In this study we developed a fully automated deep learning algorithm based on gadoxetic acid-enhanced MRI for noninvasive prediction of liver fibrosis. We found good-to-excellent performance of the algorithm in an independent test set (AUC 0.77 – 0.91), which was equivalent to the diagnostic performance of MR elastography (AUC 0.86 – 0.92, p-values between methods >0.134). The developed algorithm may potentially allow for noninvasive liver fibrosis assessment, without the need for invasive biopsies.
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