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Artificial intelligence in liver transplantation: Opportunities and challenges
Sanjay Goja1, Sanjay Kumar Yadav2
1Liver Transplantation and HPB Surgery, Narayana Health Institute of HPB Surgery and Transplantation, Delhi NCR 122002, Harayana, India. drsanjaygoja@gmail.com.
World Journal of Gastrointestinal Surgery
|December 8, 2025
Summary
Artificial intelligence (AI) can significantly improve liver transplantation outcomes by optimizing organ allocation, predicting risks, and enhancing surgical precision. While challenges like data quality exist, AI promises to revolutionize patient and graft survival in liver transplants.
Area of Science:
- Hepatology
- Transplant Surgery
- Medical Informatics
Background:
- Liver transplant management involves complex interactions of pre, peri, and postoperative factors, making outcome prediction challenging.
- Artificial intelligence (AI) offers potential solutions for decision-making throughout the liver transplantation process.
Purpose of the Study:
- To explore the multifaceted role of AI in liver transplantation, from diagnosis and candidacy assessment to post-operative care and outcome prediction.
- To highlight AI's potential to improve organ matching, personalize treatment, and enhance surgical precision.
Main Methods:
- AI algorithms analyze large datasets of donor and recipient characteristics for improved matching.
- Predictive models assess pre-operative risks and post-operative complications (e.g., graft rejection, infections).
- AI-powered imaging aids in preoperative planning and real-time surgical guidance.
Main Results:
- AI can enhance the accuracy of transplant candidacy determination and organ allocation.
- Improved prediction of complications allows for timely, tailored interventions.
- AI-assisted surgery increases precision and safety, potentially improving long-term patient and graft survival.
Conclusions:
- AI demonstrates significant potential to revolutionize liver transplantation by improving decision-making, optimizing outcomes, and enhancing patient and graft survival.
- Key challenges include data availability and quality, ethical considerations, and clinical integration.

