Evidence map›Paper›PMID 41672973›Full record

ArticleNature communications2026

Multi-modal AI for opportunistic screening, staging and progression risk stratification of steatotic liver disease.

Yuan Gao, Chunli Li, Wanxing Chang, Bai Du, Xianghua Ye, Yee Hui Yeo, Yingda Xia, Heng Guo, Xiaoming Zhang, Wei Liu and 12 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07613827 (AI-Driven Opportunistic Screening and Risk-Adapted Management of Steatotic Liver Disease), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT07613827 naenrolling by invitationnot on this map

AI-Driven Opportunistic Screening and Risk-Adapted Management of Steatotic Liver Disease

TypeinterventionalSponsorShengjing HospitalRan2026 to 2027Enrolled7,969ConditionsSteatotic Liver Disease, Liver Fibrosis Progression in Chronic Liver Disease, Liver Steatosis, Liver FibrosisArmsAI-human collaboration for SLD screening
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
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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

22 authors.

Yuan Gao *DAMO Academy, Alibaba Group, Hangzhou, China.ORCID http://orcid.org/0000-0003-2234-0922
Chunli Li *Department of Radiology, Shengjing Hospital of China Medical University, Shenyang, China.ORCID http://orcid.org/0000-0002-7220-3523
Wanxing Chang *DAMO Academy, Alibaba Group, Hangzhou, China.
Bai Du *Department of Radiology, Shengjing Hospital of China Medical University, Shenyang, China.ORCID http://orcid.org/0009-0007-4812-1222
Xianghua Ye *Department of Radiation Oncology, The First Affiliated Hospital, Zhejiang University, Hangzhou, China.ORCID http://orcid.org/0000-0002-4075-4777
Yee Hui Yeo *Karsh Division of Gastroenterology and Hepatology, Cedars-Sinai Medical Center, Los Angeles, USA.ORCID http://orcid.org/0000-0002-2703-5954
Yingda XiaHupan Laboratory, Hangzhou, China.ORCID http://orcid.org/0000-0002-7478-4392
Heng GuoDAMO Academy, Alibaba Group, Hangzhou, China.
Xiaoming ZhangDAMO Academy, Alibaba Group, Hangzhou, China.ORCID http://orcid.org/0009-0000-3986-885X
Wei LiuDAMO Academy, Alibaba Group, Hangzhou, China.ORCID http://orcid.org/0000-0003-3655-0058
Ruobing BaiDepartment of Radiology, Shengjing Hospital of China Medical University, Shenyang, China.ORCID http://orcid.org/0009-0009-6312-9809
Beibei LiDepartment of Radiology, Shengjing Hospital of China Medical University, Shenyang, China.ORCID http://orcid.org/0009-0007-2566-7476
Yang HongDepartment of Radiology, Shengjing Hospital of China Medical University, Shenyang, China.ORCID http://orcid.org/0009-0003-9444-877X
Jiawen YaoDAMO Academy, Alibaba Group, Hangzhou, China.ORCID http://orcid.org/0000-0001-7429-2964
Le LuDAMO Academy, Alibaba Group, Washington, DC, USA.ORCID http://orcid.org/0000-0002-6799-9416
Kai CaoDepartment of Radiology, Shanghai Institution of Pancreatic Disease, Shanghai, China.
Ke YanDAMO Academy, Alibaba Group, Hangzhou, China. yanke.yan@alibaba-inc.com.ORCID http://orcid.org/0000-0002-0034-9013
Jun ChenDepartment of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China. chen.jun@mayo.edu.
Jie LiDepartment of Infectious Disease, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China. lijier@nju.edu.cn.
Yang HouDepartment of Radiology, Shengjing Hospital of China Medical University, Shenyang, China. houyang1973@163.com.
Ling ZhangHupan Laboratory, Hangzhou, China. ling.z@alibaba-inc.com.ORCID http://orcid.org/0000-0001-8371-5252
Yu ShiDepartment of Radiology, Shengjing Hospital of China Medical University, Shenyang, China. 18940259980@163.com.ORCID http://orcid.org/0000-0003-1940-0074

Funding

Nanjing University (NJU) 2024-DF-03National Natural Science Foundation of China (National Science Foundation of China) 82170609National Natural Science Foundation of China (National Science Foundation of China) 82471971
6 · The paper itself

Abstract

The global rise in steatotic liver disease poses a significant public health challenge. While non-contrast computed tomography scans hold promise for opportunistic detection of steatotic liver disease, their potential for staging and risk assessment remains underexplored. Here we present a multimodal AI model trained on a large dataset, comprising of (n=968) histopathologically and (n=1103) radiologically confirmed cases, validated against both histology (n=660) and MRI-PDFF (n=375) gold standards, demonstrating high accuracy in detecting mild to severe steatosis (AUC: 0.904-0.929) and clinically significant fibrosis (AUC: 0.824-0.888). Furthermore, integrating the model into the standard clinical pathway improves primary risk screening in a retrospective patient cohort (n=1192), identifying 36% more patients at risk of fibrosis progression. Using Cox proportional hazard model, we observe that the intermediate-high risk patients identified by the optimized clinical pathway exhibits a significantly higher incidence of cirrhosis (hazard ratio: 5.54: 2.69-11.42), showcasing the model's potential for early detection and management of steatotic liver disease.

Indexed as

Artificial IntelligenceLiver DiseasesTomography, X-Ray ComputedAdultAgedElasticity Imaging TechniquesFatty LiverFemaleHumansLiverLiver CirrhosisMaleMiddle AgedRadiologists

Identifiers

PMID41672973
PMCPMC12894725

What OpenQuestion holds

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Registered trials

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.