Evidence map›Paper›PMID 37879461›Full record

ReviewJournal of hepatology2024

Artificial intelligence-assisted digital pathology for non-alcoholic steatohepatitis: current status and future directions.

Vlad Ratziu, Marcus Hompesch, Mathieu Petitjean, Cindy Serdjebi, Janani S Iyer, Anil V Parwani, Dean Tai, Elisabetta Bugianesi, Kenneth Cusi, Scott L Friedman and 7 more

Abstract readReview
In one paragraph

Review in Journal of hepatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing 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

50 citing papers in PubMed.

  1. Digital quantitation of bridging fibrosis and septa reveals changes in natural history and treatment not seen with conventional histology.Liver international : official journal of the International Association for the Study of the Liver · 2024
    Trial
  2. Review
  3. Review
  4. Liver Biopsy in Metabolic Dysfunction-Associated Steatohepatitis Clinical Trials: Potential Pitfalls and Solutions.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Observational
  13. Review
  14. Article
  15. Review
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  17. Review
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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

17 authors.

Vlad RatziuSorbonne Université, ICAN Institute for Cardiometabolism and Nutrition, Hospital Pitié-Salpêtrière, INSERM UMRS 1138 CRC, Paris, France. Electronic address: vlad.ratziu@inserm.fr.
Marcus HompeschProSciento, San Diego, CA, USA.
Mathieu PetitjeanPharmaNest, Inc., Princeton, NJ, USA.
Cindy SerdjebiProScientoBiocellvia, Marseille, France.
Janani S IyerPathAI, Inc., Boston, MA, USA.
Anil V ParwaniDepartment of Pathology, The Ohio State University, Columbus, OH, USA.
Dean TaiHistoIndex Pte Ltd, Singapore.
Elisabetta BugianesiDepartment of Medical Sciences, University of Turin, Turin, Italy.
Kenneth CusiDivision of Endocrinology, Diabetes and Metabolism, University of Florida, Gainesville, FL, USA.
Scott L FriedmanDivision of Liver Diseases, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Eric LawitzTexas Liver Institute, University of Texas Health San Antonio, San Antonio, TX, USA.
Manuel Romero-GómezHospital Universitario Virgen del Rocío, CiberEHD, Insituto de Biomedicina de Sevilla (HUVR/CSIC/US), Universidad de Sevilla, Seville, Spain.
Detlef SchuppanInstitute of Translational Immunology and Department of Medicine, University Medical Center, Mainz, Germany; Department of Hepatology and Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Rohit LoombaNAFLD Research Center, University of California at San Diego, San Diego, CA, USA.
Valérie ParadisUniversité Paris Cité, Service d'Anatomie Pathologique, Hôpital Beaujon, Paris, France.
Cynthia BehlingPacific Rim Pathology, San Diego, California, USA.
Arun J SanyalDivision of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University, Richmond, VA, USA.

Funding

Hepatic stellate cells in NASH fibrosis and HCCR01DK128289 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SCOTT L. FRIEDMAN · 2021 to 2026
$2.6M
NIDDK NIH HHS R01 DK128289
6 · The paper itself

Abstract

The worldwide prevalence of non-alcoholic steatohepatitis (NASH) is increasing, causing a significant medical burden, but no approved therapeutics are currently available. NASH drug development requires histological analysis of liver biopsies by expert pathologists for trial enrolment and efficacy assessment, which can be hindered by multiple issues including sample heterogeneity, inter-reader and intra-reader variability, and ordinal scoring systems. Consequently, there is a high unmet need for accurate, reproducible, quantitative, and automated methods to assist pathologists with histological analysis to improve the precision around treatment and efficacy assessment. Digital pathology (DP) workflows in combination with artificial intelligence (AI) have been established in other areas of medicine and are being actively investigated in NASH to assist pathologists in the evaluation and scoring of NASH histology. DP/AI models can be used to automatically detect, localise, quantify, and score histological parameters and have the potential to reduce the impact of scoring variability in NASH clinical trials. This narrative review provides an overview of DP/AI tools in development for NASH, highlights key regulatory considerations, and discusses how these advances may impact the future of NASH clinical management and drug development. This should be a high priority in the NASH field, particularly to improve the development of safe and effective therapeutics.

Indexed as

Non-alcoholic Fatty Liver DiseaseArtificial IntelligenceBiopsyHumansLiverPrevalenceartificial intelligenceballooningclinical trialsdigital pathologyfibrosishistologyinflammationliver biopsymachine learningNAFLDNASHsteatosis

Identifiers

PMID37879461
PMCPMC11822446

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.