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Lémann Index (Updated) — Streamlit Calculator

A lightweight Streamlit app implementing the updated Organ and Global Lémann Index (Pariente et al., Gastroenterology 2021) for research and educational use.

Status: experimental • research/educational use only • not a medical device

What it does

  • Collects worst-lesion features per organ (upper, small bowel, colon/rectum, anus).
  • Maps features → grades → points per the updated Lémann Index.
  • Normalises by organ segment count; computes per-organ LI.
  • Computes Global LI via organ weights.
  • Exports ID + per-organ LI + Global LI as CSV.

What it does not do

  • No image parsing; no adjudication; not validated for all edge cases.
  • Do NOT use for patient care.

Run

Clone this repository, install dependencies, and launch locally:

pip install -r requirements.txt
streamlit run app/app.py

Reproducibility

  • Python: 3.9–3.12 recommended
  • Install: pip install -r requirements.txt
  • Run: streamlit run app.py
  • Dependencies are pinned in requirements.txt. A fully locked snapshot can be saved via pip freeze > requirements.lock and attached to the release; the Zenodo archive preserves the exact release (code + README + demo assets).

How to cite

Sarikhani M. Lémann Index (Updated) — Streamlit Calculator (v0.1.0). 2025.
DOI: 10.5281/zenodo.17514287

DOI

Versioning

  • v0.1.0 — first public prototype (updated Organ & Global Lémann Index, CSV export, disclaimer)
  • Semantic-ish versioning: patch = fixes, minor = features, major = breaking changes.

Scope & Limitations

  • Research/educational use only — not for clinical decision-making.
  • Implements the updated Organ & Global Lémann Index per Pariente et al. (Gastroenterology 2021).
  • No PHI is accepted or stored by this app.

References

  • Pariente B, et al. Validation and Update of the Lémann Index to Measure Cumulative Structural Bowel Damage in Crohn’s Disease. Gastroenterology. 2021;161(3):853–864.e13. doi:10.1053/j.gastro.2021.05.049.
  • Pariente B, et al. Development of the Lémann Index to assess cumulative structural bowel damage in Crohn’s disease. Gastroenterology. 2015;148(1):52–63.e3. doi:10.1053/j.gastro.2014.09.015.

License

This project is released under the MIT License. See LICENSE.

About

Streamlit web-app for calculating the updated Lémann Index, measures cumulative bowel-damage in Crohn’s disease (strictures + fistulae + surgery). Research/education use only.

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