Volume 15, Issue 3 ( Special Issue (AI in Medicine) - August 2023 2023)                   Iranian Journal of Blood and Cancer 2023, 15(3): 125-137 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mahmoudi Ghehsareh M, Asri N, Maleki S, Rezaei-Tavirani M, Jahani-Sherafat S, Rostami-Nejad M. Application of Artificial Intelligence in Celiac Disease: from diagnosis to patient follow-up. Iranian Journal of Blood and Cancer 2023; 15 (3) :125-137
URL: http://ijbc.ir/article-1-1476-en.html
1- Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Celiac Disease and Gluten Related Disorders Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Computer Science, University of Tabriz, Tabriz, Iran
4- Proteomics Research Center, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5- Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
6- Celiac Disease and Gluten Related Disorders Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran , m.rostamii@gmail.com
Abstract:   (409 Views)
Celiac disease (CD) is an autoimmune digestive condition that is distinguished by inflammation of the small intestine as a result of gluten ingestion. Its worldwide prevalence is approximately 1%. Despite progress in understanding CD, challenges in pathogenesis, diagnosis, treatment, and management persist. Genetic and environmental factors, such as HLA and non-HLA genes, gluten, gut microbiota imbalance, and immune responses involving CD4+ T cells, influence CD. Diagnostic challenges arise due to diverse clinical presentations and overlap with other gastrointestinal disorders. Following a gluten-free diet (GFD) strictly is the primary treatment for CD, but this diet presents social, psychological, and financial hurdles. Artificial intelligence (AI) has emerged as a potent instrument in CD management. Techniques like machine learning (ML), deep learning (DL), natural language processing (NLP), and computer-aided algorithms have shown promise in CD diagnosis by improving microbiome analysis, disease prediction, interpretation of medical records and endoscopy images. AI-based decision-support systems can aid in diagnosis. AI-driven personalized nutrition and gluten contamination monitoring techniques offer potential improvements for treatment. Overall, AI has potential in addressing CD challenges and enhancing patient outcomes.
 
Full-Text [PDF 4242 kb]   (238 Downloads)    
: Review Article | Subject: AI in Medicine
Received: 2023/09/23 | Accepted: 2023/11/9 | Published: 2023/11/12

References
1. Barton SH, Murray JA. Celiac disease and autoimmunity in the gut and elsewhere. Gastroenterology Clinics of North America. 2008;37(2):411-28. [DOI:10.1016/j.gtc.2008.02.001]
2. Cichewicz AB, Mearns ES, Taylor A, Boulanger T, Gerber M, Leffler DA, Drahos J, Sanders DS, Thomas Craig KJ, Lebwohl B. Diagnosis and treatment patterns in celiac disease. Digestive diseases and sciences. 2019;64:2095-106. [DOI:10.1007/s10620-019-05528-3]
3. Han A, Newell EW, Glanville J, Fernandez-Becker N, Khosla C, Chien Y-h, Davis MM. Dietary gluten triggers concomitant activation of CD4+ and CD8+ αβ T cells and γδ T cells in celiac disease. Proceedings of the National Academy of Sciences. 2013;110(32):13073-8. [DOI:10.1073/pnas.1311861110]
4. De Re V, Magris R, Cannizzaro R. New insights into the pathogenesis of celiac disease. Frontiers in medicine. 2017;4:137. [DOI:10.3389/fmed.2017.00137]
5. Chai J. Introductory Chapter: Celiac Disease-Now and Then. Celiac Disease: IntechOpen; 2021. p. 1. [DOI:10.5772/intechopen.97238]
6. Caio G, Volta U, Sapone A, Leffler DA, De Giorgio R, Catassi C, Fasano A. Celiac disease: a comprehensive current review. BMC medicine. 2019;17:1-20. [DOI:10.1186/s12916-019-1380-z]
7. Yu X, Vargas J, Green PH, Bhagat G. Innate lymphoid cells and celiac disease: current perspective. Cellular and Molecular Gastroenterology and Hepatology. 2021;11(3):803-14. [DOI:10.1016/j.jcmgh.2020.12.002]
8. Gujral N, Freeman HJ, Thomson AB. Celiac disease: prevalence, diagnosis, pathogenesis and treatment. World journal of gastroenterology: WJG. 2012;18(42):6036. [DOI:10.3748/wjg.v18.i42.6036]
9. Gnodi E, Meneveri R, Barisani D. Celiac disease: From genetics to epigenetics. World journal of gastroenterology. 2022;28(4):449. [DOI:10.3748/wjg.v28.i4.449]
10. Bakker OB, Ramírez-Sánchez AD, Borek ZA, de Klein N, Li Y, Modderman R, Kooy-Winkelaar Y, Johannesen MK, Matarese F, Martens JH. Potential impact of celiac disease genetic risk factors on T cell receptor signaling in gluten-specific CD4+ T cells. Scientific reports. 2021;11(1):9252. [DOI:10.1038/s41598-021-86612-5]
11. Izzo V, Pinelli M, Tinto N, Esposito MV, Cola A, Sperandeo MP, Tucci F, Cocozza S, Greco L, Sacchetti L. Improving the estimation of celiac disease sibling risk by non-HLA genes. PloS one. 2011;6(11):e26920. [DOI:10.1371/journal.pone.0026920]
12. Van Belzen MJ, Meijer JW, Sandkuijl LA, Bardoel AF, Mulder CJ, Pearson PL, Houwen RH, Wijmenga C. A major non-HLA locus in celiac disease maps to chromosome 19. Gastroenterology. 2003;125(4):1032-41. [DOI:10.1016/S0016-5085(03)01205-8]
13. Marafini I, Imeneo MG, Monteleone G. The role of natural killer receptors in celiac disease. Immunome Research. 2017;13(1):1. [DOI:10.4172/1745-7580.10000129]
14. Girbovan A, Sur G, Samasca G, Lupan I. Dysbiosis a risk factor for celiac disease. Medical microbiology and immunology. 2017;206:83-91. [DOI:10.1007/s00430-017-0496-z]
15. Bascuñán KA, Araya M, Roncoroni L, Doneda L, Elli L. Dietary gluten as a conditioning factor of the gut microbiota in celiac disease. Advances in Nutrition. 2020;11(1):160-74. [DOI:10.1093/advances/nmz080]
16. Taraghikhah N, Ashtari S, Asri N, Shahbazkhani B, Al-Dulaimi D, Rostami-Nejad M, Rezaei-Tavirani M, Razzaghi MR, Zali MR. An updated overview of spectrum of gluten-related disorders: clinical and diagnostic aspects. BMC gastroenterology. 2020;20:1-12. [DOI:10.1186/s12876-020-01390-0]
17. Gandini A, Gededzha MP, De Maayer T, Barrow P, Mayne E. Diagnosing coeliac disease: A literature review. Human Immunology. 2021;82(12):930-6. [DOI:10.1016/j.humimm.2021.07.015]
18. Sahin Y. Celiac disease in children: A review of the literature. World journal of clinical pediatrics. 2021;10(4):53. [DOI:10.5409/wjcp.v10.i4.53]
19. Molder A, Balaban DV, Molder C-C, Jinga M, Robin A. Computer-Based Diagnosis of Celiac Disease by Quantitative Processing of Duodenal Endoscopy Images. Diagnostics. 2023;13(17):2780. [DOI:10.3390/diagnostics13172780]
20. Tarar ZI, Zafar MU, Farooq U, Basar O, Tahan V, Daglilar E. The progression of celiac disease, diagnostic modalities, and treatment options. Journal of Investigative Medicine High Impact Case Reports. 2021;9:23247096211053702. [DOI:10.1177/23247096211053702]
21. Schiepatti A, Savioli J, Vernero M, Borrelli de Andreis F, Perfetti L, Meriggi A, Biagi F. Pitfalls in the diagnosis of coeliac disease and Gluten-Related disorders. Nutrients. 2020;12(6):1711. [DOI:10.3390/nu12061711]
22. Jinga M, Popp A, Balaban DV, Dima A, Jurcut C. Physicians' attitude and perception regarding celiac disease: A questionnaire-based study. The Turkish journal of gastroenterology. 2018;29(4):419. [DOI:10.5152/tjg.2018.17236]
23. Rodrigo L. Celiac disease: a common unrecognized health problem with a very delayed diagnosis. MDPI; 2019. p. 9. [DOI:10.3390/medicina56010009]
24. Emami M, Kouhestani S, Gholamrezaei A, Hashemi M, Mahzouni P, Raeisi M, Daghaghzadeh H, Daneshgar H. Prevalence of celiac disease in patients with irritable bowel syndrome. Govaresh. 2008;13(3):192-7.
25. Rodrigues M, Yonamine GH, Fernandes Satiro CA. Rate and determinants of non-adherence to a gluten-free diet and nutritional status assessment in children and adolescents with celiac disease in a tertiary Brazilian referral center: a cross-sectional and retrospective study. BMC gastroenterology. 2018;18(1):1-8. https://doi.org/10.1186/s12876-018-0757-3 [DOI:10.1186/s12876-018-0740-z]
26. Czaja-Bulsa G, Bulsa M. Adherence to gluten-free diet in children with celiac disease. Nutrients. 2018;10(10):1424. [DOI:10.3390/nu10101424]
27. Hellman R. Gluten free diets-a challenge for the practicing physician. Missouri Medicine. 2020;117(2):119.
28. Singh P, Dennis M. Eliminating dietary gluten: Don't be a "Glutton for punishment". Springer; 2018. p. 1374-5. [DOI:10.1007/s10620-018-5010-y]
29. Mulder CJ, Elli L, Lebwohl B, Makharia GK, Rostami K, Rubio-Tapia A, Schumann M, Tye-Din J, Zeitz J, Al-Toma A. Follow-Up of Celiac Disease in Adults:"When, What, Who, and Where". Nutrients. 2023;15(9):2048. [DOI:10.3390/nu15092048]
30. Fueyo-Díaz R, Gascón-Santos S, Magallón-Botaya R. I Can't Eat That! Sticking to a Gluten-Free Diet. Celiac Disease and Non-Celiac Gluten Sensitivity. 2017. [DOI:10.5772/67462]
31. Aggarwal S, Lebwohl B, Green PH. Screening for celiac disease in average-risk and high-risk populations. Therapeutic advances in gastroenterology. 2012;5(1):37-47. [DOI:10.1177/1756283X11417038]
32. Cosnes J, Cellier C, Viola S, Colombel JF, Michaud L, Sarles J, Hugot JP, Ginies JL, Dabadie A, Mouterde O. Incidence of autoimmune diseases in celiac disease: protective effect of the gluten-free diet. Clinical Gastroenterology and Hepatology. 2008;6(7):753-8. [DOI:10.1016/j.cgh.2007.12.022]
33. Gładyś K, Dardzińska J, Guzek M, Adrych K, Kochan Z, Małgorzewicz S. Expanded role of a dietitian in monitoring a gluten-free diet in patients with celiac disease: Implications for clinical practice. Nutrients. 2021;13(6):1859. [DOI:10.3390/nu13061859]
34. Möller SP, Hayes B, Wilding H, Apputhurai P, Tye-Din JA, Knowles SR. Systematic review: Exploration of the impact of psychosocial factors on quality of life in adults living with coeliac disease. Journal of Psychosomatic Research. 2021;147:110537. [DOI:10.1016/j.jpsychores.2021.110537]
35. Canova C, Rosato I, Marsilio I, Valiante F, Zorzetto V, Cataudella G, D'Odorico A, Zingone F. Quality of life and psychological disorders in coeliac disease: a prospective multicentre study. Nutrients. 2021;13(9):3233. [DOI:10.3390/nu13093233]
36. Coburn S, Rose M, Streisand R, Sady M, Parker M, Suslovic W, Weisbrod V, Kerzner B, Kahn I. Psychological needs and services in a pediatric multidisciplinary celiac disease clinic. Journal of clinical psychology in medical settings. 2020;27:433-43. [DOI:10.1007/s10880-019-09673-9]
37. Valitutti F, Trovato CM, Montuori M, Cucchiara S. Pediatric celiac disease: follow-up in the spotlight. Advances in Nutrition. 2017;8(2):356-61. [DOI:10.3945/an.116.013292]
38. Meijer CR, Auricchio R, Putter H, Castillejo G, Crespo P, Gyimesi J, Hartman C, Kolacek S, Koletzko S, Korponay-Szabo I. Prediction models for celiac disease development in children from high-risk families: Data from the PreventCD cohort. Gastroenterology. 2022;163(2):426-36. [DOI:10.1053/j.gastro.2022.04.030]
39. Oliveira A, Trindade E, Tavares M, Lima R, Terra M, Dias JA. Celiac disease in first degree relatives of celiac children. Arquivos de Gastroenterologia. 2012;49:204-7. [DOI:10.1590/S0004-28032012000300007]
40. Singh P, Singh AD, Ahuja V, Makharia GK. Who to screen and how to screen for celiac disease. World Journal of Gastroenterology. 2022;28(32):4493. [DOI:10.3748/wjg.v28.i32.4493]
41. Tapkire MD, Arun V. A Survey on celiac disease prediction using AI Techniques.
42. Molder A, Balaban DV, Jinga M, Molder C-C. Current evidence on computer-aided diagnosis of celiac disease: Systematic review. Frontiers in Pharmacology. 2020;11:341. [DOI:10.3389/fphar.2020.00341]
43. Khaleghi S, Ju JM, Lamba A, Murray JA. The potential utility of tight junction regulation in celiac disease: focus on larazotide acetate. Therap Adv Gastroenterol. 2016;9(1):37-49. [DOI:10.1177/1756283X15616576]
44. Tye-Din JA, Galipeau HJ, Agardh D. Celiac Disease: A Review of Current Concepts in Pathogenesis, Prevention, and Novel Therapies. Front Pediatr. 2018;6:350. [DOI:10.3389/fped.2018.00350]
45. López Casado MÁ, Lorite P, Ponce de León C, Palomeque T, Torres MI. Celiac Disease Autoimmunity. Archivum Immunologiae et Therapiae Experimentalis. 2018;66(6):423-30. [DOI:10.1007/s00005-018-0520-z]
46. Larentzakis A, Lygeros N. Artificial intelligence (AI) in medicine as a strategic valuable tool. Pan African Medical Journal. 2021;38(1). [DOI:10.11604/pamj.2021.38.184.28197]
47. Kaul V, Enslin S, Gross SA. History of artificial intelligence in medicine. Gastrointestinal endoscopy. 2020;92(4):807-12. [DOI:10.1016/j.gie.2020.06.040]
48. Hamet P, Tremblay J. Artificial intelligence in medicine. Metabolism. 2017;69:S36-S40. [DOI:10.1016/j.metabol.2017.01.011]
49. Bohr A, Memarzadeh K. The rise of artificial intelligence in healthcare applications. Artificial Intelligence in healthcare: Elsevier; 2020. p. 25-60. [DOI:10.1016/B978-0-12-818438-7.00002-2]
50. Ragavi V, Sheela AS, Kannaiyan GN, editors. Impact of Artificial Intelligence in the field of Health Care. Journal of Physics: Conference Series; 2021: IOP Publishing. [DOI:10.1088/1742-6596/1831/1/012006]
51. Fukui H, Nishida A, Matsuda S, Kira F, Watanabe S, Kuriyama M, Kawakami K, Aikawa Y, Oda N, Arai K. Usefulness of machine learning-based gut microbiome analysis for identifying patients with irritable bowels syndrome. Journal of clinical medicine. 2020;9(8):2403. [DOI:10.3390/jcm9082403]
52. Patil A, Singh N. Artificial intelligence for Microbiota Analysis: Advances and Applications. 2023. [DOI:10.20944/preprints202307.1765.v1]
53. Akobeng AK, Singh P, Kumar M, Al Khodor S. Role of the gut microbiota in the pathogenesis of coeliac disease and potential therapeutic implications. European journal of nutrition. 2020;59:3369-90. [DOI:10.1007/s00394-020-02324-y]
54. Malik P, Pathania M, Rathaur VK. Overview of artificial intelligence in medicine. Journal of family medicine and primary care. 2019;8(7):2328. [DOI:10.4103/jfmpc.jfmpc_440_19]
55. Méndez C, Carrasco M, Mora B, Araya M. Caracterización de la enfermedad celiaca en niños atendidos en hospitales públicos chilenos. Revista chilena de pediatría. 2018;89(6):709-17. [DOI:10.4067/S0370-41062018005001001]
56. Salinari A, Machì M, Armas Diaz Y, Cianciosi D, Qi Z, Yang B, Ferreiro Cotorruelo MS, Villar SG, Dzul López LA, Battino M. The Application of Digital Technologies and Artificial Intelligence in Healthcare: An Overview on Nutrition Assessment. Diseases. 2023;11(3):97. [DOI:10.3390/diseases11030097]
57. Parasher G, Wong M, Rawat M. Evolving role of artificial intelligence in gastrointestinal endoscopy. World journal of gastroenterology. 2020;26(46):7287. [DOI:10.3748/wjg.v26.i46.7287]
58. Carreras J, editor Artificial intelligence analysis of celiac disease using an autoimmune discovery transcriptomic panel highlighted pathogenic genes including BTLA. Healthcare; 2022: MDPI. [DOI:10.3390/healthcare10081550]
59. Locke S, Bashall A, Al-Adely S, Moore J, Wilson A, Kitchen GB. Natural language processing in medicine: a review. Trends in Anaesthesia and Critical Care. 2021;38:4-9. [DOI:10.1016/j.tacc.2021.02.007]
60. Ludvigsson JF, Pathak J, Murphy S, Durski M, Kirsch PS, Chute CG, Ryu E, Murray JA. Use of computerized algorithm to identify individuals in need of testing for celiac disease. Journal of the American Medical Informatics Association. 2013;20(e2):e306-e10. [DOI:10.1136/amiajnl-2013-001924]
61. Qin K, Li J, Fang Y, Xu Y, Wu J, Zhang H, Li H, Liu S, Li Q. Convolution neural network for the diagnosis of wireless capsule endoscopy: a systematic review and meta-analysis. Surgical endoscopy. 2022;36(1):16-31. [DOI:10.1007/s00464-021-08689-3]
62. Patel V, Khan MN, Shrivastava A, Sadiq K, Ali SA, Moore SR, Brown DE, Syed S. Artificial intelligence applied to gastrointestinal diagnostics: a review. Journal of pediatric gastroenterology and nutrition. 2020;70(1):4. [DOI:10.1097/MPG.0000000000002507]
63. Wimmer G, Vécsei A, Uhl A, editors. CNN transfer learning for the automated diagnosis of celiac disease. 2016 Sixth International Conference on Image Processing Theory, Tools and Applications (IPTA); 2016: IEEE. [DOI:10.1109/IPTA.2016.7821020]
64. Vécsei A, Amann G, Hegenbart S, Liedlgruber M, Uhl A. Automated Marsh-like classification of celiac disease in children using local texture operators. Computers in Biology and Medicine. 2011;41(6):313-25. [DOI:10.1016/j.compbiomed.2011.03.009]
65. Ojala T, Pietikäinen M, Harwood D. A comparative study of texture measures with classification based on featured distributions. Pattern recognition. 1996;29(1):51-9. [DOI:10.1016/0031-3203(95)00067-4]
66. Chou R, Bougatsos C, Blazina I, Mackey K, Grusing S, Selph S. Screening for celiac disease: evidence report and systematic review for the US Preventive Services Task Force. Jama. 2017;317(12):1258-68. [DOI:10.1001/jama.2016.10395]
67. Popp A, Kivelä L, Fuchs V, Kurppa K. Diagnosing celiac disease: towards wide-scale screening and serology-based criteria? Gastroenterology research and practice. 2019;2019. [DOI:10.1155/2019/2916024]
68. Zammit SC, McAlindon ME, Greenblatt E, Maker M, Siegelman J, Leffler DA, Yardibi O, Raunig D, Brown T, Sidhu R. Quantification of celiac disease severity using video capsule endoscopy: a comparison of human experts and machine learning algorithms. Current Medical Imaging. 2023;19(12):1455. [DOI:10.2174/1573405619666230123110957]
69. Ciaccio EJ, Tennyson CA, Bhagat G, Lewis SK, Green PH. Implementation of a polling protocol for predicting celiac disease in videocapsule analysis. World journal of gastrointestinal endoscopy. 2013;5(7):313. [DOI:10.4253/wjge.v5.i7.313]
70. Tenório JM, Hummel AD, Cohrs FM, Sdepanian VL, Pisa IT, de Fátima Marin H. Artificial intelligence techniques applied to the development of a decision-support system for diagnosing celiac disease. International journal of medical informatics. 2011;80(11):793-802. [DOI:10.1016/j.ijmedinf.2011.08.001]
71. Amiri M, Li J, Hasan W. Personalized Flexible Meal Planning for Individuals With Diet-Related Health Concerns: System Design and Feasibility Validation Study. JMIR Formative Research. 2023;7:e46434. [DOI:10.2196/46434]
72. Jnawali P, Kumar V, Tanwar B. Celiac disease: Overview and considerations for development of gluten-free foods. Food Science and Human Wellness. 2016;5(4):169-76. [DOI:10.1016/j.fshw.2016.09.003]
73. Stefanidis K, Tsatsou D, Konstantinidis D, Gymnopoulos L, Daras P, Wilson-Barnes S, Hart K, Cornelissen V, Decorte E, Lalama E. PROTEIN AI Advisor: A Knowledge-Based Recommendation Framework Using Expert-Validated Meals for Healthy Diets. Nutrients. 2022;14(20):4435. [DOI:10.3390/nu14204435]
74. Bond A, Mccay K, Lal S. Artificial Intelligence & Clinical Nutrition: what the future might have in store. Clinical Nutrition ESPEN. 2023. [DOI:10.1016/j.clnesp.2023.07.082]
75. Schiepatti A, Maimaris S, Lusetti F, Scalvini D, Minerba P, Cincotta M, Fazzino E, Biagi F. High prevalence of functional gastrointestinal disorders in celiac patients with persistent symptoms on a gluten-free diet: A 20-year follow-up study. Digestive Diseases and Sciences. 2023;68(8):3374-82. [DOI:10.1007/s10620-022-07727-x]
76. Wieser H, Ruiz-Carnicer Á, Segura V, Comino I, Sousa C. Challenges of monitoring the gluten-free diet adherence in the management and follow-up of patients with celiac disease. Nutrients. 2021;13(7):2274. [DOI:10.3390/nu13072274]
77. Wieser H, Segura V, Ruiz-Carnicer Á, Sousa C, Comino I. Food safety and cross-contamination of gluten-free products: A narrative review. Nutrients. 2021;13(7):2244. [DOI:10.3390/nu13072244]
78. Guennouni M, Admou B, Bourrhouat A, Zogaam LG, Elmoumou L, Hilali A. Gluten contamination in labelled gluten-free, naturally gluten-free and meals in food services in low-, middle-and high-income countries: a systematic review and meta-analysis. British Journal of Nutrition. 2022;127(10):1528-42. [DOI:10.1017/S0007114521002488]
79. Jossa-Bastidas O, Sanchez AO, Bravo-Lamas L, Garcia-Zapirain B. IoT System for Gluten Prediction in Flour Samples Using NIRS Technology, Deep and Machine Learning Techniques. Electronics. 2023;12(8):1916. [DOI:10.3390/electronics12081916]
80. Okeke AG. Fourier Transform Infrared Spectroscopy (As A Rapid Method) Coupled With Machine Learning Approaches For Detection And Quantification Of Gluten Contaminations In Grain-Based Foods. 2020.
81. Pradana-López S, Pérez-Calabuig AM, Otero L, Cancilla JC, Torrecilla JS. Is my food safe?-AI-based classification of lentil flour samples with trace levels of gluten or nuts. Food Chemistry. 2022;386:132832. [DOI:10.1016/j.foodchem.2022.132832]
82. Wessels M, Dolinsek J, Castillejo G, Donat E, Riznik P, Roca M, Valitutti F, Veenvliet A, Mearin ML. Follow-up practices for children and adolescents with celiac disease: results of an international survey. European Journal of Pediatrics. 2022:1-8. [DOI:10.1007/s00431-021-04318-2]
83. Sandström O, Norström F, Carlsson A, Högberg L, van der Palz M, Stenhammar L, Webb C, Ivarsson A, Myléus A. Five-year follow-up of new cases after a coeliac disease mass screening. Archives of Disease in Childhood. 2022;107(6):596-600. [DOI:10.1136/archdischild-2021-322755]
84. Piccialli F, Calabrò F, Crisci D, Cuomo S, Prezioso E, Mandile R, Troncone R, Greco L, Auricchio R. Precision medicine and machine learning towards the prediction of the outcome of potential celiac disease. Scientific Reports. 2021;11(1):5683. [DOI:10.1038/s41598-021-84951-x]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 All Rights Reserved | Iranian Journal of Blood and Cancer

Designed & Developed by : Yektaweb