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https://github.com/menchelab/radipop_scripts

Scripts to train and validate random forest model for HVPG prediction
https://github.com/menchelab/radipop_scripts

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Scripts to train and validate random forest model for HVPG prediction

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# Radiomics-based prediction of portal hypertension severity and of liver-related events using routine CT scans of patients with cirrhosis

**Hepatic venous pressure gradient (HVPG)** is the reference standard to diagnose portal hypertension. Elevated HVPG is predictive of hepatic decompensation and mortality [Ripoll, 2007], and its measurement is indicated for diagnosis, therapy monitoring and risk stratification. However, HVPG measurement is invasive, relatively expensive and requires specialized medical infrastructure and expertise. Therefore, a non-invasive alternative is highly desirable.

In this project, we developed a radiomics-based model for the non-invasive determination of HVPG > 10mmHg (clinically significant portal hypertension, CSPH) from abdominal CT scans.

This work is published in <<<>>>

## Code base for analysis
This codebase is organized in 3 main folders:

### scripts_0preprocessing
- clean the metadata
- preprocess raw images
- extract radiomics features

### scripts_1ml
- explore the feature space
- feature selection and batch correction
- train and optimize a random forest classifier to predict for HVPG ≥10 mmHg
- evaluate performance of the model
### scripts_cox (Lorenz Balcar/Bernhard Scheiner)
- preform cox regression analysis for prognosis endpoints

## References
Ripoll, C. et al. Hepatic venous pressure gradient predicts clinical decompensation in patients with compensated cirrhosis. Gastroenterology 133, 481–488 (2007)