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Our Flagship Initiative

LiverTwin™ — an agentic-AI care pathway for the missing millions.

LiverTwin replaces a manual, fragmented care pathway with an automated, intelligent, closed-loop system that continuously surveys routinely collected clinical data — finding the patients with significant fibrosis before they find the emergency room.

Multimodal AI

Labs, NLP, imaging — fused.

A hybrid rule-based, score-based and prompt-tuned LLM engine ingests structured labs, ultrasound report text, demographics, anthropometrics, and 27 derived clinical features.

Population coverage

Continuous surveillance.

Runs in the background across the entire patient population. No additional clinician input. Alerts fire only when action is warranted — engineered for high specificity and high NPV.

Closed loop

Detection to specialist, automated.

One-click confirmatory ordering, automated booking and reminders, and a nurse-navigator rescue protocol for missed appointments. Zero leakage by design.

Engine Inputs

What goes in

All inputs are routinely collected in primary care and standard hospital workflows. No proprietary instrumentation required.

DemographicsAge, sex, ethnicity
AnthropometricsHeight, weight, waist & hip circumference; BMI, WHR derived
VitalsSystolic / diastolic BP, pulse
Liver functionAST, ALT, GGT, ALP, bilirubin, albumin, globulin, INR/PT
HematologyPlatelets, hemoglobin, RDW, RBC, WBC
MetabolicHbA1c, fasting glucose, fasting insulin (optional)
Lipid profileTotal cholesterol, HDL, triglycerides, LDL (computed if absent)
Imaging textAbdominal ultrasound report — free-text or structured
DerivedComposite indices: FIB-4, APRI, NFS, AST/ALT, NHHR, FLI, HSI, TyG, NLR, PLR, MAP, and others
Concept: Digital Twin of the Liver — inputs (EHR, labs, imaging) feeding a holographic liver model that outputs a fibrosis risk score and progression prediction

The LiverTwin care pathway

From passive EHR signal to specialist hand-off — five integrated steps, fully automated, zero leakage by design.

01
Surveillance

Agents continuously monitor labs, vitals and notes. No clinician input required.

02
Stratification

Multimodal engine assigns Green / Orange / Red risk tiers per patient.

03
Triage

Care team is notified only when action is warranted. Designed against alert fatigue.

04
Guided action

One-click confirmatory ordering — elastography, hepatology consult — inside the EHR.

05
Closed loop

Automated booking, reminders, and a nurse-navigator rescue protocol for no-shows.