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Abstract:
Ultrasound is the first-line tool for screening hepatic steatosis. Statistical distributions can be used to model the backscattered signals for liver characterization. The Nakagami distribution is the most frequently adopted model; however, the homodyned K (HK) distribution has received attention due to its link to physical meaning and improved parameter estimation through X- and U-statistics (termed "XU"). To assess hepatic steatosis, we proposed HK parametric imaging based on the alpha parameter (a measure of the number of scatterers per resolution cell) calculated using the XU estimator. Using a commercial system equipped with a 7-MHz linear array transducer, phantom experiments were performed to suggest an appropriate window size for alpha imaging using the sliding window technique, which was further applied to measuring the livers of rats (n = 66) with hepatic steatosis induced by feeding the rats a methionine- and choline-deficient diet. The relationships between the alpha parameter, the stage of hepatic steatosis, and histological features were verified by the correlation coefficient r, one-way analysis of variance, and regression analysis. The phantom results showed that the window side length corresponding to five times the pulse length supported a reliable alpha imaging. The alpha parameter showed a promising performance for grading hepatic steatosis (p < 0.05; r(2) = 0.68). Compared with conventional Nakagami imaging, alpha parametric imaging provided significant information associated with fat droplet size (p < 0.05; r(2)= 0.53), enabling further analysis and evaluation of severe hepatic steatosis.
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Source :
ULTRASONICS
ISSN: 0041-624X
Year: 2020
Volume: 101
4 . 2 0 0
JCR@2022
ESI Discipline: CLINICAL MEDICINE;
ESI HC Threshold:126
Cited Count:
WoS CC Cited Count: 28
SCOPUS Cited Count: 29
ESI Highly Cited Papers on the List: 0 Unfold All
WanFang Cited Count:
Chinese Cited Count:
30 Days PV: 6
Affiliated Colleges: