Evidence map›Paper›PMID 42351948›Full record

ArticleBioengineering (Basel, Switzerland)2026

Machine Learning with Multiparametric MRI and Clinical Biomarkers for Noninvasive Renal Interstitial Fibrosis Staging.

Kexin Wang, Tao Zhao, Tao Su, Yizhu Jiang, Lei Jiang, Jianxing Qiu, Shuo Quan, Jiangtao Liu, Rui Wang

Abstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Kexin WangDepartment of Radiology, Peking University First Hospital, Beijing 100034, China.ORCID 0000-0001-9184-3967
Tao ZhaoRenal Division, Peking University First Hospital, Peking University Institute of Nephrology, Beijing 100034, China.
Tao SuRenal Division, Peking University First Hospital, Peking University Institute of Nephrology, Beijing 100034, China.
Yizhu JiangRenal Division, Peking University First Hospital, Peking University Institute of Nephrology, Beijing 100034, China.
Lei JiangRenal Division, Peking University First Hospital, Peking University Institute of Nephrology, Beijing 100034, China.
Jianxing QiuDepartment of Radiology, Peking University First Hospital, Beijing 100034, China.
Shuo QuanDepartment of Radiology, Peking University First Hospital, Beijing 100034, China.
Jiangtao LiuBeijing Smart Tree Medical Technology Co., Ltd., Beijing 102200, China.
Rui WangDepartment of Radiology, Peking University First Hospital, Beijing 100034, China.ORCID 0009-0006-1461-4590

Funding

Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences 2019-I2M-5-046National High Level Hospital Clinical Research Funding ("Star of Outlook" Scientific Research Pro-ject of Peking University First Hospital) 2023XW05National Natural Science Foundation of China 82202092National Science and Technology Major Projects for Major New Drugs Innovation and Development under Grant 2017ZX09304028
6 · The paper itself

Abstract

Renal interstitial fibrosis (RIF) is currently assessed by invasive biopsy. This prospective study developed and validated a noninvasive random forest model combining multiparametric MRI and clinical biomarkers for identifying severe RIF in 116 patients with biopsy-confirmed renal disease. Quantitative parameters were extracted from IVIM, ASL, phase-contrast MRI, T1 mapping, and BOLD sequences. Fibrosis was classified as mild (<25%) or severe (≥25%). In the held-out test set, the random forest model achieved an AUC of 0.89 (95% CI 0.82-0.96), sensitivity of 0.91, and specificity of 0.73, significantly outperforming clinical-only (AUC 0.63), MRI-only (AUC 0.63), and combined LASSO logistic regression (AUC 0.73) benchmarks. The model also demonstrated superior calibration (Brier score 0.154) and net clinical benefit on decision curve analysis. This integrated MRI-clinical model shows promise for noninvasive identification of severe RIF and warrants external prospective validation.

Indexed as

fibrosiskidneymachine learningmultiparametric magnetic resonance imaging

Identifiers

PMID42351948
PMCPMC13295375

What OpenQuestion holds

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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.