Development of a classification model for non-alcoholic steatohepatitis (NASH) using confocal Raman micro-spectroscopy

Non-alcoholic fatty liver disease (NAFLD) is the most common liver disorder in developed countries [1]. A subset of individuals with NAFLD progress to non-alcoholic steatohepatitis (NASH), an advanced form of NAFLD which predisposes individuals to cirrhosis, liver failure and hepatocellular carcinom...

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Bibliographic Details
Main Authors: Yan, Jie, Yu, Yang, Kang, Jeon Woong, Tam, Zhi Yang, Xu, Shuoyu, Fong, Eliza Li Shan, Singh, Surya Pratap, Song, Ziwei, Tucker-Kellogg, Lisa, So, Peter T. C., Yu, Hanry
Other Authors: Massachusetts Institute of Technology. Computational and Systems Biology Program
Format: Article
Published: Wiley 2019
Online Access:http://hdl.handle.net/1721.1/119875
https://orcid.org/0000-0003-2012-9023
https://orcid.org/0000-0003-4698-6488
https://orcid.org/0000-0002-0339-3685
Description
Summary:Non-alcoholic fatty liver disease (NAFLD) is the most common liver disorder in developed countries [1]. A subset of individuals with NAFLD progress to non-alcoholic steatohepatitis (NASH), an advanced form of NAFLD which predisposes individuals to cirrhosis, liver failure and hepatocellular carcinoma. The current gold standard for NASH diagnosis and staging is based on histological evaluation, which is largely semi-quantitative and subjective. To address the need for an automated and objective approach to NASH detection, we combined Raman micro-spectroscopy and machine learning techniques to develop a classification model based on a well-established NASH mouse model, using spectrum pre-processing, biochemical component analysis (BCA) and logistic regression. By employing a selected pool of biochemical components, we identified biochemical changes specific to NASH and show that the classification model is capable of accurately detecting NASH (AUC=0.85–0.87) in mice. The unique biochemical fingerprint generated in this study may serve as a useful criterion to be leveraged for further validation in clinical samples.