Artificial intelligence in prediction of non-alcoholic fatty liver disease and fibrosis

J Gastroenterol Hepatol. 2021 Mar;36(3):543-550. doi: 10.1111/jgh.15385.

Abstract

Artificial intelligence (AI) has become increasingly widespread in our daily lives, including healthcare applications. AI has brought many new insights into better ways we care for our patients with chronic liver disease, including non-alcoholic fatty liver disease and liver fibrosis. There are multiple ways to apply the AI technology on top of the conventional invasive (liver biopsy) and noninvasive (transient elastography, serum biomarkers, or clinical prediction models) approaches. In this review article, we discuss the principles of applying AI on electronic health records, liver biopsy, and liver images. A few common AI approaches include logistic regression, decision tree, random forest, and XGBoost for data at a single time stamp, recurrent neural networks for sequential data, and deep neural networks for histology and images.

Keywords: Cirrhosis; Liver fibrosis; Machine learning; Non-alcoholic steatohepatitis (NASH).

MeSH terms

  • Artificial Intelligence*
  • Biopsy / methods
  • Decision Trees
  • Diagnostic Imaging / methods
  • Electronic Health Records
  • Forecasting
  • Humans
  • Liver / diagnostic imaging
  • Liver / pathology
  • Liver Cirrhosis* / diagnostic imaging
  • Liver Cirrhosis* / pathology
  • Logistic Models
  • Neural Networks, Computer
  • Non-alcoholic Fatty Liver Disease* / diagnostic imaging
  • Non-alcoholic Fatty Liver Disease* / pathology