CT indices for the diagnosis of hepatic steatosis using non-enhanced CT images: development and validation of diagnostic cut-off values in a large cohort with pathological reference standard

2018 ◽  
Vol 29 (8) ◽  
pp. 4427-4435 ◽  
Author(s):  
Jieun Byun ◽  
Seung Soo Lee ◽  
Yu Sub Sung ◽  
Youngbin Shin ◽  
Jessica Yun ◽  
...  
Keyword(s):  
Hepatic Steatosis ◽  
Ct Images ◽  
Large Cohort ◽  
Reference Standard ◽  
Enhanced Ct ◽  
Development And Validation

scholarly journals Development and Validation of a Deep Learning System for Staging Liver Fibrosis by Using Contrast Agent–enhanced CT Images in the Liver

Radiology ◽  
2018 ◽  
Vol 289 (3) ◽  
pp. 688-697 ◽  
Author(s):  
Kyu Jin Choi ◽  
Jong Keon Jang ◽  
Seung Soo Lee ◽  
Yu Sub Sung ◽  
Woo Hyun Shim ◽  
...  
Keyword(s):  
Deep Learning ◽  
Liver Fibrosis ◽  
Contrast Agent ◽  
Ct Images ◽  
Learning System ◽  
Enhanced Ct ◽  
Development And Validation

scholarly journals Multi-factorial considerations for intra-thoracic lymph node evaluations of healthy cats on computed tomographic images

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Ninlawan Thammasiri ◽  
Chutimon Thanaboonnipat ◽  
Nan Choisunirachon ◽  
Damri Darawiroj
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
Ct Images ◽  
Slice Thickness ◽  
Maximum Width ◽  
Post Contrast ◽  
Computed Tomographic ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct

Abstract Background It is difficult to examine mild to moderate feline intra-thoracic lymphadenopathy via and thoracic radiography. Despite previous information from computed tomographic (CT) images of intra-thoracic lymph nodes, some factors from animals and CT setting were less elucidated. Therefore, this study aimed to investigate the effect of internal factors from animals and external factors from the CT procedure on the feasibility to detect the intra-thoracic lymph nodes. Twenty-four, client-owned, clinically healthy cats were categorized into three groups according to age. They underwent pre- and post-contrast enhanced CT for whole thorax followed by inter-group evaluation and comparison of sternal, cranial mediastinal, and tracheobronchial lymph nodes. Results Post contrast-enhanced CT appearances revealed that intra-thoracic lymph nodes of kittens were invisible, whereas the sternal, cranial mediastinal, and tracheobronchial nodes of cats aged over 7 months old were detected (6/24, 9/24 and 7/24, respectively). Maximum width of these lymph nodes were 3.93 ± 0.74 mm, 4.02 ± 0.65 mm, and 3.51 ± 0.62 mm, respectively. By age, lymph node sizes of these cats were not significantly different. Transverse lymph node width of males was larger than that of females (P = 0.0425). Besides, the detection score of lymph nodes was affected by slice thickness (P < 0.01) and lymph node width (P = 0.0049). Furthermore, an irregular, soft tissue structure, possibly the thymus, was detected in all juvenile cats and three mature cats. Conclusions Despite additional information on intra-thoracic lymph nodes in CT images, which can be used to investigate lymphatic-related abnormalities, age, sex, and slice thickness of CT images must be also considered.

scholarly journals Value of contrast-enhanced CT texture analysis in predicting IDH mutation status of intrahepatic cholangiocarcinoma

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yong Zhu ◽  
Yingfan Mao ◽  
Jun Chen ◽  
Yudong Qiu ◽  
Yue Guan ◽  
...  
Keyword(s):  
Texture Analysis ◽  
Ct Images ◽  
Textural Features ◽  
Mutation Status ◽  
Portal Venous Phase ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Venous Phase ◽  
Ct Texture Analysis

AbstractTo explore the value of contrast-enhanced CT texture analysis in predicting isocitrate dehydrogenase (IDH) mutation status of intrahepatic cholangiocarcinomas (ICCs). Institutional review board approved this study. Contrast-enhanced CT images of 138 ICC patients (21 with IDH mutation and 117 without IDH mutation) were retrospectively reviewed. Texture analysis was performed for each lesion and compared between ICCs with and without IDH mutation. All textural features in each phase and combinations of textural features (p < 0.05) by Mann–Whitney U tests were separately used to train multiple support vector machine (SVM) classifiers. The classification generalizability and performance were evaluated using a tenfold cross-validation scheme. Among plain, arterial phase (AP), portal venous phase (VP), equilibrium phase (EP) and Sig classifiers, VP classifier showed the highest accuracy of 0.863 (sensitivity, 0.727; specificity, 0.885), with a mean area under the receiver operating characteristic curve of 0.813 in predicting IDH mutation in validation cohort. Texture features of CT images in portal venous phase could predict IDH mutation status of ICCs with SVM classifier preoperatively.

scholarly journals Liver fibrosis staging by deep learning: a visual-based explanation of diagnostic decisions of the model

2021 ◽  
Author(s):  
Yunchao Yin ◽  
Derya Yakar ◽  
Rudi A. J. O. Dierckx ◽  
Kim B. Mouridsen ◽  
Thomas C. Kwee ◽  
...  
Keyword(s):  
Deep Learning ◽  
Liver Fibrosis ◽  
Liver Parenchyma ◽  
Ct Images ◽  
Fibrosis Stage ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Liver Surface ◽  
Fibrosis Staging

Abstract Objectives Deep learning has been proven to be able to stage liver fibrosis based on contrast-enhanced CT images. However, until now, the algorithm is used as a black box and lacks transparency. This study aimed to provide a visual-based explanation of the diagnostic decisions made by deep learning. Methods The liver fibrosis staging network (LFS network) was developed at contrast-enhanced CT images in the portal venous phase in 252 patients with histologically proven liver fibrosis stage. To give a visual explanation of the diagnostic decisions made by the LFS network, Gradient-weighted Class Activation Mapping (Grad-cam) was used to produce location maps indicating where the LFS network focuses on when predicting liver fibrosis stage. Results The LFS network had areas under the receiver operating characteristic curve of 0.92, 0.89, and 0.88 for staging significant fibrosis (F2–F4), advanced fibrosis (F3–F4), and cirrhosis (F4), respectively, on the test set. The location maps indicated that the LFS network had more focus on the liver surface in patients without liver fibrosis (F0), while it focused more on the parenchyma of the liver and spleen in case of cirrhosis (F4). Conclusions Deep learning methods are able to exploit CT-based information from the liver surface, liver parenchyma, and extrahepatic information to predict liver fibrosis stage. Therefore, we suggest using the entire upper abdomen on CT images when developing deep learning–based liver fibrosis staging algorithms. Key Points • Deep learning algorithms can stage liver fibrosis using contrast-enhanced CT images, but the algorithm is still used as a black box and lacks transparency. • Location maps produced by Gradient-weighted Class Activation Mapping can indicate the focus of the liver fibrosis staging network. • Deep learning methods use CT-based information from the liver surface, liver parenchyma, and extrahepatic information to predict liver fibrosis stage.

Diagnostic Support Systems and Computational Intelligence

2012 ◽  
pp. 1374-1388
Author(s):  
Stavroula Mougiakakou ◽  
Ioannis Valavanis ◽  
Alexandra Nikita ◽  
Konstantina S. Nikita
Keyword(s):  
Computational Intelligence ◽  
Research Team ◽  
Support Systems ◽  
Ct Images ◽  
Focal Liver Lesions ◽  
Liver Lesions ◽  
Enhanced Ct ◽  
Hepatic Lesions ◽  
Computational Intelligence Methods ◽  
Diagnostic Support

Recent advances in computer science provide the intelligent computation tools needed to design and develop Diagnostic Support Systems (DSSs) that promise to increase the efficiency of physicians during their clinical practice. This chapter provides a brief overview of the use of computational intelligence methods in the design and development of DSSs aimed at the differential diagnosis of hepatic lesions from Computed Tomography (CT) images. Furthermore, examples of DSSs developed by our research team for supporting the diagnosis of focal liver lesions from non-enhanced CT images are presented.

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