Feasibility of histogram analysis of susceptibility-weighted MRI for staging of liver fibrosis

PURPOSE:We aimed to evaluate whether histogram analysis of susceptibility-weighted imaging (SWI) could quantify liver fibrosis grade in patients with chronic liver disease (CLD).METHODS:Fifty-three patients with CLD who underwent multi-echo SWI (TEs of 2.5, 5, and 10 ms) were included. Histogram ana...

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Main Authors: Zhao-Xia Yang, He-Yue Liang, Xin-Xing Hu, Ya-Qin Huang, Ying Ding, Shan Yang, Meng-Su Zeng, Sheng-Xiang Rao
Format: Article
Language:English
Published: Galenos Publishing House 2016-07-01
Series:Diagnostic and Interventional Radiology
Online Access: http://www.dirjournal.org/archives/archive-detail/article-preview/feasibility-of-histogram-analysis-of-susceptibilit/55445
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author Zhao-Xia Yang
He-Yue Liang
Xin-Xing Hu
Ya-Qin Huang
Ying Ding
Shan Yang
Meng-Su Zeng
Sheng-Xiang Rao
author_facet Zhao-Xia Yang
He-Yue Liang
Xin-Xing Hu
Ya-Qin Huang
Ying Ding
Shan Yang
Meng-Su Zeng
Sheng-Xiang Rao
author_sort Zhao-Xia Yang
collection DOAJ
description PURPOSE:We aimed to evaluate whether histogram analysis of susceptibility-weighted imaging (SWI) could quantify liver fibrosis grade in patients with chronic liver disease (CLD).METHODS:Fifty-three patients with CLD who underwent multi-echo SWI (TEs of 2.5, 5, and 10 ms) were included. Histogram analysis of SWI images were performed and mean, variance, skewness, kurtosis, and the 1st, 10th, 50th, 90th, and 99th percentiles were derived. Quantitative histogram parameters were compared. For significant parameters, further receiver operating characteristic (ROC) analyses were performed to evaluate the potential diagnostic performance for differentiating liver fibrosis stages.RESULTS:The number of patients in each pathologic fibrosis grade was 7, 3, 5, 5, and 33 for F0, F1, F2, F3, and F4, respectively. The results of variance (TE: 10 ms), 90th percentile (TE: 10 ms), and 99th percentile (TE: 10 and 5 ms) in F0–F3 group were significantly lower than in F4 group, with areas under the ROC curves (AUCs) of 0.84 for variance and 0.70–0.73 for the 90th and 99th percentiles, respectively. The results of variance (TE: 10 and 5 ms), 99th percentile (TE: 10 ms), and skewness (TE: 2.5 and 5 ms) in F0–F2 group were smaller than those of F3/F4 group, with AUCs of 0.88 and 0.69 for variance (TE: 10 and 5 ms, respectively), 0.68 for 99th percentile (TE: 10 ms), and 0.73 and 0.68 for skewness (TE: 2.5 and 5 ms, respectively).CONCLUSION:Magnetic resonance histogram analysis of SWI, particularly the variance, is promising for predicting advanced liver fibrosis and cirrhosis.
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spelling doaj.art-2544101e8cc946028ccf08e2453c12e82023-09-06T13:41:52ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122016-07-0122430130710.5152/dir.2016.1528413049054Feasibility of histogram analysis of susceptibility-weighted MRI for staging of liver fibrosisZhao-Xia Yang0He-Yue Liang1Xin-Xing Hu2Ya-Qin Huang3Ying Ding4Shan Yang5Meng-Su Zeng6Sheng-Xiang Rao7 Department of Radiology, Zhongshan Hospital of Fudan University and Shanghai Institute of Medical Imaging, Shanghai, China Department of Radiology, Zhongshan Hospital of Fudan University and Shanghai Institute of Medical Imaging, Shanghai, China Department of Radiology, Zhongshan Hospital of Fudan University and Shanghai Institute of Medical Imaging, Shanghai, China Department of Radiology, Zhongshan Hospital of Fudan University and Shanghai Institute of Medical Imaging, Shanghai, China Department of Radiology, Zhongshan Hospital of Fudan University and Shanghai Institute of Medical Imaging, Shanghai, China Department of Radiology, Zhongshan Hospital of Fudan University and Shanghai Institute of Medical Imaging, Shanghai, China Department of Radiology, Zhongshan Hospital of Fudan University and Shanghai Institute of Medical Imaging, Shanghai, China Department of Radiology, Zhongshan Hospital of Fudan University and Shanghai Institute of Medical Imaging, Shanghai, China PURPOSE:We aimed to evaluate whether histogram analysis of susceptibility-weighted imaging (SWI) could quantify liver fibrosis grade in patients with chronic liver disease (CLD).METHODS:Fifty-three patients with CLD who underwent multi-echo SWI (TEs of 2.5, 5, and 10 ms) were included. Histogram analysis of SWI images were performed and mean, variance, skewness, kurtosis, and the 1st, 10th, 50th, 90th, and 99th percentiles were derived. Quantitative histogram parameters were compared. For significant parameters, further receiver operating characteristic (ROC) analyses were performed to evaluate the potential diagnostic performance for differentiating liver fibrosis stages.RESULTS:The number of patients in each pathologic fibrosis grade was 7, 3, 5, 5, and 33 for F0, F1, F2, F3, and F4, respectively. The results of variance (TE: 10 ms), 90th percentile (TE: 10 ms), and 99th percentile (TE: 10 and 5 ms) in F0–F3 group were significantly lower than in F4 group, with areas under the ROC curves (AUCs) of 0.84 for variance and 0.70–0.73 for the 90th and 99th percentiles, respectively. The results of variance (TE: 10 and 5 ms), 99th percentile (TE: 10 ms), and skewness (TE: 2.5 and 5 ms) in F0–F2 group were smaller than those of F3/F4 group, with AUCs of 0.88 and 0.69 for variance (TE: 10 and 5 ms, respectively), 0.68 for 99th percentile (TE: 10 ms), and 0.73 and 0.68 for skewness (TE: 2.5 and 5 ms, respectively).CONCLUSION:Magnetic resonance histogram analysis of SWI, particularly the variance, is promising for predicting advanced liver fibrosis and cirrhosis. http://www.dirjournal.org/archives/archive-detail/article-preview/feasibility-of-histogram-analysis-of-susceptibilit/55445
spellingShingle Zhao-Xia Yang
He-Yue Liang
Xin-Xing Hu
Ya-Qin Huang
Ying Ding
Shan Yang
Meng-Su Zeng
Sheng-Xiang Rao
Feasibility of histogram analysis of susceptibility-weighted MRI for staging of liver fibrosis
Diagnostic and Interventional Radiology
title Feasibility of histogram analysis of susceptibility-weighted MRI for staging of liver fibrosis
title_full Feasibility of histogram analysis of susceptibility-weighted MRI for staging of liver fibrosis
title_fullStr Feasibility of histogram analysis of susceptibility-weighted MRI for staging of liver fibrosis
title_full_unstemmed Feasibility of histogram analysis of susceptibility-weighted MRI for staging of liver fibrosis
title_short Feasibility of histogram analysis of susceptibility-weighted MRI for staging of liver fibrosis
title_sort feasibility of histogram analysis of susceptibility weighted mri for staging of liver fibrosis
url http://www.dirjournal.org/archives/archive-detail/article-preview/feasibility-of-histogram-analysis-of-susceptibilit/55445
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