Table 1

Inclusion/exclusion criteria

Inclusion criteriaExclusion criteria
Population
  • Adult humans (≥18 years) with liver disease (of any aetiology)/cirrhosis/chronic liver disease.

  • Animal studies.

  • Paediatric studies.

  • Liver disease where hepatocellular carcinoma (HCC), transplant or transjugular intrahepatic portosystemic shunts (TIPSS) are criteria for inclusion into the study.

  • Studies pertaining to focal liver lesions, including liver metastases or benign liver lesions.

  • Studies pertaining to acute liver failure.

Concept
  • Prognostic evaluation using CT, MRI or US.

  • Imaging measures derived from anatomical features (eg, organ size, liver segment size ratios, organ contour, surface nodularity, vessel size, vessel-related parameters, including the presence of thrombus, increased periportal space, ascites, body composition features derived from area-based measures such as fat, muscle, sarcopenia).

  • Imaging measures derived from non-contrast enhanced, non-quantitative imaging signal (eg, CT density, MR signal intensity, radiomics/textural measures, etc).

  • Clinical endpoints including (but not limited to):

    • Mortality/survival, acute decompensation, variceal bleed, portal venous thrombosis, ascites, transplant-free survival, organ failure, infection/sepsis, development of acute-on-chronic liver failure.

    • HCC-related endpoints where the presence of HCC is not a criterion for inclusion into the study.

    • Studies evaluating the association with established prognostic markers (including but not limited to invasive markers such as HVPG and endoscopic variceal grade and non-invasive markers such as CTP and MELD scores).

  • Diagnostic evaluation using CT, MRI or US.

  • Prognostic studies using:

    • Other imaging modalities (including functional nuclear medicine studies such as positron emission tomography).

    • Non-binary anatomical features assessed subjectively by study readers (eg, subjective categorisation of the severity of liver surface nodularity).

    • Non-radiomic quantitative imaging methods.

    • Postcontrast enhancement ratios.

    • Biomechanical imaging methods (ie, elastography US/MRI; acoustic radiation force impulse (ARFI) US; shear wave US).

    • Doppler US.

    • Quantitative MRI methods (eg, perfusion MRI, diffusion-weighted imaging, T1 mapping, etc).

    • Quantitative CT methods (eg, perfusion, dual energy, iodine mapping).

    • Histology/microscopy studies.

  • Clinical endpoints:

    • HCC-related endpoints, where HCC is a criterion for inclusion into the study.

    • Post-transplant endpoints.

    • Post-TIPSS endpoints.

    • Liver fibrosis.

  • Studies pertaining to image reconstruction.

  • Studies pertaining to the development of methods for quantifying anatomical features.

Context
  • Studies from any country.

  • Studies where recruitment has taken place in primary or secondary care (inpatient or outpatient setting), to avoid selection bias arising from the recruitment setting.

  • Studies published prior to 1980 to ensure the imaging technology reviewed is relevant to modern imaging methods.

  • Studies published in non-English languages.

Source type
  • Prognostic model development and validation of primary research studies, including prospective/retrospective cohort and case–control studies, at any stage/phase.

  • Diagnostic studies.

  • Case studies/case series; editorials; letters; conference proceedings; reviews/narrative studies; systematic reviews/meta-analyses; book chapters; grey literature.

  • CTP, Child-Turcotte-Pugh; HVPG, hepatic venous pressure gradient; MELD, model for end-stage liver disease; US, ultrasound.