Review Article
Noninvasive Assessment of Liver Fibrosis
Laurent Castera, M.D., Ph.D., Mary E. Rinella, M.D., and Emmanuel A. Tsochatzis, M.D., Ph.D.
A figure showing the diagnosis, staging, and progression of liver fibrosis.
The NEJM identity sits at the bottom.
The prognosis of liver disease depends on the extent of fibrosis, which is usually staged with the use of liver biopsy. The limitations of biopsy have led to the development of noninvasive tests, which the authors review. Learn more: nej.md/4hwZMgj
#MedSky #GastroSky
29.10.2025 22:00 โ ๐ 16 ๐ 5 ๐ฌ 0 ๐ 0
HOTSPoT paves the way for scalable, explainable, and accessible AI in liver pathology.
Open science, clinical relevance, and technical excellence โ all in one model.
Congrats to the entire team!
#DigitalPathology #OpenSource #AIinMedicine
21.07.2025 07:13 โ ๐ 1 ๐ 1 ๐ฌ 0 ๐ 0
Behind this innovation is a multidisciplinary, international team โ but a special shoutout to Giorgio Cazzaniga, who led dataset creation, annotation, model design & implementation. A stellar example of clinician-engineering leadership. ๐
21.07.2025 07:13 โ ๐ 0 ๐ 0 ๐ฌ 1 ๐ 0
Clinical validation? Yes. In 35 liver biopsies, HOTSPoT's automated tract count matched human observers (ฮบ = 0.90) and correlated strongly with fibrosis stage (r = 0.87). A true step forward in reproducible pathology. ๐๐ฉบ
21.07.2025 07:13 โ ๐ 0 ๐ 0 ๐ฌ 1 ๐ 0
GitHub - Gizmopath/HOTSPoT: Hematoxylin & Eosin-based Open-access Tool for Segmentation of Portal Tracts
Hematoxylin & Eosin-based Open-access Tool for Segmentation of Portal Tracts - Gizmopath/HOTSPoT
HOTSPoT isn't just a model โ it's a tool. It's released in TorchScript format, integrates with QuPath, and includes a custom WSInfer pipeline for WSI-level inference. โ๏ธ
Code & model ๐ github.com/Gizmopath/HO...
21.07.2025 07:13 โ ๐ 0 ๐ 0 ๐ฌ 1 ๐ 0
Trained on 223 cases and tested across 5 international centers, HOTSPoT achieved Dice scores up to 0.92, showing minimal domain shift. That means: robust performance across scanners, stains, and disease contexts. ๐๐
21.07.2025 07:13 โ ๐ 0 ๐ 0 ๐ฌ 1 ๐ 0
Liver histology is essential in diagnosing autoimmune and inflammatory diseases โ but manual annotation is time-consuming and variable. HOTSPoT tackles this with automated, high-performance segmentation of portal tracts in H&E-stained slides. ๐ง ๐งซ
21.07.2025 07:13 โ ๐ 0 ๐ 0 ๐ฌ 1 ๐ 0
Automating liver biopsy segmentation with a robust, open-source tool for pathology research: the HOTSPoT model
npj Digital Medicine - Automating liver biopsy segmentation with a robust, open-source tool for pathology research: the HOTSPoT model
๐ฅ HOTSPoT sets a new benchmark in liver pathology: open-source, accurate, and externally validated tool for portal tract segmentation. A brilliant team effort led by Giorgio Cazzaniga โ whose vision and drive made it possible ๐
rdcu.be/ew7qh #AI #Digitalpathology
21.07.2025 07:08 โ ๐ 2 ๐ 1 ๐ฌ 1 ๐ 0
Great visit to EKFZ Digital Health Institute! Gave a talk at Jakob Katherโs lab, had great 1:1s with team members, and visited our PhD student Elisa Merelli, who's spending part of her PhD here๐ก๐ฌ #DigitalHealth #AI #Research
@jnkt.bsky.social @janclusmann.bsky.social
10.06.2025 15:32 โ ๐ 7 ๐ 1 ๐ฌ 0 ๐ 1
People Overtrust AI-Generated Medical Advice despite Low Accuracy
This article presents a comprehensive analysis of how artificial intelligence (AI)โgenerated medical responses are perceived and evaluated by nonexperts. We conducted a study in which a total of 30...
This article analyzes how nonexperts perceive AI-generated medical advice, finding that it is often rated as accurate as โ or better than โ doctor responses, raising concerns about overreliance and potential harm from incorrect guidance. Full article: nejm.ai/43xKDG0
#AI #MedSky #MLSky
22.05.2025 13:17 โ ๐ 10 ๐ 7 ๐ฌ 0 ๐ 1
A graph showing the time to first flare of giant-cell arteritis through week 52.
In the SELECT-GCA phase 3 trial involving patients with giant-cell arteritis, the oral Janus kinase inhibitor upadacitinib (15 mg) significantly improved remission of disease, with less glucocorticoid use. Full trial results: nej.md/3XBdkia
#MedSky
03.04.2025 15:02 โ ๐ 12 ๐ 4 ๐ฌ 0 ๐ 1
Happy to share our latest paper in @ai.nejm.org, led by Isabella Wiest: "Deidentifying Medical Documents with Local, Privacy-Preserving Large Language Models: The LLM-Anonymizer" ai.nejm.org/doi/full/10....
You can use our open source tool with local LLMs to robustly de-identify medical documents.
27.03.2025 18:32 โ ๐ 9 ๐ 5 ๐ฌ 1 ๐ 0
Trad Dad | Trainee Hepatologist | Co-founder SHALA Studio
๐ฆ @torchuk.bsky.social
๐ฌ research.manchester.ac.uk/en/persons/christopher-mysko
๐ง๐ฝโโ๏ธ instagram.com/shalastudiomcr
๐ท instagram.com/cemysko
Trainee Collaborative for Research and Improvement in Hepatology UK | Endorsed by BASL, @BritSocGastro.bsky.social, SSG, WAGE, @GutsCharityUK.bsky.social | Chairs: @ChrisMysko.bsky.social, Gio McGinty, Yaz Haddadin, Kohi Gananandan | #LiverSky
Board-certified Pathologist, Former Member of the Board of Directors of the German Society of Pathology (no medical advice-opinions are my own)
BlueSky only.
Tech enthusiast (optimist).
Futurist and early-adopter of everything.
PhD student at TU Dresden. Interested in multimodal AI ๐ป๐ฌ๐งฌ and creative data visualization ๐
Clinician Scientist, Clinical AI Researcher, LLM Enthusiast, Climate Advocate
Gastroenterologist and Hepatologist
Assistant Professor (RTDB) in Gastroenterology, University of Palermo, Italy
Research Fellow in Oncology, Imperial College, London, UK
Pianist
๐จ๐ปโ๐ซ๐ซ๐ฎ PhD candidate at University of Helsinki
โ๏ธ Working at DSGE Lab, FIMM institute
biostatistics | ML in medicine | public health
Medical Doctor | Clinical Artificial Intelligence | Professor of Medicine and Computer Science at TU Dresden, Germany | X: jnkath | web: www.kather.ai
MD, GI & Hepatology, Hannover Medical School. Interested in Liver Transplantation and Autoimmune Liver Disease.
PhD student at @gozziale.bsky.social Functional Neuroimaging lab at IIT.
Currently mapping large-scale brain networks with Functional Ultrasound Imaging ๐ญ๐ง
Medical Oncologist and Researcher in Breast Cancer
๐Institut Jules Bordet, Brussels๐ง๐ช
Hepatologist | Research fellow @scicambridge.bsky.social ๐ฌ๐ง & @unimib ๐ฎ๐น | ESOT transplant fellow | Biliary diseases, liver transplantation, organoids, machine perfusion
L'account ufficiale del Post (ilpost.it)
Exploring the American idea through ambitious, essential reporting and storytelling. Of no party or clique since 1857. http://theatlantic.com
Welcome to the official Bluesky account for the New England Journal of Medicine. Follow for high-quality, peer-reviewed research and clinical content from the worldโs leading medical journal, online at NEJM.org.
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