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LiveBoost: A GB-based prediction system for liver fibrosis in chronic hepatitis B patients in China - A multi-center retrospective study

  • Guoxiang Xie*
  • , Huanming Xiao
  • , Quan Liu
  • , Tianlu Chen
  • , Fengyan Chen
  • , Kejun Zhou
  • , Xiaoning Wang
  • , Ping Liu
  • , Zhifeng Jia
  • , Lei Chen
  • , Xin Deng
  • , Fankun Meng
  • , Zhenhua Zhang
  • , Xiaoling Chi*
  • , Wei Jia*
  • *Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

1 Citation (Scopus)

Abstract

Background: The aim of this study was to evaluate the accuracy of LiveBoost™, a gradient boosting (GB)-based prediction system based on standard biochemical values (AST, ALT, platelet count) and age, in Chinese patients with chronic hepatitis B (CHB) and compare its performance with FIB-4 (fibrosis-4 score) and APRI (the aspartate transaminase to platelet ratio index).

Methods: This retrospective trial enrolled 454 participants, including 279 CHB patients who underwent liver biopsy and 175 normal controls from 3 centers in China. All participants underwent laboratory blood testing. LiveBoost was constructed using GB and FIB-4 and APRI were calculated from laboratory data.

Results: LiveBoost outperformed APRI and FIB-4 in predicting hepatic fibrosis and cirrhosis. The GB model had an AUROC of 0.977 for CHB diagnosis, 0.804 for early and advanced fibrosis, and 0.836 for non-cirrhosis and cirrhosis, compared to AUROC of 0.554, 0.673 and 0.720 for FIB-4, AUROC of 0.977, 0.652 and 0.654 for APRI.

Conclusions: LiveBoost is a more reliable and cost-effective method than APRI and FIB-4 for assessing liver fibrosis in Chinese patients with CHB.

Original languageEnglish
Article numbere24161
Number of pages9
JournalHeliyon
Volume10
Issue number2
DOIs
Publication statusPublished - 30 Jan 2024

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

User-Defined Keywords

  • APRI
  • Chronic hepatitis B
  • FIB-4
  • Hepatic fibrosis
  • LiveBoost

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