Comparison of CT Methods for Determining the Fat Content of the Liver

OBJECTIVE. The purpose of this study was to assess which of a number of methods of measuring attenuation on CT scans is best for prediction of hepatic fat content. MATERIALS AND METHODS. This retrospective study was approved by our institutional review board. Consecutively registered patients who un...

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التفاصيل البيبلوغرافية
المؤلف الرئيسي: Kodama, Yoshihisa (author)
مؤلفون آخرون: Ng, Chaan S. (author), Wu, Tsung-T (author), Ayers, Gregory D. (author), Curley, Steven A. (author), Abdalla, Eddie K. (author), Vauthey, Jean Nicolas (author), Chamsangavej, Chulsip (author)
التنسيق: article
منشور في: 2007
الوصول للمادة أونلاين:http://hdl.handle.net/10725/2572
http://dx.doi.org/10.2214/AJR.06.0992
http://www.ajronline.org/doi/abs/10.2214/AJR.06.0992
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author Kodama, Yoshihisa
author2 Ng, Chaan S.
Wu, Tsung-T
Ayers, Gregory D.
Curley, Steven A.
Abdalla, Eddie K.
Vauthey, Jean Nicolas
Chamsangavej, Chulsip
author2_role author
author
author
author
author
author
author
author_facet Kodama, Yoshihisa
Ng, Chaan S.
Wu, Tsung-T
Ayers, Gregory D.
Curley, Steven A.
Abdalla, Eddie K.
Vauthey, Jean Nicolas
Chamsangavej, Chulsip
author_role author
dc.creator.none.fl_str_mv Kodama, Yoshihisa
Ng, Chaan S.
Wu, Tsung-T
Ayers, Gregory D.
Curley, Steven A.
Abdalla, Eddie K.
Vauthey, Jean Nicolas
Chamsangavej, Chulsip
dc.date.none.fl_str_mv 2007
2007-05
2015-11-16T07:45:29Z
2015-11-16T07:45:29Z
dc.identifier.none.fl_str_mv 0361-803X
http://hdl.handle.net/10725/2572
http://dx.doi.org/10.2214/AJR.06.0992
Kodama, Y., Ng, C. S., Wu, T. T., Ayers, G. D., Curley, S. A., Abdalla, E. K., ... & Charnsangavej, C. (2007). Comparison of CT methods for determining the fat content of the liver. American Journal of Roentgenology, 188(5), 1307-1312.
http://www.ajronline.org/doi/abs/10.2214/AJR.06.0992
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv American Journal of Roentgenology
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Comparison of CT Methods for Determining the Fat Content of the Liver
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description OBJECTIVE. The purpose of this study was to assess which of a number of methods of measuring attenuation on CT scans is best for prediction of hepatic fat content. MATERIALS AND METHODS. This retrospective study was approved by our institutional review board. Consecutively registered patients who underwent liver resection for metastatic disease formed the study group. Attenuation measurements were obtained from 12 regions of interest in the liver and three in the spleen on both unenhanced and portal phase contrast-enhanced preoperative hepatic CT images. Hepatic attenuation measurements were analyzed both with and without normalization with the spleen. Normalization included both differences and ratios between hepatic and splenic attenuation values. Pathologic fat content was graded semiquantitatively as a percentage of the nonneoplastic liver parenchyma of the resected specimen. Average attenuation values of the liver were compared with pathologic fat content, as were the differences and ratios between hepatic and splenic attenuation values. Linear regression analysis was conducted on a log-log scale. RESULTS. Data on 88 patients were analyzed. On unenhanced and contrast-enhanced CT images, all associations between pathologic fat content and attenuation measurements were significant (p < 0.0001). All series of R2 values for unenhanced CT scans were much higher than those for contrast-enhanced CT scans. The R2 values of liver-only measurement were higher than those of hepatic values normalized with splenic values on both unenhanced (0.646-0.649 > 0.523, 0.565) and contrast-enhanced (0.516 > 0.242, 0.344) CT. CONCLUSION. Measurement of attenuation of liver only on unenhanced CT scans is best for prediction of pathologic fat content.
eu_rights_str_mv openAccess
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identifier_str_mv 0361-803X
Kodama, Y., Ng, C. S., Wu, T. T., Ayers, G. D., Curley, S. A., Abdalla, E. K., ... & Charnsangavej, C. (2007). Comparison of CT methods for determining the fat content of the liver. American Journal of Roentgenology, 188(5), 1307-1312.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/2572
publishDate 2007
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spelling Comparison of CT Methods for Determining the Fat Content of the LiverKodama, YoshihisaNg, Chaan S.Wu, Tsung-TAyers, Gregory D.Curley, Steven A.Abdalla, Eddie K.Vauthey, Jean NicolasChamsangavej, ChulsipOBJECTIVE. The purpose of this study was to assess which of a number of methods of measuring attenuation on CT scans is best for prediction of hepatic fat content. MATERIALS AND METHODS. This retrospective study was approved by our institutional review board. Consecutively registered patients who underwent liver resection for metastatic disease formed the study group. Attenuation measurements were obtained from 12 regions of interest in the liver and three in the spleen on both unenhanced and portal phase contrast-enhanced preoperative hepatic CT images. Hepatic attenuation measurements were analyzed both with and without normalization with the spleen. Normalization included both differences and ratios between hepatic and splenic attenuation values. Pathologic fat content was graded semiquantitatively as a percentage of the nonneoplastic liver parenchyma of the resected specimen. Average attenuation values of the liver were compared with pathologic fat content, as were the differences and ratios between hepatic and splenic attenuation values. Linear regression analysis was conducted on a log-log scale. RESULTS. Data on 88 patients were analyzed. On unenhanced and contrast-enhanced CT images, all associations between pathologic fat content and attenuation measurements were significant (p < 0.0001). All series of R2 values for unenhanced CT scans were much higher than those for contrast-enhanced CT scans. The R2 values of liver-only measurement were higher than those of hepatic values normalized with splenic values on both unenhanced (0.646-0.649 > 0.523, 0.565) and contrast-enhanced (0.516 > 0.242, 0.344) CT. CONCLUSION. Measurement of attenuation of liver only on unenhanced CT scans is best for prediction of pathologic fat content.PublishedN/A2015-11-16T07:45:29Z2015-11-16T07:45:29Z20072007-05Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article0361-803Xhttp://hdl.handle.net/10725/2572http://dx.doi.org/10.2214/AJR.06.0992Kodama, Y., Ng, C. S., Wu, T. T., Ayers, G. D., Curley, S. A., Abdalla, E. K., ... & Charnsangavej, C. (2007). Comparison of CT methods for determining the fat content of the liver. American Journal of Roentgenology, 188(5), 1307-1312.http://www.ajronline.org/doi/abs/10.2214/AJR.06.0992enAmerican Journal of Roentgenologyinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/25722026-03-27T08:25:57Z
spellingShingle Comparison of CT Methods for Determining the Fat Content of the Liver
Kodama, Yoshihisa
status_str publishedVersion
title Comparison of CT Methods for Determining the Fat Content of the Liver
title_full Comparison of CT Methods for Determining the Fat Content of the Liver
title_fullStr Comparison of CT Methods for Determining the Fat Content of the Liver
title_full_unstemmed Comparison of CT Methods for Determining the Fat Content of the Liver
title_short Comparison of CT Methods for Determining the Fat Content of the Liver
title_sort Comparison of CT Methods for Determining the Fat Content of the Liver
url http://hdl.handle.net/10725/2572
http://dx.doi.org/10.2214/AJR.06.0992
http://www.ajronline.org/doi/abs/10.2214/AJR.06.0992