HepNet: Deep Neural Network for Classification of Early-Stage Hepatic Steatosis Using Microwave Signals.

Hepatic steatosis, a key factor in chronic liver diseases, is difficult to diagnose early. This study introduces a classifier for hepatic steatosis using microwave technology, validated through clinical trials. Our method uses microwave signals and deep learning to improve detection to reliable results. It includes a pipeline with simulation data, a new deep-learning model called HepNet, and transfer learning. The simulation data, created with 3D electromagnetic tools, is used for training and evaluating the model. HepNet uses skip connections in convolutional layers and two fully connected layers for better feature extraction and generalization. Calibration and uncertainty assessments ensure the model's robustness. Our simulation achieved an F1-score of 0.91 and a confidence level of 0.97 for classifications with entropy ≤0.1, outperforming traditional models like LeNet (0.81) and ResNet (0.87). We also use transfer learning to adapt HepNet to clinical data with limited patient samples. Using 1H-MRS as the standard for two microwave liver scanners, HepNet achieved high F1-scores of 0.95 and 0.88 for 94 and 158 patient samples, respectively, showing its clinical potential.