Artificial Intelligence Evaluation of Stool Quality Guides Management of Hepatic Encephalopathy Using a Smartphone App
Lactulose-based hepatic encephalopathy treatment requires bowel movements/day titration, which is improved with Bristol stool scale (BSS) incorporation. Dieta app evaluates artificial intelligence (AI)-based BSS (AI-BSS) with stool images. Initially, controls (N = 13) and cirrhosis patients on lactu...
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| Published in | The American journal of gastroenterology Vol. 119; no. 5; pp. 977 - 981 |
|---|---|
| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Philadelphia, PA
Wolters Kluwer
01.05.2024
Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0002-9270 1572-0241 1572-0241 |
| DOI | 10.14309/ajg.0000000000002646 |
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| Abstract | Lactulose-based hepatic encephalopathy treatment requires bowel movements/day titration, which is improved with Bristol stool scale (BSS) incorporation. Dieta app evaluates artificial intelligence (AI)-based BSS (AI-BSS) with stool images. Initially, controls (N = 13) and cirrhosis patients on lactulose/not on lactulose (n = 33) were trained on the app. They entered self-reported BSS (self-BSS) with AI-BSS communicated. Lactulose dose changes were tracked. A subset (n = 12) was retested with AI communication blocked. Most subjects were comfortable with the app. Self/AI-BSS and lactulose dose/AI-BSS correlation increased with app use. AI-BSS communications improved insight into self-BSS over time. Dieta app to gauge stool AI characteristics was acceptable and increased insight into lactulose dose and BSS in cirrhosis. |
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| AbstractList | Lactulose-based hepatic encephalopathy treatment requires bowel movements/day titration, which is improved with Bristol stool scale (BSS) incorporation. Dieta app evaluates artificial intelligence (AI)-based BSS (AI-BSS) with stool images. Initially, controls (N = 13) and cirrhosis patients on lactulose/not on lactulose (n = 33) were trained on the app. They entered self-reported BSS (self-BSS) with AI-BSS communicated. Lactulose dose changes were tracked. A subset (n = 12) was retested with AI communication blocked. Most subjects were comfortable with the app. Self/AI-BSS and lactulose dose/AI-BSS correlation increased with app use. AI-BSS communications improved insight into self-BSS over time. Dieta app to gauge stool AI characteristics was acceptable and increased insight into lactulose dose and BSS in cirrhosis.Lactulose-based hepatic encephalopathy treatment requires bowel movements/day titration, which is improved with Bristol stool scale (BSS) incorporation. Dieta app evaluates artificial intelligence (AI)-based BSS (AI-BSS) with stool images. Initially, controls (N = 13) and cirrhosis patients on lactulose/not on lactulose (n = 33) were trained on the app. They entered self-reported BSS (self-BSS) with AI-BSS communicated. Lactulose dose changes were tracked. A subset (n = 12) was retested with AI communication blocked. Most subjects were comfortable with the app. Self/AI-BSS and lactulose dose/AI-BSS correlation increased with app use. AI-BSS communications improved insight into self-BSS over time. Dieta app to gauge stool AI characteristics was acceptable and increased insight into lactulose dose and BSS in cirrhosis. Lactulose-based hepatic encephalopathy treatment requires bowel movements/day titration, which is improved with Bristol stool scale (BSS) incorporation. Dieta app evaluates artificial intelligence (AI)-based BSS (AI-BSS) with stool images. Initially, controls (N = 13) and cirrhosis patients on lactulose/not on lactulose (n = 33) were trained on the app. They entered self-reported BSS (self-BSS) with AI-BSS communicated. Lactulose dose changes were tracked. A subset (n = 12) was retested with AI communication blocked. Most subjects were comfortable with the app. Self/AI-BSS and lactulose dose/AI-BSS correlation increased with app use. AI-BSS communications improved insight into self-BSS over time. Dieta app to gauge stool AI characteristics was acceptable and increased insight into lactulose dose and BSS in cirrhosis. Lactulose-based hepatic encephalopathy treatment requires bowel movements/day titration, which is improved with Bristol stool scale (BSS) incorporation. Dieta app evaluates artificial intelligence (AI)-based BSS (AI-BSS) with stool images. Initially, controls (N = 13) and cirrhosis patients on lactulose/not on lactulose (n = 33) were trained on the app. They entered self-reported BSS (self-BSS) with AI-BSS communicated. Lactulose dose changes were tracked. A subset (n = 12) was retested with AI communication blocked. Most subjects were comfortable with the app. Self/AI-BSS and lactulose dose/AI-BSS correlation increased with app use. AI-BSS communications improved insight into self-BSS over time. Dieta app to gauge stool AI characteristics was acceptable and increased insight into lactulose dose and BSS in cirrhosis. abstract-type="graphical"> |
| Author | Anstey, Jacob Tiede, David Kraus, Asaf Bajaj, Jasmohan S. Mousel, Travis Puri, Puneet Simonetto, Douglas A. Davis, Brian C. Fagan, Andrew Fuchs, Michael Gallagher, Mary Leslie |
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| Cites_doi | 10.2196/28025 10.1016/j.jceh.2017.11.010 10.1002/hep.27210 10.1016/j.cgh.2008.05.025 10.1136/bmj.n1248 10.14309/ajg.0000000000001723 10.14309/ajg.0000000000001550 10.2196/24639 10.2196/17342 10.1111/liv.14494 10.1097/HEP.0000000000000408 10.1186/1477-7525-7-86 10.1002/hep.23216 10.1016/j.cgh.2021.05.014 |
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| Copyright | 2024 by The American College of Gastroenterology Copyright © 2024 by The American College of Gastroenterology. |
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| Keywords | Dieta stool titration cirrhosis artificial intelligence self-efficacy |
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| Notes | Correspondence: Jasmohan S. Bajaj, MD, FACG. E-mail: jasmohan.bajaj@vcuhealth.org.SUPPLEMENTARY MATERIAL accompanies this paper at http://links.lww.com/AJG/D156 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
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| References | Duong, Shrestha, Park (R8) 2022; 117 Tangari, Ikram, Ijaz (R11) 2021; 373 Acharya, Sehrawat, McGuire (R10) 2021; 23 Bajaj, Wade, Sanyal (R6) 2009; 50 Louissaint, Lok, Fortune (R7) 2020; 40 Timmers, Janssen, Kool (R13) 2020; 22 Duong, Reuter, Saraireh (R3) 2022; 20 Frei, Svarin, Steurer-Stey (R14) 2009; 7 Rathi, Fagan, Wade (R2) 2018; 8 Bajaj, Saeian, Hafeezullah (R4) 2008; 6 Pimentel, Mathur, Wang (R5) 2022; 117 Vilstrup, Amodio, Bajaj (R1) 2014; 60 Tapper, Ospina, Salim (R9) 2023; 78 Schroeder, Haug, Gewald (R12) 2022; 6 Frei (R14-20250804) 2009; 7 Bajaj (R6-20250804) 2009; 50 Bajaj (R4-20250804) 2008; 6 Tapper (R9-20250804) 2023; 78 Timmers (R13-20250804) 2020; 22 Vilstrup (R1-20250804) 2014; 60 Rathi (R2-20250804) 2018; 8 Schroeder (R12-20250804) 2022; 6 Duong (R3-20250804) 2022; 20 Tangari (R11-20250804) 2021; 373 Acharya (R10-20250804) 2021; 23 Louissaint (R7-20250804) 2020; 40 Pimentel (R5-20250804) 2022; 117 Duong (R8-20250804) 2022; 117 |
| References_xml | – volume: 50 start-page: 2014 issue: 6 year: 2009 end-page: 21 ident: R6 article-title: Spectrum of neurocognitive impairment in cirrhosis: Implications for the assessment of hepatic encephalopathy publication-title: Hepatology – volume: 20 start-page: e897 issue: 4 year: 2022 end-page: 901 ident: R3 article-title: Bowel movement frequency is not linked with cognitive function in cirrhosis publication-title: Clin Gastroenterol Hepatol – volume: 117 start-page: 295 issue: 2 year: 2022 end-page: 300 ident: R8 article-title: Bristol stool scale as a determinant of hepatic encephalopathy management in patients with cirrhosis publication-title: Am J Gastroenterol – volume: 6 start-page: e28025 year: 2022 ident: R12 article-title: Data privacy concerns using mHealth apps and smart speakers: Comparative interview study among mature adults publication-title: JMIR Form Res – volume: 60 start-page: 715 issue: 2 year: 2014 end-page: 35 ident: R1 article-title: Hepatic encephalopathy in chronic liver disease: 2014 Practice guideline by the American Association for the Study of Liver Diseases and the European Association for the Study of the Liver publication-title: Hepatology – volume: 6 start-page: 1135 issue: 10 year: 2008 end-page: 9 ident: R4 article-title: Patients with minimal hepatic encephalopathy have poor insight into their driving skills publication-title: Clin Gastroenterol Hepatol – volume: 373 start-page: n1248 year: 2021 ident: R11 article-title: Mobile health and privacy: Cross sectional study publication-title: BMJ – volume: 22 start-page: e17342 issue: 4 year: 2020 ident: R13 article-title: Educating patients by providing timely information using smartphone and tablet apps: Systematic review publication-title: J Med Internet Res – volume: 7 start-page: 86 year: 2009 ident: R14 article-title: Self-efficacy instruments for patients with chronic diseases suffer from methodological limitations: A systematic review publication-title: Health Qual Life Outcomes – volume: 78 start-page: 1159 issue: 4 year: 2023 end-page: 67 ident: R9 article-title: Lactulose therapy for patients with cirrhosis, portal hypertension, and poor patient-reported outcomes: The Mi-Kristal trial publication-title: Hepatology – volume: 23 start-page: e24639 issue: 4 year: 2021 ident: R10 article-title: Perspectives of inpatients with cirrhosis and caregivers on using health information technology: Cross-sectional multicenter study publication-title: J Med Internet Res – volume: 8 start-page: 109 issue: 2 year: 2018 end-page: 15 ident: R2 article-title: Patient acceptance of lactulose varies between Indian and American cohorts: Implications for comparing and designing global hepatic encephalopathy trials publication-title: J Clin Exp Hepatol – volume: 117 start-page: 1118 issue: 7 year: 2022 end-page: 24 ident: R5 article-title: A smartphone application using artificial intelligence is superior to subject self-reporting when assessing stool form publication-title: Am J Gastroenterol – volume: 40 start-page: 1556 issue: 7 year: 2020 end-page: 63 ident: R7 article-title: Acceptance and use of a smartphone application in cirrhosis publication-title: Liver Int – volume: 6 start-page: e28025 year: 2022 ident: R12-20250804 article-title: Data privacy concerns using mHealth apps and smart speakers: Comparative interview study among mature adults publication-title: JMIR Form Res doi: 10.2196/28025 – volume: 8 start-page: 109 issue: 2 year: 2018 ident: R2-20250804 article-title: Patient acceptance of lactulose varies between Indian and American cohorts: Implications for comparing and designing global hepatic encephalopathy trials publication-title: J Clin Exp Hepatol doi: 10.1016/j.jceh.2017.11.010 – volume: 60 start-page: 715 issue: 2 year: 2014 ident: R1-20250804 article-title: Hepatic encephalopathy in chronic liver disease: 2014 Practice guideline by the American Association for the Study of Liver Diseases and the European Association for the Study of the Liver publication-title: Hepatology doi: 10.1002/hep.27210 – volume: 6 start-page: 1135 issue: 10 year: 2008 ident: R4-20250804 article-title: Patients with minimal hepatic encephalopathy have poor insight into their driving skills publication-title: Clin Gastroenterol Hepatol doi: 10.1016/j.cgh.2008.05.025 – volume: 373 start-page: n1248 year: 2021 ident: R11-20250804 article-title: Mobile health and privacy: Cross sectional study publication-title: BMJ doi: 10.1136/bmj.n1248 – volume: 117 start-page: 1118 issue: 7 year: 2022 ident: R5-20250804 article-title: A smartphone application using artificial intelligence is superior to subject self-reporting when assessing stool form publication-title: Am J Gastroenterol doi: 10.14309/ajg.0000000000001723 – volume: 117 start-page: 295 issue: 2 year: 2022 ident: R8-20250804 article-title: Bristol stool scale as a determinant of hepatic encephalopathy management in patients with cirrhosis publication-title: Am J Gastroenterol doi: 10.14309/ajg.0000000000001550 – volume: 23 start-page: e24639 issue: 4 year: 2021 ident: R10-20250804 article-title: Perspectives of inpatients with cirrhosis and caregivers on using health information technology: Cross-sectional multicenter study publication-title: J Med Internet Res doi: 10.2196/24639 – volume: 22 start-page: e17342 issue: 4 year: 2020 ident: R13-20250804 article-title: Educating patients by providing timely information using smartphone and tablet apps: Systematic review publication-title: J Med Internet Res doi: 10.2196/17342 – volume: 40 start-page: 1556 issue: 7 year: 2020 ident: R7-20250804 article-title: Acceptance and use of a smartphone application in cirrhosis publication-title: Liver Int doi: 10.1111/liv.14494 – volume: 78 start-page: 1159 issue: 4 year: 2023 ident: R9-20250804 article-title: Lactulose therapy for patients with cirrhosis, portal hypertension, and poor patient-reported outcomes: The Mi-Kristal trial publication-title: Hepatology doi: 10.1097/HEP.0000000000000408 – volume: 7 start-page: 86 year: 2009 ident: R14-20250804 article-title: Self-efficacy instruments for patients with chronic diseases suffer from methodological limitations: A systematic review publication-title: Health Qual Life Outcomes doi: 10.1186/1477-7525-7-86 – volume: 50 start-page: 2014 issue: 6 year: 2009 ident: R6-20250804 article-title: Spectrum of neurocognitive impairment in cirrhosis: Implications for the assessment of hepatic encephalopathy publication-title: Hepatology doi: 10.1002/hep.23216 – volume: 20 start-page: e897 issue: 4 year: 2022 ident: R3-20250804 article-title: Bowel movement frequency is not linked with cognitive function in cirrhosis publication-title: Clin Gastroenterol Hepatol doi: 10.1016/j.cgh.2021.05.014 |
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| SubjectTerms | Adult Aged Artificial Intelligence Communication Feces - chemistry Female Gastrointestinal Agents - administration & dosage Gastrointestinal Agents - therapeutic use Hepatic Encephalopathy - therapy Hepatology Humans Irritable bowel syndrome Lactulose - administration & dosage Lactulose - therapeutic use Liver cirrhosis Liver Cirrhosis - complications Liver diseases Male Middle Aged Mobile Applications Patients Privacy Self-efficacy Smartphone Smartphones |
| Title | Artificial Intelligence Evaluation of Stool Quality Guides Management of Hepatic Encephalopathy Using a Smartphone App |
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