Evidence map›Paper›PMID 40432473›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

Development and Validation of Machine Learning-Based Marker for Early Detection and Prognosis Stratification of Nonalcoholic Fatty Liver Disease.

Lushan Xiao, Lin Zeng, Jiaren Wang, Chang Hong, Ziyong Zhang, Chengkai Wu, Hao Cui, Yan Li, Ruining Li, Shengxing Liang and 5 more

Abstract readValidation Study
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. [Research progress and future prospects for artificial intelligence in the diagnosis and treatment of fatty liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
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

15 authors.

Lushan XiaoDepartment of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Lin ZengDepartment of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Jiaren WangDepartment of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Chang HongDepartment of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Ziyong ZhangGuangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Chengkai WuSchool of Public Health, Southern Medical University, Guangzhou, 510515, China.
Hao CuiDepartment of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Yan LiGuangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Ruining LiGuangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Shengxing LiangSchool of Public Health, Southern Medical University, Guangzhou, 510515, China.
Qijie DengGuangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Wenyuan LiNanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Xuejing ZouGuangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Pengcheng MaSchool of Public Health, Southern Medical University, Guangzhou, 510515, China.
Li LiuDepartment of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.ORCID https://orcid.org/0000-0002-5265-4159

Funding

Guangdong Natural Science Foundation 2022A1515110656National Key R&D Program of China 2021YFF1201304National Key R&D Program of China 2023YFC2308500National Nature Science Foundation of China 82172751National Nature Science Foundation of China 82373301National Nature Science Foundation of China 82400664National Nature Science Foundation of China 82404077Postdoctoral Fellowship Program of CPSF GZC20240663Science and Technology Projects in Guangzhou 2024A04J5208
6 · The paper itself

Abstract

Nonalcoholic fatty liver disease (NAFLD) is the leading cause of chronic liver disease and is considered the hepatic manifestation of metabolic syndrome, triggering out adverse outcomes. A stacked multimodal machine learning model is constructed and validated for early identification and prognosis stratification of NAFLD by integrating genetic and clinical data sourced from 36 490 UK Biobank and 9 007 Nanfang Hospital participants and extracted its probabilities as in-silico scores for NAFLD (ISNLD). The efficacy of ISNLD is evaluated for the early prediction of severe liver disease (SeLD) and analyzed its association with metabolism-related outcomes. The multimodal model performs satisfactorily in classifying individuals into low- and high-risk groups for NAFLD, achieving area under curves (AUCs) of 0.843, 0.840, and 0.872 within training, internal, and external test sets, respectively. Among high-risk group, ISNLD is significantly associated with intrahepatic and metabolism-related complications after lifestyle factors adjustment. Further, ISNLD demonstrates notable capability for early prediction of SeLD and further stratifies high-risk subjects into three risk subgroups of elevated risk for adverse outcomes. The findings emphasize the model's ability to integrate multimodal features to generate ISNLD, enabling early detection and prognostic prediction of NAFLD. This facilitates personalized stratification for NAFLD and metabolism-related outcomes based on digital non-invasive markers, enabling preventive interventions.

Indexed as

Machine LearningNon-alcoholic Fatty Liver DiseaseAdultBiomarkersEarly DiagnosisFemaleHumansMaleMiddle AgedPrognosisBiomarkersmachine learningmultimodalnonalcoholic fatty liver diseaseprognosissevere liver diseasestratification

Identifiers

PMID40432473
PMCPMC12412496

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Registered trials

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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.