RESUMEN
PURPOSE: To explore potential feasibility of texture features in magnetic susceptibility and R2* maps for evaluating liver fibrosis. METHODS: Thirty-one patients (median age 46 years; 22 male) with chronic liver disease were prospectively recruited and underwent magnetic resonance imaging (MRI), blood tests, and liver biopsy. Susceptibility and R2* maps were obtained using a 3-dimensional volumetric interpolated breath-hold examination sequence with a 3T MRI scanner. Texture features, including histogram, gray-level co-occurrence matrix (GLCM), gray-level dependence matrix (GLDM), gray-level run length matrix (GLRLM), gray-level size zone matrix (GLSZM), and neighboring gray tone difference matrix (NGTDM) features, were extracted. Texture features and blood test results of non-significant (Ishak-F < 3) and significant fibrosis patients (Ishak-F ≥ 3) were compared, and correlations with Ishak-F stages were analyzed. Areas under the curve (AUCs) were calculated to determine the efficacy for evaluating liver fibrosis. RESULTS: Nine texture features of susceptibility maps and 19 features of R2* maps were significantly different between non-significant and significant fibrosis groups (all P < 0.05). Large dependence high gray-level emphasis (LDHGLE) of GLDM and long run high gray-level emphasis (LRHGLE) of GLRLM in R2* maps showed significantly negative and good correlations with Ishak-F stages (r = -0.616, P < 0.001; r = -0.637, P < 0.001). Busyness (NGTDM) in susceptibility maps, LDHGLE of GLDM and LRHGLE of GLRLM in R2* maps yield the highest AUCs (AUC = 0.786, P = 0.007; AUC = 0.807, P = 0.004; AUC = 0.819, P = 0.003). CONCLUSION: Texture characteristics of susceptibility and R2* maps revealed possible staging values for liver fibrosis. Susceptibility and R2*-based texture analysis may be a useful and noninvasive method for staging liver fibrosis.
Asunto(s)
Cirrosis Hepática , Imagen por Resonancia Magnética , Humanos , Masculino , Persona de Mediana Edad , Cirrosis Hepática/diagnóstico por imagen , Cirrosis Hepática/patología , Imagen por Resonancia Magnética/métodosRESUMEN
A large number of landslides were triggered by the Mw7.9 Wenchuan earthquake which occurred on 12th May 2008. Landslides impacted extensive areas along the Mingjiang River and its tributaries. In the landslide deposits, soil and gravel fragments generally co-exist and their proportions may influence the hydrological and erosion processes on the steep slopes of the deposit surface. Understanding the effects of the mixtures of soil and gravels in landslide deposits on erosion processes is relevant for ecological reconstruction and water and soil conservation in Wenchuan earthquake area. Based on field surveys, indoor artificial rainfall simulation experiments with three rainfall intensities (1.0, 1.5 and 2.0 mm·min-1) and three proportions of gravel (50%, 66.7% and 80%) were conducted to measure how the proportion of gravel affected soil erosion and sediment yield in landslide sediments and deposits. Where the proportion of gravel was 80%, no surface runoff was produced during the 90 minute experiment under all rainfall intensities. For the 66.7% proportion, no runoff was generated at the lowest rainfall intensity (1.0 mm·min-1). As a result of these interactions, the average sediment yield ranked as 50> 66.6> 80% with different proportions of gravel. In addition, there was a positive correlation between runoff generation and sediment yield, and the sediment yield lagging the runoff generation. Together, the results demonstrate an important role of gravel in moderating the mobilization of landslide sediment produced by large earthquakes, and could lay the foundation for erosion models which provide scientific guidance for the control of landslide sediment in the Wenchuan earthquake zone, China.