Shear wave elastography-based ultrasomics: differentiating malignant from benign focal liver lesions.

Purpose: Ultrasomics is a radiomics technique that extracts high-throughput quantitative data from ultrasound imaging. The aim of this study was to differentiate malignant from benign focal liver lesions (FLLs) using two-dimensional shear wave elastography (2D-SWE)-based ultrasomics. Methods: A tota...

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Publicado en:Abdominal Radiology Vol. 46; no. 1; pp. 237 - 249
Autores principales: Wang, Wei, Zhang, Jian-Chao, Tian, Wen-Shuo, Chen, Li-Da, Zheng, Qiao, Hu, Hang-Tong, Wu, Shan-Shan, Guo, Yu, Xie, Xiao-Yan, Lu, Ming-De, Kuang, Ming, Liu, Long-Zhong, Ruan, Si-Min
Formato: Journal Article
Publicado: Springer Nature 2021
Acceso en línea:Ver este registro en EBSCOhost
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        10.1007/s00261-020-02614-3
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          Wang, Wei
          Zhang, Jian-Chao
          Tian, Wen-Shuo
          Chen, Li-Da
          Zheng, Qiao
          Hu, Hang-Tong
          Wu, Shan-Shan
          Guo, Yu
          Xie, Xiao-Yan
          Lu, Ming-De
          Kuang, Ming
          Liu, Long-Zhong
          Ruan, Si-Min
        affil: Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, Ultrasomics Artificial Intelligence X-Lab, The First Affiliated Hospital of Sun Yat-Sen University, No.58 Zhongshan Road 2, 510080, Guangzhou, People's Republic of China
      sug:
      ab: Purpose: Ultrasomics is a radiomics technique that extracts high-throughput quantitative data from ultrasound imaging. The aim of this study was to differentiate malignant from benign focal liver lesions (FLLs) using two-dimensional shear wave elastography (2D-SWE)-based ultrasomics. Methods: A total of 175 FLLs in 169 patients were prospectively analyzed. The study population was divided into a training cohort (n = 122) and a validation cohort (n = 53). The maxima, minima, mean, and standard deviation of 2D-SWE measurements were expressed in kilopascals (Emax, Emin, Emean, and ESD). The ultrasonics technique was used to extract the features from the 2D-SWE images. Support vector machine was used to establish two prediction models: the ultrasomics score (ultrasomics features only) and the combined score (SWE measurements and ultrasomics features). The diagnostic performance of the models in differentiating FLLs was analyzed. Results: A total of 1044 features were extracted and 15 features were selected. The AUC for the combined score, ultrasomics score, Emax, Emean, Emin and ESD were 0.94, 0.91, 0.92, 0.89, 0.67, and 0.89, respectively. The combined score had the best diagnostic performance. The sensitivity, specificity, PPV, NPV, +LR, LR of the combined score were 92.59%, 87.50%, 94.59%, 82.50%, 7.35%, and 0.09%, respectively. The decision curve analysis results showed that when the threshold probability was > 29%, the combined score showed improved benefits for patients compared to using the ultrasomics score and 2D-SWE measurements. Conclusion: The results of this study demonstrated that the combined score had good diagnostic accuracy in differentiating malignant from benign FLLs.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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