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SchistoTrackNet: machine learning for diagnosis of schistosomiasis-associated periportal fibrosis from ultrasound images

Ockenden, E. S.; Anguajibi, V.; Mpooya, S.; Ntegeka, B.; Mugume, T.; Nabatte, B.; Kabatereine, N. B.; Noble, A.; Chami, G. F.

2026-06-02 infectious diseases
10.64898/2026.06.01.26354609 medRxiv
Show abstract

Liver fibrosis is a major cause of death in low- and middle-income country contexts. In rural, poor areas of sub-Saharan Africa, schistosomiasis is an underestimated cause of liver fibrosis. Despite the need for increased diagnostic capacity for schistosomiasis-related liver fibrosis, there are no automated, clinically-validated tools to diagnose schistosomiasis-related liver fibrosis. We present SchistoTrackNet which is, to our knowledge, the first deep learning-based model for distinguishing distinct presentations of schistosomiasis-related liver fibrosis of varying severity. Ultrasound images from 1533 participants aged 5--84 years from three districts in rural Uganda were used to train and evaluate the presented models. The models were evaluated by assessing failure cases and by comparing results with re-readings performed by sonographers experienced in diagnosis of schistosomiasis morbidity. Our models show potential to enable automated reading of ultrasound images for schistosomiasis-related liver fibrosis to allow large-scale surveillance of schistosomiasis morbidity and contribute towards the World Health Organization target to eliminate schistosomiasis as a public health problem.

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