Evidence map›Paper›PMID 37073623›Full record

Trial reportRenal failure2023

Using elastography-based multilayer perceptron model to evaluate renal fibrosis in chronic kidney disease.

Ziman Chen, Tin Cheung Ying, Jiaxin Chen, Chaoqun Wu, Liujun Li, Hui Chen, Ting Xiao, Yongquan Huang, Xuehua Chen, Jun Jiang and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Renal failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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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

13 authors at 6 institutions in 3 countries.

Ziman ChenDepartment of Health Technology and Informatics, Hong Kong Polytechnic University, Kowloon, Hong Kong.
Tin Cheung YingDepartment of Health Technology and Informatics, Hong Kong Polytechnic University, Kowloon, Hong Kong.
Jiaxin ChenDepartment of Ultrasound, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, P.R. China.
Chaoqun WuDepartment of Ultrasound, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, P.R. China.
Liujun LiDepartment of Ultrasound, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, P.R. China.
Hui ChenDepartment of Ultrasound, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, P.R. China.
Ting XiaoDepartment of Ultrasound, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, P.R. China.
Yongquan HuangDepartment of Ultrasound, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, P.R. China.
Xuehua ChenCentral Lab, Liver Disease Research Center, The Affiliated Hospital of Yunnan University, Kunming City, Yunnan Province, P.R. China.
Jun JiangDepartment of Radiology, The Second People's Hospital of Shenzhen, Shenzhen, P.R. China.
Yingli WangUltrasound Department, EDAN Instruments, Inc, Shenzhen, P.R. China.
Wuzhu LuDepartment of Ultrasound, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, P.R. China.
Zhongzhen SuDepartment of Ultrasound, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, P.R. China.
Sun Yat-sen University · CNFifth Affiliated Hospital of Sun Yat-sen University · CNHong Kong Polytechnic University · HKEdan (China) · CNShenzhen Second People's Hospital · CNYunnan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven its progressive deterioration in the clinical course, noninvasive assessment and risk stratification for the severity of renal fibrosis in chronic kidney disease (CKD) are required. We aimed to develop and validate an end-to-end multilayer perceptron (MLP) model for assessing renal fibrosis in CKD patients based on real-time two-dimensional shear wave elastography (2D-SWE) and clinical variables.

methodsFrom April 2019 to December 2021, a total of 162 patients with CKD who underwent a kidney biopsy and 2D-SWE examination were included in this single-center, cross-sectional, and prospective clinical study. 2D-SWE was performed to measure the right renal cortex stiffness, and the corresponding elastic values were recorded. Patients were categorized into two groups according to their histopathological results: mild and moderate-severe renal fibrosis. The patients were randomly divided into a training cohort (

resultsThe developed MLP model demonstrated good calibration and discrimination in both the training [area under the receiver operating characteristic curve (AUC) = 0.93; 95% confidence interval (CI) = 0.88 to 0.98] and test cohorts [AUC = 0.86; 95% CI = 0.75 to 0.97]. A decision curve analysis and a clinical impact curve also showed that the MLP model had a positive clinical impact and relatively few negative effects.

conclusionsThe proposed MLP model exhibited the satisfactory performance in identifying the individualized risk of moderate-severe renal fibrosis in patients with CKD, which is potentially helpful for clinical management and treatment decision-making.

Indexed as

Elasticity Imaging TechniquesFibrosisKidneyRenal Insufficiency, ChronicCross-Sectional StudiesHumansNeural Networks, ComputerProspective StudiesChronic kidney diseasemachine learningmultilayer perceptronrenal fibrosisshear wave elastography

Identifiers

PMID37073623
PMCPMC10120461
OpenAlexW4366352788

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.