دورية أكاديمية

Ultrasound Radiomics for the Detection of Early-Stage Liver Fibrosis.

التفاصيل البيبلوغرافية
العنوان: Ultrasound Radiomics for the Detection of Early-Stage Liver Fibrosis.
المؤلفون: Al-Hasani M; Ultrasound Research Lab, Department of Radiology, University of Pennsylvania, Philadelphia, PA 19104, USA., Sultan LR; Ultrasound Research Lab, Department of Radiology, University of Pennsylvania, Philadelphia, PA 19104, USA., Sagreiya H; Ultrasound Research Lab, Department of Radiology, University of Pennsylvania, Philadelphia, PA 19104, USA., Cary TW; Ultrasound Research Lab, Department of Radiology, University of Pennsylvania, Philadelphia, PA 19104, USA., Karmacharya MB; Ultrasound Research Lab, Department of Radiology, University of Pennsylvania, Philadelphia, PA 19104, USA., Sehgal CM; Ultrasound Research Lab, Department of Radiology, University of Pennsylvania, Philadelphia, PA 19104, USA.
المصدر: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2022 Nov 09; Vol. 12 (11). Date of Electronic Publication: 2022 Nov 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101658402 Publication Model: Electronic Cited Medium: Print ISSN: 2075-4418 (Print) Linking ISSN: 20754418 NLM ISO Abbreviation: Diagnostics (Basel) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI AG, [2011]-
مستخلص: Objective: The study evaluates quantitative ultrasound (QUS) texture features with machine learning (ML) to enhance the sensitivity of B-mode ultrasound (US) for the detection of fibrosis at an early stage and distinguish it from advanced fibrosis. Different ML methods were evaluated to determine the best diagnostic model. Methods: 233 B-mode images of liver lobes with early and advanced-stage fibrosis induced in a rat model were analyzed. Sixteen features describing liver texture were measured from regions of interest (ROIs) drawn on B-mode images. The texture features included a first-order statistics run length (RL) and gray-level co-occurrence matrix (GLCM). The features discriminating between early and advanced fibrosis were used to build diagnostic models with logistic regression (LR), naïve Bayes (nB), and multi-class perceptron (MLP). The diagnostic performances of the models were compared by ROC analysis using different train-test sampling approaches, including leave-one-out, 10-fold cross-validation, and varying percentage splits. METAVIR scoring was used for histological fibrosis staging of the liver. Results: 15 features showed a significant difference between the advanced and early liver fibrosis groups, p < 0.05. Among the individual features, first-order statics features led to the best classification with a sensitivity of 82.1−90.5% and a specificity of 87.1−89.8%. For the features combined, the diagnostic performances of nB and MLP were high, with the area under the ROC curve (AUC) approaching 0.95−0.96. LR also yielded high diagnostic performance (AUC = 0.91−0.92) but was lower than nB and MLP. The diagnostic variability between test-train trials, measured by the coefficient-of-variation (CV), was higher for LR (3−5%) than nB and MLP (1−2%). Conclusion: Quantitative ultrasound with machine learning differentiated early and advanced fibrosis. Ultrasound B-mode images contain a high level of information to enable accurate diagnosis with relatively straightforward machine learning methods like naïve Bayes and logistic regression. Implementing simple ML approaches with QUS features in clinical settings could reduce the user-dependent limitation of ultrasound in detecting early-stage liver fibrosis.
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معلومات مُعتمدة: R01 CA204446 United States CA NCI NIH HHS; S10 OD016310 United States OD NIH HHS; CA204446-01 United States NH NIH HHS; EB022612-01 United States GF NIH HHS
فهرسة مساهمة: Keywords: deep learning; liver fibrosis; machine learning; quantitative ultrasound; radiomics
تواريخ الأحداث: Date Created: 20221111 Latest Revision: 20230413
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9689042
DOI: 10.3390/diagnostics12112737
PMID: 36359580
قاعدة البيانات: MEDLINE
الوصف
تدمد:2075-4418
DOI:10.3390/diagnostics12112737