Evidence map›Paper›PMID 37920655›Full record

ArticleHealth science reports2023

Point-of-care detection of fibrosis in liver transplant surgery using near-infrared spectroscopy and machine learning.

Varun J Sharma, John A Adegoke, Michael Fasulakis, Alexander Green, Su K Goh, Xiuwen Peng, Yifan Liu, Louise Jackett, Angela Vago, Eric K W Poon and 10 more

Open access · goldAbstract read
In one paragraph

Article in Health science reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. 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

20 authors at 5 institutions in 2 countries.

Varun J SharmaDepartment of Surgery, Melbourne Medical School University of Melbourne Melbourne Victoria Australia.ORCID https://orcid.org/0000-0002-5008-4113
John A AdegokeCentre for Biospectroscopy Monash University Melbourne Victoria Australia.
Michael FasulakisDepartment of Engineering University of Melbourne Melbourne Victoria Australia.
Alexander GreenCentre for Biospectroscopy Monash University Melbourne Victoria Australia.ORCID 0000-0002-2998-1127
Su K GohDepartment of Surgery, Melbourne Medical School University of Melbourne Melbourne Victoria Australia.
Xiuwen PengDepartment of Engineering University of Melbourne Melbourne Victoria Australia.
Yifan LiuDepartment of Engineering University of Melbourne Melbourne Victoria Australia.
Louise JackettDepartment of Anatomical Pathology Austin Health Melbourne Victoria Australia.
Angela VagoDepartment of Surgery, Melbourne Medical School University of Melbourne Melbourne Victoria Australia.
Eric K W PoonDepartment of Microbiology and Immunology, Peter Doherty Institute for Infection and Immunity University of Melbourne Melbourne Victoria Australia.
Graham StarkeyDepartment of Surgery, Melbourne Medical School University of Melbourne Melbourne Victoria Australia.
Sarina MoshfeghDepartment of Surgery, Melbourne Medical School University of Melbourne Melbourne Victoria Australia.
Ankita MuthyaDepartment of Surgery, Melbourne Medical School University of Melbourne Melbourne Victoria Australia.
Rohit D'CostaDonateLife Victoria Carlton Victoria Australia.
Fiona JamesDepartment of Infectious Diseases Austin Health Melbourne Victoria Australia.
Claire L GordonDepartment of Microbiology and Immunology, Peter Doherty Institute for Infection and Immunity University of Melbourne Melbourne Victoria Australia.
Robert JonesDepartment of Surgery, Melbourne Medical School University of Melbourne Melbourne Victoria Australia.
Isaac O AfaraSchool of Information Technology and Electrical Engineering Faculty of Engineering, Architecture, and Information Technology Brisbane Queensland Australia.
Bayden R WoodCentre for Biospectroscopy Monash University Melbourne Victoria Australia.
Jaishankar RamanDepartment of Surgery, Melbourne Medical School University of Melbourne Melbourne Victoria Australia.
The University of Melbourne · AUMonash University · AUAustin Health · AUBirdLife Australia · AUQueensland University of Technology · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Visual assessment and imaging of the donor liver are inaccurate in predicting fibrosis and remain surrogates for histopathology. We demonstrate that 3-s scans using a handheld near-infrared-spectroscopy (NIRS) instrument can identify and quantify fibrosis in fresh human liver samples. Methods: We undertook NIRS scans on 107 samples from 27 patients, 88 from 23 patients with liver disease, and 19 from four organ donors. Results: Liver disease patients had a median immature fibrosis of 40% (interquartile range [IQR] 20-60) and mature fibrosis of 30% (10%-50%) on histopathology. The organ donor livers had a median fibrosis (both mature and immature) of 10% (IQR 5%-15%). Using machine learning, this study detected presence of cirrhosis and METAVIR grade of fibrosis with a classification accuracy of 96.3% and 97.2%, precision of 96.3% and 97.0%, recall of 96.3% and 97.2%, specificity of 95.4% and 98.0% and area under receiver operator curve of 0.977 and 0.999, respectively. Using partial-least square regression machine learning, this study predicted the percentage of both immature ( Conclusion: This study demonstrates that a point-of-care NIRS instrument can accurately detect, quantify and classify liver fibrosis using machine learning.

Indexed as

chemometricslivernear‐infrared spectroscopyspectromicstransplantvibrational spectroscopy

Identifiers

PMID37920655
PMCPMC10618569
OpenAlexW4388134235

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.