Evidence map›Paper›PMID 41127881›Full record

ArticleJHEP reports : innovation in hepatology2025

What we missed then, AI sees now: Revisiting legacy large extracellular vesicle data to reveal synergistic biomarkers for liver cancer screening.

Arnulf G Willms, Marcin Krawczyk, Henrike Julich-Haertel, Sabine K Gries, Jesus M Banales, Tudor Mocan, Angelina Klein, Sebastian Schaaf, Christoph Güsgen, Robert Schwab and 3 more

Abstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

13 authors.

Arnulf G WillmsDepartment of General, Visceral and Thoracic Surgery, German Armed Forces Central Hospital, Koblenz, Germany.
Marcin KrawczykDepartment of Medicine II, Saarland University Medical Center, Saarland University, Homburg, Germany.
Henrike Julich-HaertelDepartment of Medicine II, Saarland University Medical Center, Saarland University, Homburg, Germany.
Sabine K GriesDepartment of Medicine II, Saarland University Medical Center, Saarland University, Homburg, Germany.
Jesus M BanalesDepartment of Liver and Gastrointestinal Diseases, Biogipuzkoa Health Research Institute, Donostia University Hospital, University of the Basque Country (UPV/EHU), Ciberhed, Ikerbasque, San Sebastian, Spain.
Tudor MocanBabeş-Bolyai University - UBB Med Department, Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca, Romania.
Angelina KleinDepartment of General, Visceral and Thoracic Surgery, German Armed Forces Central Hospital, Koblenz, Germany.
Sebastian SchaafDepartment of General, Visceral and Thoracic Surgery, German Armed Forces Central Hospital, Koblenz, Germany.
Christoph GüsgenDepartment of General, Visceral and Thoracic Surgery, German Armed Forces Central Hospital, Koblenz, Germany.
Robert SchwabDepartment of General, Visceral and Thoracic Surgery, German Armed Forces Central Hospital, Koblenz, Germany.
Ingo G H Schmidt-WolfDepartment of Integrated Oncology, Center for Integrated Oncology (CIO), University Hospital of Bonn, 53127, Bonn, Germany.
Veronika Lukacs-KornekInstitute of Molecular Medicine and Experimental Immunology, University Hospital of the Rheinische Friedrich-Wilhelms-University, 53127 Bonn, Germany.
Miroslaw T KornekDepartment of General, Visceral and Thoracic Surgery, German Armed Forces Central Hospital, Koblenz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & Aims: In our 2017 publication, we introduced a novel concept for liver cancer detection using large extracellular vesicles (EVs), specifically AnnV Methods: In the present study, we revisited this legacy dataset - now supplemented with unpublished but previously collected measurements (N = 166) - and applied modern artificial intelligence-assisted analytical strategies. We evaluated a wide range of combinatorial models using Random Forest and Decision Tree classifiers, incorporating both rare large EV populations and classical serological markers (AFP, CEA, CA19-9, bilirubin). Results: The RF model combining AnnV Conclusions: This study demonstrates how legacy data, when re-analyzed with artificial intelligence-supported tools, can reveal clinically actionable insight. Large EVs - particularly derived from rare progenitor-like subpopulations - combined with classical serum markers, provide a promising non-invasive screening approach. Impact and implications: This study revisits a legacy extracellular vesicle dataset using modern artificial intelligence-assisted analysis to identify synergistic biomarker combinations for liver cancer screening. The results demonstrate that archived data, when re-analyzed with advanced computational tools, can yield novel and clinically relevant insights - particularly for screening liver malignancies. This approach may serve as a reproducible and transparent blueprint for similar efforts in liver diseases, oncology, and biomedical research more broadly. These findings are relevant to clinicians, translational researchers, and policymakers aiming to advance precision screening and early detection strategies. More broadly, this work underscores the role of artificial intelligence as a scientific collaborator and offers a model for responsible, sustainable innovation in biomedical research.

Indexed as

Additive scoringArtificial intelligenceBiomarkerCancer screeningCirrhosisEctosomesLarge extracellular vesiclesLiquid biopsyLiver cancerRandom forest

Identifiers

PMID41127881
PMCPMC12538156

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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.