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ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 41 Issue 11
Nov.  2025
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Article Contents

Digital biopsy for liver diseases: A review of technological advances and application prospects

DOI: 10.12449/JCH251102
Research funding:

National Natural Science Foundation of China (62275050);

National Key Research and Development Program of China (2022YFC2407304);

Natural Science Foundation of Fujian Province (2025J011318);

Fuzhou Science and Technology Program (2024-G-015)

More Information
  • Corresponding author: ZENG Yongyi, lamp197311@126.com (ORCID: 0000-0001-8823-698X)
  • Received Date: 2025-09-01
  • Accepted Date: 2025-10-18
  • Published Date: 2025-11-25
  • Digital biopsy for liver diseases is characterized by the deep integration of artificial intelligence (AI) technologies and large-scale liver disease data, through which intelligent analytics are applied to support clinical decision-making and full-cycle management. This article reviews the AI technical framework based on standardized data governance and centered on multimodal large medical models, covering the application of natural language processing, knowledge map, generative AI, and large language models in the establishment of databases for specialty diseases, diagnosis, prognosis prediction, treatment, and automated medical documentation. This article also discusses the application prospects of this framework in medical education, scientific research, and healthcare management. Although this technique shows broad application potential, it still faces challenges in areas such as multi-center data integration, model interpretability, ethics, and data security. In the future, a smart ecosystem with closed-loop optimization and human-AI collaboration should be established to promote the comprehensive implementation of digital biopsy in the whole process of medicine, education, research, and management, thereby providing help for the precise prevention and control and holistic health management of liver diseases.

     

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  • [1]
    SCHATTENBERG JM, CHALASANI N, ALKHOURI N. Artificial intelligence applications in hepatology[J]. Clin Gastroenterol Hepatol, 2023, 21( 8): 2015- 2025. DOI: 10.1016/j.cgh.2023.04.007.
    [2]
    CAZZANIGA G, L'IMPERIO V, BONOLDI E, et al. Automating liver biopsy segmentation with a robust, open-source tool for pathology research: The HOTSPoT model[J]. NPJ Digit Med, 2025, 8( 1): 455. DOI: 10.1038/s41746-025-01870-1.
    [3]
    WAQAS A, BUI MM, GLASSY EF, et al. Revolutionizing digital pathology with the power of generative artificial intelligence and foundation models[J]. Lab Invest, 2023, 103( 11): 100255. DOI: 10.1016/j.labinv.2023.100255.
    [4]
    HE R, SARWAL V, QIU XR, et al. Generative AI models in time-varying biomedical data: Scoping review[J]. J Med Internet Res, 2025, 27: e59792. DOI: 10.2196/59792.
    [5]
    BOSMA JS, DERCKSEN K, BUILTJES L, et al. The DRAGON benchmark for clinical NLP[J]. NPJ Digit Med, 2025, 8: 289. DOI: 10.1038/s41746-025-01626-x.
    [6]
    FEI H, REN YF, ZHANG Y, et al. Enriching contextualized language model from knowledge graph for biomedical information extraction[J]. Brief Bioinform, 2021, 22( 3): bbaa110. DOI: 10.1093/bib/bbaa110.
    [7]
    KALYAN KS, SANGEETHA S. BertMCN: Mapping colloquial phrases to standard medical concepts using BERT and highway network[J]. Artif Intell Med, 2021, 112: 102008. DOI: 10.1016/j.artmed.2021.102008.
    [8]
    OZONZE O, SCOTT PJ, HOPGOOD AA. Automating electronic health record data quality assessment[J]. J Med Syst, 2023, 47( 1): 23. DOI: 10.1007/s10916-022-01892-2.
    [9]
    SCOTT HF, BRILLI RJ, PAUL R, et al. Evaluating pediatric sepsis definitions designed for electronic health record extraction and multicenter quality improvement[J]. Crit Care Med, 2020, 48( 10): e916- e926. DOI: 10.1097/CCM.0000000000004505.
    [10]
    RISKIN DJ, MONDA KL, GAGNE JJ, et al. Implementing accuracy, completeness, and traceability for data reliability[J]. JAMA Netw Open, 2025, 8( 3): e250128. DOI: 10.1001/jamanetworkopen.2025.0128.
    [11]
    RIZZO M. AI in neurology: Everything, everywhere, all at once part 3: Surveillance, synthesis, simulation, and systems[J]. Ann Neurol, 2025, 98( 4): 651- 667. DOI: 10.1002/ana.27230.
    [12]
    STETSON PD, CHOY J, SUMMERVILLE N, et al. Responsible artificial intelligence governance in oncology[J]. NPJ Digit Med, 2025, 8( 1): 407. DOI: 10.1038/s41746-025-01794-w.
    [13]
    KOUTSOUBIS N, WAQAS A, YILMAZ Y, et al. Privacy-preserving federated learning and uncertainty quantification in medical imaging[J]. Radiol Artif Intell, 2025, 7( 4): e240637. DOI: 10.1148/ryai.240637.
    [14]
    LIU JH, CHEN C, QU YY, et al. RASS: Enabling privacy-preserving and authentication in online AI-driven healthcare applications[J]. ISA Trans, 2023, 141: 20- 29. DOI: 10.1016/j.isatra.2023.03.049.
    [15]
    LI J, CAIRNS BJ, LI JS, et al. Generating synthetic mixed-type longitudinal electronic health records for artificial intelligent applications[J]. NPJ Digit Med, 2023, 6( 1): 98. DOI: 10.1038/s41746-023-00834-7.
    [16]
    ISGUT M, GLOSTER L, CHOI K, et al. Systematic review of advanced AI methods for improving healthcare data quality in post COVID-19 era[J]. IEEE Rev Biomed Eng, 2023, 16: 53- 69. DOI: 10.1109/RBME.2022.3216531.
    [17]
    ANAYA G, PETTEE GABRIEL K, ST-ONGE MP, et al. Optimal instruments for measurement of dietary intake, physical activity, and sleep among adults in population-based studies: Report of a national heart, lung, and blood institute workshop[J]. J Am Heart Assoc, 2024, 13( 21): e035818. DOI: 10.1161/JAHA.124.035818.
    [18]
    BRADSHAW TJ, BROSCH-LENZ J, URIBE C, et al. Recommendations for standardizing nuclear medicine terminology and data in the era of theranostics and artificial intelligence[J]. J Nucl Med, 2025, 66( 9): 1471- 1479. DOI: 10.2967/jnumed.124.269424.
    [19]
    COSTELLO J, KAUR M, REFORMAT MZ, et al. Leveraging knowledge graphs and natural language processing for automated web resource labeling and knowledge mobilization in neurodevelopmental disorders: Development and usability study[J]. J Med Internet Res, 2023, 25: e45268. DOI: 10.2196/45268.
    [20]
    SHI J, BENDIG D, VOLLMAR HC, et al. Mapping the bibliometrics landscape of AI in medicine: Methodological study[J]. J Med Internet Res, 2023, 25: e45815. DOI: 10.2196/45815.
    [21]
    EDFELDT K, EDWARDS AM, ENGKVIST O, et al. A data science roadmap for open science organizations engaged in early-stage drug discovery[J]. Nat Commun, 2024, 15( 1): 5640. DOI: 10.1038/s41467-024-49777-x.
    [22]
    XI JN, SUN DH, CHANG C, et al. An omics-to-omics joint knowledge association subtensor model for radiogenomics cross-modal modules from genomics and ultrasonic images of breast cancers[J]. Comput Biol Med, 2023, 155: 106672. DOI: 10.1016/j.compbiomed.2023.106672.
    [23]
    AN D, LIM M, LEE S. Challenges for data quality in the clinical data life cycle: Systematic review[J]. J Med Internet Res, 2025, 27: e60709. DOI: 10.2196/60709.
    [24]
    GIEREND K, FREIESLEBEN S, KADIOGLU D, et al. The status of data management practices across German medical data integration centers: Mixed methods study[J]. J Med Internet Res, 2023, 25: e48809. DOI: 10.2196/48809.
    [25]
    LIGHTERNESS A, ADCOCK M, SCANLON LA, et al. Data quality-driven improvement in health care: Systematic literature review[J]. J Med Internet Res, 2024, 26: e57615. DOI: 10.2196/57615.
    [26]
    SYED R, EDEN R, MAKASI T, et al. Digital health data quality issues: Systematic review[J]. J Med Internet Res, 2023, 25: e42615. DOI: 10.2196/42615.
    [27]
    HE YT, HUANG FX, JIANG XR, et al. Foundation model for advancing healthcare: Challenges, opportunities and future directions[J]. IEEE Rev Biomed Eng, 2025, 18: 172- 191. DOI: 10.1109/RBME.2024.3496744.
    [28]
    SCHWABE D, BECKER K, SEYFERTH M, et al. The METRIC-framework for assessing data quality for trustworthy AI in medicine: A systematic review[J]. NPJ Digit Med, 2024, 7( 1): 203. DOI: 10.1038/s41746-024-01196-4.
    [29]
    TIWARI P, ZHU HY, PANDEY HM. DAPath: Distance-aware knowledge graph reasoning based on deep reinforcement learning[J]. Neural Netw, 2021, 135: 1- 12. DOI: 10.1016/j.neunet.2020.11.012.
    [30]
    PENG CY, XIA F, NASERIPARSA M, et al. Knowledge graphs: Opportunities and challenges[J]. Artif Intell Rev, 2023, 56( 11): 13071- 13102. DOI: 10.1007/s10462-023-10465-9.
    [31]
    BHUYAN SS, SATEESH V, MUKUL N, et al. Generative artificial intelligence use in healthcare: Opportunities for clinical excellence and administrative efficiency[J]. J Med Syst, 2025, 49( 1): 10. DOI: 10.1007/s10916-024-02136-1.
    [32]
    HE JZ, TIBO A, JANET JP, et al. Evaluation of reinforcement learning in transformer-based molecular design[J]. J Cheminform, 2024, 16( 1): 95. DOI: 10.1186/s13321-024-00887-0.
    [33]
    ATANCE SR, DIEZ JV, ENGKVIST O, et al. De novo drug design using reinforcement learning with graph-based deep generative models[J]. J Chem Inf Model, 2022, 62( 20): 4863- 4872. DOI: 10.1021/acs.jcim.2c00838.
    [34]
    PARK J, AHN J, CHOI J, et al. Mol-AIR: Molecular reinforcement learning with adaptive intrinsic rewards for goal-directed molecular generation[J]. J Chem Inf Model, 2025, 65( 5): 2283- 2296. DOI: 10.1021/acs.jcim.4c01669.
    [35]
    YIM WW, FU YJ, ABACHA A BEN, et al. Aci-bench: A novel ambient clinical intelligence dataset for benchmarking automatic visit note generation[J]. Sci Data, 2023, 10: 586. DOI: 10.1038/s41597-023-02487-3.
    [36]
    KERNBERG A, GOLD JA, MOHAN V. Using ChatGPT-4 to create structured medical notes from audio recordings of physician-patient encounters: Comparative study[J]. J Med Internet Res, 2024, 26: e54419. DOI: 10.2196/54419.
    [37]
    RAO VM, HLA M, MOOR M, et al. Multimodal generative AI for medical image interpretation[J]. Nature, 2025, 639( 8056): 888- 896. DOI: 10.1038/s41586-025-08675-y.
    [38]
    DINANI AM, KOWDLEY KV, NOUREDDIN M. Application of artificial intelligence for diagnosis and risk stratification in NAFLD and NASH: The state of the art[J]. Hepatology, 2021, 74( 4): 2233- 2240. DOI: 10.1002/hep.31869.
    [39]
    AHN JC, RATTAN P, STARLINGER P, et al. AI-Cirrhosis-ECG(ACE) score for predicting decompensation and liver outcomes[J]. JHEP Rep, 2025, 7( 5): 101356. DOI: 10.1016/j.jhepr.2025.101356.
    [40]
    SU GL, ZHANG P, BELANCOURT PX, et al. Incorporation of quantitative imaging data using artificial intelligence improves risk prediction in veterans with liver disease[J]. Hepatology, 2024, 80( 4): 928- 936. DOI: 10.1097/HEP.0000000000000750.
    [41]
    ZHAI YP, HAI DR, ZENG L, et al. Artificial intelligence-based evaluation of prognosis in cirrhosis[J]. J Transl Med, 2024, 22( 1): 933. DOI: 10.1186/s12967-024-05726-2.
    [42]
    SPANN A, STRAUSS AT, DAVIS SE, et al. The role of artificial intelligence in chronic liver diseases and liver transplantation[J]. Gastroenterology, 2025, 169( 3): 456- 470. DOI: 10.1053/j.gastro.2025.05.012.
    [43]
    FUJIWARA N, FOBAR AJ, RAMAN I, et al. A blood-based prognostic liver secretome signature predicts long-term risk of hepatic decompensation in cirrhosis[J]. Clin Gastroenterol Hepatol, 2022, 20( 5): e1188- e1191. DOI: 10.1016/j.cgh.2021.03.019.
    [44]
    BEDDIAR DR, OUSSALAH M, SEPPÄNEN T. Automatic captioning for medical imaging(MIC): A rapid review of literature[J]. Artif Intell Rev, 2023, 56( 5): 4019- 4076. DOI: 10.1007/s10462-022-10270-w.
    [45]
    FINK A, RAU A, REISERT M, et al. Retrieval-augmented generation with large language models in radiology: From theory to practice[J]. Radiol Artif Intell, 2025, 7( 4): e240790. DOI: 10.1148/ryai.240790.
    [46]
    BELLINI V, RUSSO M, DOMENICHETTI T, et al. Artificial intelligence in operating room management[J]. J Med Syst, 2024, 48( 1): 19. DOI: 10.1007/s10916-024-02038-2.
    [47]
    XU ZJ, WANG X, ZENG SS, et al. Applying artificial intelligence for cancer immunotherapy[J]. Acta Pharm Sin B, 2021, 11( 11): 3393- 3405. DOI: 10.1016/j.apsb.2021.02.007.
    [48]
    MUKHERJEE J, SHARMA R, DUTTA P, et al. Artificial intelligence in healthcare: A mastery[J]. Biotechnol Genet Eng Rev, 2024, 40( 3): 1659- 1708. DOI: 10.1080/02648725.2023.2196476.
    [49]
    MOROSKY CM, BAECHER-LIND L, CHEN KT, et al. Practical applications of artificial intelligence chatbots in obstetrics and gynecology medical education[J]. Am J Obstet Gynecol, 2025, 233( 1): 4- 11. DOI: 10.1016/j.ajog.2025.04.021.
    [50]
    KARARGYRIS A, UMETON R, SHELLER MJ, et al. Federated benchmarking of medical artificial intelligence with MedPerf[J]. Nat Mach Intell, 2023, 5( 7): 799- 810. DOI: 10.1038/s42256-023-00652-2.
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