Evidence map›Paper›PMID 41361038›Full record

ArticleNPJ digital medicine2025

Harnessing machine learning for the development, validation, and prognostic evaluation of MASHRisk score: insights from a multicohort study.

Bicheng Ye, Yuming Teng, Qianqian Chen, Jie Zhang, Shun Li, Li Dong, Changan Xu, Xiao Qiao, Xiaye Miao

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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.

Bicheng Ye *Liver Disease Center of Integrated Traditional Chinese and Western Medicine, Basic Medicine Research and Innovation Center of Ministry of Education, Zhongda Hospital, Southeast University, Nurturing Center of Jiangsu Province for State Laboratory of AI Imaging & Interventional Radiology (Southeast University), Nanjing, China.
Yuming Teng *School of Medicine, Yunnan University, Kunming, China.
Qianqian Chen *Department of Gastroenterology, The Second People's Hospital of Huai'an / The Affiliated Huai'an Hospital of Xuzhou Medical University, Huaian, China.
Jie Zhang *Department of Endocrinology and Metabolism, The Second People's Hospital of Huai'an / The Affiliated Huai'an Hospital of Xuzhou Medical University, Huaian, China.
Shun Li *Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Li DongDepartment of Infectious Disease, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Changan XuDepartment of Gastroenterology, The Second People's Hospital of Huai'an / The Affiliated Huai'an Hospital of Xuzhou Medical University, Huaian, China.
Xiao QiaoDepartment of Gastroenterology, The Second People's Hospital of Huai'an / The Affiliated Huai'an Hospital of Xuzhou Medical University, Huaian, China. jshaqiaoxiao@163.com.
Xiaye MiaoDepartment of Laboratory Medicine, Northern Jiangsu People's Hospital, Yangzhou, China. miaoxiaye@163.com.

Funding

grants of National Natural Science Foundation of China 82360226the Huai'an City Municipal Science and Technology Plan HAB202210
6 · The paper itself

Abstract

Metabolic dysfunction-associated steatohepatitis (MASH) increases liver-related mortality risk more than tenfold, yet reliable predictive biomarkers remain scarce. This study developed the MASHRisk score, a blood-based non-invasive diagnostic tool integrating routine clinical and biochemical panels. Using ten machine learning algorithms, the score was derived from 218 participants and validated across multiple cohorts (n = 93, 96, and 26,256). The MASHRisk score demonstrated robust diagnostic performance with area under the receiver operating characteristic curve (AUC) values of 0.791, 0.793, 0.806, and 0.796 across training, validation, and test sets, respectively. It emerged as an independent predictor of MASH (p < 0.001) and outperformed existing indices including Fibrosis-4 (FIB-4), aspartate aminotransferase to Platelet Ratio Index (APRI), aspartate aminotransferase to alanine aminotransferase Ratio (AAR), and Non-Alcoholic Fatty Liver Disease Fibrosis Score (NFS). In a prognostic cohort of 390,574 individuals, high-risk participants showed significantly elevated hazard ratios (HR) for liver-related mortality (HR: 12.296), MASH (HR: 12.829), cirrhosis (HR: 8.863), hepatocellular carcinoma (HR: 9.278), atherosclerotic cardiovascular disease (ASCVD)-related mortality (HR: 2.303), and all-cause mortality (HR: 1.744) compared to low-risk individuals (all p < 0.001). The MASHRisk score represents a validated, user-friendly tool for early detection, risk stratification, and outcome prediction in MASH.

Identifiers

PMID41361038
PMCPMC12804684

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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.