Hou Mengting, Zhu Yujie, Zhou Huadi, Zhou Siyi, Zhang Jianjun, Zhang Yue, Liu Xiao
Department of Radiology, Zhejiang Hospital, Hangzhou, Zhejiang Province, China.
Clin Exp Med. 2025 Aug 5;25(1):275. doi: 10.1007/s10238-025-01818-5.
This study employed machine learning models to quantitatively analyze liver fat content from MRI images for the evaluation of liver fibrosis and disease severity in patients with metabolic dysfunction-associated fatty liver disease (MAFLD). A total of 26 confirmed MAFLD cases, along with MRI image sequences obtained from public repositories, were included to perform a comprehensive assessment. Radiomics features-such as contrast, correlation, homogeneity, energy, and entropy-were extracted and used to construct a random forest classification model with optimized hyperparameters. The model achieved outstanding performance, with an accuracy of 96.8%, sensitivity of 95.7%, specificity of 97.8%, and an F1-score of 96.8%, demonstrating its strong capability in accurately evaluating the degree of liver fibrosis and overall disease severity in MAFLD patients. The integration of machine learning with MRI-based analysis offers a promising approach to enhancing clinical decision-making and guiding treatment strategies, underscoring the potential of advanced technologies to improve diagnostic precision and disease management in MAFLD.
本研究采用机器学习模型对磁共振成像(MRI)图像中的肝脏脂肪含量进行定量分析,以评估代谢功能障碍相关脂肪性肝病(MAFLD)患者的肝纤维化和疾病严重程度。总共纳入了26例确诊的MAFLD病例以及从公共数据库获取的MRI图像序列,以进行全面评估。提取了诸如对比度、相关性、均匀性、能量和熵等放射组学特征,并用于构建具有优化超参数的随机森林分类模型。该模型表现出色,准确率为96.8%,灵敏度为95.7%,特异性为97.8%,F1分数为96.8%,证明其在准确评估MAFLD患者肝纤维化程度和整体疾病严重程度方面具有强大能力。机器学习与基于MRI的分析相结合,为加强临床决策和指导治疗策略提供了一种有前景的方法,凸显了先进技术在提高MAFLD诊断准确性和疾病管理方面的潜力。