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routineHealthcare & BiomedicalComputer Vision Model2609.04365

Ultrasound-Based Prediction of Cirrhosis Decompensation Using Large-Scale Computer Vision Models

Guangyi Zhang, Peiyun Ni, Eugene Cheah, Rajat Chandra, Peng Guo, Raymond T. Chung, Anthony E. Samir

eess.IV cs.AI cs.CV

Abstract

Decompensation represents a critical transition in the course of cirrhosis, yet clinicians have limited non-invasive tools to reliably predict its onset. In this study, we propose a novel imaging-based approach that leverages large-scale computer vision models to analyze routine abdominal ultrasound images and extract predictive features beyond those captured by traditional laboratory-based risk scores. Ultrasound is widely available, low cost, and suitable for longitudinal surveillance, making it an attractive modality for scalable risk stratification and long-term follow-up. Our framework integrates automated ultrasound data processing with modern deep learning architectures to identify patients at high risk of decompensation prior to the occurrence of clinical deterioration. This non-invasive strategy offers a practical complement to existing clinical scoring systems and may enable earlier, more proactive management of patients with compensated cirrhosis.

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