplantation Surgery, Ludwig-Maximilians-University, 81377 Munich, Germany.ORCID 0000-0002-7409-0032
Benedikt PöllmannDepartment of General, Visceral and Transplantation Surgery, Ludwig-Maximilians-University, 81377 Munich, Germany.
Moritz DrefsDepartment of General, Visceral and Transplantation Surgery, Ludwig-Maximilians-University, 81377 Munich, Germany.
Dionysios KoliogiannisDepartment of General, Visceral and Transplantation Surgery, Ludwig-Maximilians-University, 81377 Munich, Germany.ORCID 0000-0002-8001-8547
Christian BöhmInstitute of Informatics, Ludwig-Maximilians-University, 81377 Munich, Germany.ORCID 0000-0002-2237-9969
Konrad W KarczDepartment of General, Visceral and Transplantation Surgery, Ludwig-Maximilians-University, 81377 Munich, Germany.
Jens WernerDepartment of General, Visceral and Transplantation Surgery, Ludwig-Maximilians-University, 81377 Munich, Germany.
Markus GubaDepartment of General, Visceral and Transplantation Surgery, Ludwig-Maximilians-University, 81377 Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe "digital era" in the field of medicine is the new "here and now". Artificial intelligence has entered many fields of medicine and is recently emerging in the field of organ transplantation. Solid organs remain a scarce resource. Being able to predict the outcome after liver transplantation promises to solve one of the long-standing problems within organ transplantation. What is the perfect donor recipient match? Within this work we developed and validated a novel deep-learning-based donor-recipient allocation system for liver transplantation.

methodIn this study we used data collected from all liver transplant patients between 2004 and 2019 at the university transplantation centre in Munich. We aimed to design a transparent and interpretable deep learning framework to predict the outcome after liver transplantation. An individually designed neural network was developed to meet the unique requirements of transplantation data. The metrics used to determine the model quality and its level of performance are accuracy, cross-entropy loss, and F1 score as well as AUC score.

resultsA total of 529 transplantations with a total of 1058 matching donor and recipient observations were added into the database. The combined prediction of all outcome parameters was 95.8% accurate (cross-entropy loss of 0.042). The prediction of death within the hospital was 94.3% accurate (cross-entropy loss of 0.057). The overall F1 score was 0.899 on average, whereas the overall AUC score was 0.940.

conclusionWith the achieved results, the network serves as a reliable tool to predict survival. It adds new insight into the potential of deep learning to assist medical decisions. Especially in the field of transplantation, an AUC Score of 94% is very valuable. This neuronal network is unique as it utilizes transparent and easily interpretable data to predict the outcome after liver transplantation. Further validation must be performed prior to utilization in a clinical context.

Indexed as

data managementliver transplantationmachine learningquality management

Identifiers

PMID36362649
PMCPMC9655123

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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.