Hshiao Ming-Hong, Chen Po-Chou, Jao Jo-Chi, Huang Yung-Hui, Lee Chen-Chang, Chao Shih-Yu, Lin Li-Wei, Chen Tai-Been
Department of Radiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung City 83301, Taiwan.
ScientificWorldJournal. 2012;2012:343847. doi: 10.1100/2012/343847. Epub 2012 Jun 18.
Most patients with liver cirrhosis must undergo a series of clinical examinations, including ultrasound imaging, liver biopsy, and blood tests. However, the quantification of liver cirrhosis by extracting significant features from a T2-weighted magnetic resonance image (MRI) provides useful diagnostic information in clinical tests. Sixty-two subjects were randomly selected to participate in this retrospective analysis with assigned to experimental and control groups. The T2-weighted MRI was obtained and to them dynamic adjusted gray levels. The extracted features of the image were standard deviation (SD), mean, and entropy of pixel intensity in the region of interest (ROI). The receiver operator characteristic (ROC) curve, 95% confidence intervals, and kappa statistics were used to test the significance and agreement. The analysis of area under ROC shows that SD, mean, and entropy in the ROI were significant between the experimental group and the control group. Smaller values of SD, mean, and entropy were associated with a higher probability of liver cirrhosis. The agreements between the extracted features and diagnostic results were shown significantly (P < 0.001). In this investigation, quantitative features of SD, mean, and entropy in the ROI were successfully computed by the dynamic gray level scaling of T2-weighted MRI with high accuracy.
大多数肝硬化患者必须接受一系列临床检查,包括超声成像、肝活检和血液检查。然而,通过从T2加权磁共振成像(MRI)中提取显著特征来量化肝硬化,可为临床检查提供有用的诊断信息。随机选择62名受试者参与这项回顾性分析,并将其分为实验组和对照组。获取T2加权MRI图像,并对其进行动态灰度调整。提取的图像特征包括感兴趣区域(ROI)内像素强度的标准差(SD)、均值和熵。使用受试者操作特征(ROC)曲线、95%置信区间和kappa统计量来检验显著性和一致性。ROC曲线下面积分析表明,实验组和对照组之间ROI内的SD、均值和熵具有显著性差异。SD、均值和熵的值越小,肝硬化的可能性越高。提取的特征与诊断结果之间的一致性具有显著性(P < 0.001)。在本研究中,通过对T2加权MRI进行动态灰度缩放,成功地高精度计算出ROI内SD、均值和熵的定量特征。