Quantitative sonographic image analysis for hepatic nodules: a pilot study

Verfasser / Beitragende:
[Naoki Matsumoto, Masahiro Ogawa, Kentaro Takayasu, Midori Hirayama, Takao Miura, Katsuhiko Shiozawa, Masahisa Abe, Hiroshi Nakagawara, Mitsuhiko Moriyama, Seiichi Udagawa]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Medical Ultrasonics, 42/4(2015-10-01), 505-512
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10396-015-0627-3  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10396-015-0627-3 
245 0 0 |a Quantitative sonographic image analysis for hepatic nodules: a pilot study  |h [Elektronische Daten]  |c [Naoki Matsumoto, Masahiro Ogawa, Kentaro Takayasu, Midori Hirayama, Takao Miura, Katsuhiko Shiozawa, Masahisa Abe, Hiroshi Nakagawara, Mitsuhiko Moriyama, Seiichi Udagawa] 
520 3 |a Purpose: The aim of this study was to investigate the feasibility of quantitative image analysis to differentiate hepatic nodules on gray-scale sonographic images. Methods: We retrospectively evaluated 35 nodules from 31 patients with hepatocellular carcinoma (HCC), 60 nodules from 58 patients with liver hemangioma, and 22 nodules from 22 patients with liver metastasis. Gray-scale sonographic images were evaluated with subjective judgment and image analysis using ImageJ software. Reviewers classified the shape of nodules as irregular or round, and the surface of nodules as rough or smooth. Results: Circularity values were lower in the irregular group than in the round group (median 0.823, 0.892; range 0.641-0.915, 0.784-0.932, respectively; P=3.21×10−10). Solidity values were lower in the rough group than in the smooth group (median 0.957, 0.968; range 0.894-0.986, 0.933-0.988, respectively; P=1.53×10−4). The HCC group had higher circularity and solidity values than the hemangioma group. The HCC and liver metastasis groups had lower median, mean, modal, and minimum gray values than the hemangioma group. Multivariate analysis showed circularity [standardized odds ratio (OR), 2.077; 95% confidential interval (CI)=1.295-3.331; P=0.002] and minimum gray value (OR 0.482; 95% CI=0.956-0.990; P=0.001) as factors predictive of malignancy. The combination of subjective judgment and image analysis provided 58.3% sensitivity and 89.5% specificity with AUC=0.739, representing an improvement over subjective judgment alone (68.4% sensitivity, 75.0% specificity, AUC=0.701) (P=0.008). Conclusion: Quantitative image analysis for ultrasonic images of hepatic nodules may correlate with subjective judgment in predicting malignancy. 
540 |a The Japan Society of Ultrasonics in Medicine, 2015 
690 7 |a Quantitative image analysis  |2 nationallicence 
690 7 |a Ultrasonography  |2 nationallicence 
690 7 |a Hepatocellular carcinoma  |2 nationallicence 
690 7 |a Liver hemangioma  |2 nationallicence 
690 7 |a Liver metastasis  |2 nationallicence 
700 1 |a Matsumoto  |D Naoki  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
700 1 |a Ogawa  |D Masahiro  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
700 1 |a Takayasu  |D Kentaro  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
700 1 |a Hirayama  |D Midori  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
700 1 |a Miura  |D Takao  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
700 1 |a Shiozawa  |D Katsuhiko  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
700 1 |a Abe  |D Masahisa  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
700 1 |a Nakagawara  |D Hiroshi  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
700 1 |a Moriyama  |D Mitsuhiko  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
700 1 |a Udagawa  |D Seiichi  |u Department of Mathematics, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
773 0 |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/4(2015-10-01), 505-512  |x 1346-4523  |q 42:4<505  |1 2015  |2 42  |o 10396 
856 4 0 |u https://doi.org/10.1007/s10396-015-0627-3  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10396-015-0627-3  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Matsumoto  |D Naoki  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ogawa  |D Masahiro  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takayasu  |D Kentaro  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hirayama  |D Midori  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Miura  |D Takao  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shiozawa  |D Katsuhiko  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Abe  |D Masahisa  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nakagawara  |D Hiroshi  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Moriyama  |D Mitsuhiko  |u Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Udagawa  |D Seiichi  |u Department of Mathematics, Nihon University School of Medicine, 30-1 Oyaguchi Kamimachi, Itabashi, 173-8610, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/4(2015-10-01), 505-512  |x 1346-4523  |q 42:4<505  |1 2015  |2 42  |o 10396