Complex application of mathematical methods in diagnostics of diffuse liver diseases

Aim of investigation. The standard of diffuse liver disease (DLD) diagnostics, allowing to determine etiology, stage of liver fibrosis (LF), histological activity index (HAI) is the liver biopsy (LB). At inaccessibility of LB for diagnostics, LF stage can be assessed by noninvasive methods based on...

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Main Authors: I. Yu. Pirogova, S. A. Pyshkin, A. A. Bolotov
Format: Article
Language:Russian
Published: Gastro LLC 2011-02-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1368
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author I. Yu. Pirogova
S. A. Pyshkin
A. A. Bolotov
author_facet I. Yu. Pirogova
S. A. Pyshkin
A. A. Bolotov
author_sort I. Yu. Pirogova
collection DOAJ
description Aim of investigation. The standard of diffuse liver disease (DLD) diagnostics, allowing to determine etiology, stage of liver fibrosis (LF), histological activity index (HAI) is the liver biopsy (LB). At inaccessibility of LB for diagnostics, LF stage can be assessed by noninvasive methods based on mathematical modelling with plotting of «images» of various etiological forms, LF stages and HAI of disease. An aim of investigation was stepwise application of mathematical analysis methods for improvement of diagnostics of DLD stage and its activity.Methods. Overall 450 patients were investigated: 319 HCV RNA-positive patients and 131 HBV DNApositive patients. To construct the «images» of stages of chronic HCV-and HBV-infections discriminant analysis, neural networks, computer programming were applied. The result of non-invasive diagnostics of patients with HСV-infection in 71% of cases coincided with LB data by LF stage, in 62% – by HAI. At HВV-infection LF stage conformed LB data in 78%, HAI – in 71% of the cases.Conclusions. Combined application of mathematical methods in DLD diagnostics with assessment of LF stages and HAI allows non-invasive estimation of these parameters with sufficient diagnostic accuracy. At revealing of severe liver disease (LF stage ≥2 by METAVIR, HAI by Knodell ≥4 points) LB is recommended.
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spelling doaj-art-6ba1ca53bdb9421882a8cc921c2890b22025-02-10T16:14:30ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732011-02-012114449920Complex application of mathematical methods in diagnostics of diffuse liver diseasesI. Yu. PirogovaS. A. PyshkinA. A. BolotovAim of investigation. The standard of diffuse liver disease (DLD) diagnostics, allowing to determine etiology, stage of liver fibrosis (LF), histological activity index (HAI) is the liver biopsy (LB). At inaccessibility of LB for diagnostics, LF stage can be assessed by noninvasive methods based on mathematical modelling with plotting of «images» of various etiological forms, LF stages and HAI of disease. An aim of investigation was stepwise application of mathematical analysis methods for improvement of diagnostics of DLD stage and its activity.Methods. Overall 450 patients were investigated: 319 HCV RNA-positive patients and 131 HBV DNApositive patients. To construct the «images» of stages of chronic HCV-and HBV-infections discriminant analysis, neural networks, computer programming were applied. The result of non-invasive diagnostics of patients with HСV-infection in 71% of cases coincided with LB data by LF stage, in 62% – by HAI. At HВV-infection LF stage conformed LB data in 78%, HAI – in 71% of the cases.Conclusions. Combined application of mathematical methods in DLD diagnostics with assessment of LF stages and HAI allows non-invasive estimation of these parameters with sufficient diagnostic accuracy. At revealing of severe liver disease (LF stage ≥2 by METAVIR, HAI by Knodell ≥4 points) LB is recommended.https://www.gastro-j.ru/jour/article/view/1368chronic hepatitisliver cirrhosisdiscriminant analysisneural networkscomputer programming
spellingShingle I. Yu. Pirogova
S. A. Pyshkin
A. A. Bolotov
Complex application of mathematical methods in diagnostics of diffuse liver diseases
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
chronic hepatitis
liver cirrhosis
discriminant analysis
neural networks
computer programming
title Complex application of mathematical methods in diagnostics of diffuse liver diseases
title_full Complex application of mathematical methods in diagnostics of diffuse liver diseases
title_fullStr Complex application of mathematical methods in diagnostics of diffuse liver diseases
title_full_unstemmed Complex application of mathematical methods in diagnostics of diffuse liver diseases
title_short Complex application of mathematical methods in diagnostics of diffuse liver diseases
title_sort complex application of mathematical methods in diagnostics of diffuse liver diseases
topic chronic hepatitis
liver cirrhosis
discriminant analysis
neural networks
computer programming
url https://www.gastro-j.ru/jour/article/view/1368
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AT sapyshkin complexapplicationofmathematicalmethodsindiagnosticsofdiffuseliverdiseases
AT aabolotov complexapplicationofmathematicalmethodsindiagnosticsofdiffuseliverdiseases