Wavelet-based algorithm to the evaluation of contrasted hepatocellular carcinoma in CT-images after transarterial chemoembolization.

Background: Hepatocellular carcinoma is a primary tumor of the liver and involves different treatment modalities according to the tumor stage. After local therapies, the tumor evaluation is based on the mRECIST criteria, which involves the measurement of the maximum diameter of the viable lesion. Th...

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Publicado en:Radiation Oncology Vol. 9; no. 1; pp. 166 - 167
Autores principales: Alvarez, Matheus, de Pina, Diana Rodrigues, Romeiro, Fernando Gomes, Duarte, Sérgio Barbosa, Miranda, José Ricardo de Arruda
Formato: research Journal Article
Publicado: BioMed Central 2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2014
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      pub: BioMed Central
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        103839159
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        10.1186/1748-717X-9-166
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        103839159
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        atl: Wavelet-based algorithm to the evaluation of contrasted hepatocellular carcinoma in CT-images after transarterial chemoembolization.
      aug:
        au:
          Alvarez, Matheus
          de Pina, Diana Rodrigues
          Romeiro, Fernando Gomes
          Duarte, Sérgio Barbosa
          Miranda, José Ricardo de Arruda
        affil: Instituto de Biociências de Botucatu, Departamento de Física e Biofísica, UNESP - Universidade Estadual Paulista, Distrito de Rubiao Junior S/N, Botucatu, 18618-000 Sao Paulo, Brazil. matheus@ibb.unesp.br.
      sug:
        subj:
          Algorithms
          Carcinoma, Hepatocellular Radiography
          Chemoembolization, Therapeutic
          Contrast Media Diagnostic Use
          Liver Neoplasms Radiography
          Tomography, X-Ray Computed
          Carcinoma, Hepatocellular Pathology
          Carcinoma, Hepatocellular Therapy
          Human
          Liver Neoplasms Pathology
          Liver Neoplasms Therapy
          Phantoms, Imaging
          Prognosis
      ab: Background: Hepatocellular carcinoma is a primary tumor of the liver and involves different treatment modalities according to the tumor stage. After local therapies, the tumor evaluation is based on the mRECIST criteria, which involves the measurement of the maximum diameter of the viable lesion. This paper describes a computed methodology to measure through the contrasted area of the lesions the maximum diameter of the tumor by a computational algorithm.Methods: 63 computed tomography (CT) slices from 23 patients were assessed. Non-contrasted liver and HCC typical nodules were evaluated, and a virtual phantom was developed for this purpose. Optimization of the algorithm detection and quantification was made using the virtual phantom. After that, we compared the algorithm findings of maximum diameter of the target lesions against radiologist measures.Results: Computed results of the maximum diameter are in good agreement with the results obtained by radiologist evaluation, indicating that the algorithm was able to detect properly the tumor limits. A comparison of the estimated maximum diameter by radiologist versus the algorithm revealed differences on the order of 0.25 cm for large-sized tumors (diameter > 5 cm), whereas agreement lesser than 1.0 cm was found for small-sized tumors.Conclusions: Differences between algorithm and radiologist measures were accurate for small-sized tumors with a trend to a small decrease for tumors greater than 5 cm. Therefore, traditional methods for measuring lesion diameter should be complemented non-subjective measurement methods, which would allow a more correct evaluation of the contrast-enhanced areas of HCC according to the mRECIST criteria.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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