Identifying Signatures of Image Phenotypes to Track Treatment Response in Liver Disease

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Hauptverfasser: Perkonigg, Matthias, Bastati, Nina, Ba-Ssalamah, Ahmed, Mesenbrink, Peter, Goehler, Alexander, Martic, Miljen, Zhou, Xiaofei, Trauner, Michael, Langs, Georg
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Veröffentlicht: 2025
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author Perkonigg, Matthias
Bastati, Nina
Ba-Ssalamah, Ahmed
Mesenbrink, Peter
Goehler, Alexander
Martic, Miljen
Zhou, Xiaofei
Trauner, Michael
Langs, Georg
author_facet Perkonigg, Matthias
Bastati, Nina
Ba-Ssalamah, Ahmed
Mesenbrink, Peter
Goehler, Alexander
Martic, Miljen
Zhou, Xiaofei
Trauner, Michael
Langs, Georg
contents Quantifiable image patterns associated with disease progression and treatment response are critical tools for guiding individual treatment, and for developing novel therapies. Here, we show that unsupervised machine learning can identify a pattern vocabulary of liver tissue in magnetic resonance images that quantifies treatment response in diffuse liver disease. Deep clustering networks simultaneously encode and cluster patches of medical images into a low-dimensional latent space to establish a tissue vocabulary. The resulting tissue types capture differential tissue change and its location in the liver associated with treatment response. We demonstrate the utility of the vocabulary on a randomized controlled trial cohort of non-alcoholic steatohepatitis patients. First, we use the vocabulary to compare longitudinal liver change in a placebo and a treatment cohort. Results show that the method identifies specific liver tissue change pathways associated with treatment, and enables a better separation between treatment groups than established non-imaging measures. Moreover, we show that the vocabulary can predict biopsy derived features from non-invasive imaging data. We validate the method on a separate replication cohort to demonstrate the applicability of the proposed method.
format Preprint
id arxiv_https___arxiv_org_abs_2507_12012
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Identifying Signatures of Image Phenotypes to Track Treatment Response in Liver Disease
Perkonigg, Matthias
Bastati, Nina
Ba-Ssalamah, Ahmed
Mesenbrink, Peter
Goehler, Alexander
Martic, Miljen
Zhou, Xiaofei
Trauner, Michael
Langs, Georg
Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Quantifiable image patterns associated with disease progression and treatment response are critical tools for guiding individual treatment, and for developing novel therapies. Here, we show that unsupervised machine learning can identify a pattern vocabulary of liver tissue in magnetic resonance images that quantifies treatment response in diffuse liver disease. Deep clustering networks simultaneously encode and cluster patches of medical images into a low-dimensional latent space to establish a tissue vocabulary. The resulting tissue types capture differential tissue change and its location in the liver associated with treatment response. We demonstrate the utility of the vocabulary on a randomized controlled trial cohort of non-alcoholic steatohepatitis patients. First, we use the vocabulary to compare longitudinal liver change in a placebo and a treatment cohort. Results show that the method identifies specific liver tissue change pathways associated with treatment, and enables a better separation between treatment groups than established non-imaging measures. Moreover, we show that the vocabulary can predict biopsy derived features from non-invasive imaging data. We validate the method on a separate replication cohort to demonstrate the applicability of the proposed method.
title Identifying Signatures of Image Phenotypes to Track Treatment Response in Liver Disease
topic Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2507.12012