학술논문
Determination of hepatic extraction fraction with gadoxetate low‐temporal resolution DCE‐MRI‐based deconvolution analysis: validation with ALBI score and Child‐Pugh class
Document Type
Report
Author
Source
Journal of Medical Radiation Sciences. April 2023, Vol. 70, p48, 58 p.
Subject
Language
English
Abstract
Introduction Global Liver function is the most significant determinant for predicting treatment outcomes in liver cancer radiotherapy.[sup.1] It is generally measured using clinical scoring systems, including Child‐Pugh class/score (CPS), the [...]
: Introduction: In this study, we aimed to investigate the feasibility of gadoxetate low‐temporal resolution (LTR) DCE‐MRI for voxel‐based hepatic extraction fraction (HEF) quantification for liver sparing radiotherapy using a deconvolution analysis (DA) method. Methods: The accuracy and consistency of the deconvolution implementation in estimating liver function was first assessed using simulation data. Then, the method was applied to DCE‐MRI data collected retrospectively from 64 patients (25 normal liver function and 39 cirrhotic patients) to generate HEF maps. The normal liver function patient data were used to measure the variability of liver function quantification. Next, a correlation between HEF and ALBI score (a new model for assessing the severity of liver dysfunction) was assessed using Pearson's correlation. Differences in HEF between Child‐Pugh score classifications were assessed for significance using the Kruskal–Wallis test for all patient groups and Mann–Whitney U‐test for inter‐groups. A statistical significance was considered at a P‐value Results: The results showed that the implemented method accurately reproduced simulated liver function; root‐mean‐square error between estimated and simulated liver response functions was 0.003, and the coefficient‐of‐variance of HEF was Conclusion: The study demonstrated the feasibility of gadoxetate LTR‐DCE MRI for voxel‐based liver function quantification using DA. HEF could distinguish between different grades of liver function impairment and could potentially be used for functional guidance in radiotherapy.
: Introduction: In this study, we aimed to investigate the feasibility of gadoxetate low‐temporal resolution (LTR) DCE‐MRI for voxel‐based hepatic extraction fraction (HEF) quantification for liver sparing radiotherapy using a deconvolution analysis (DA) method. Methods: The accuracy and consistency of the deconvolution implementation in estimating liver function was first assessed using simulation data. Then, the method was applied to DCE‐MRI data collected retrospectively from 64 patients (25 normal liver function and 39 cirrhotic patients) to generate HEF maps. The normal liver function patient data were used to measure the variability of liver function quantification. Next, a correlation between HEF and ALBI score (a new model for assessing the severity of liver dysfunction) was assessed using Pearson's correlation. Differences in HEF between Child‐Pugh score classifications were assessed for significance using the Kruskal–Wallis test for all patient groups and Mann–Whitney U‐test for inter‐groups. A statistical significance was considered at a P‐value Results: The results showed that the implemented method accurately reproduced simulated liver function; root‐mean‐square error between estimated and simulated liver response functions was 0.003, and the coefficient‐of‐variance of HEF was Conclusion: The study demonstrated the feasibility of gadoxetate LTR‐DCE MRI for voxel‐based liver function quantification using DA. HEF could distinguish between different grades of liver function impairment and could potentially be used for functional guidance in radiotherapy.