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Author:

Zhou, Zhuhuang (Zhou, Zhuhuang.) | Fang, Jui (Fang, Jui.) | Cristea, Anca (Cristea, Anca.) | Lin, Ying-Hsiu (Lin, Ying-Hsiu.) | Tsai, Yu-Wei (Tsai, Yu-Wei.) | Wan, Yung-Liang (Wan, Yung-Liang.) | Yeow, Kee-Min (Yeow, Kee-Min.) | Ho, Ming-Chih (Ho, Ming-Chih.) | Tsui, Po-Hsiang (Tsui, Po-Hsiang.)

Indexed by:

EI Scopus SCIE PubMed

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.

Keyword:

Hepatic steatosis Fatty liver Homodyned K distribution Ultrasound imaging

Author Community:

  • [ 1 ] [Zhou, Zhuhuang]Beijing Univ Technol, Coll Life Sci & Bioengn, Beijing, Peoples R China
  • [ 2 ] [Fang, Jui]China Med Univ, China Med Univ Hosp, 3D Printing Med Res Ctr, Taichung, Taiwan
  • [ 3 ] [Cristea, Anca]UiT Arctic Univ Norway, Dept Phys & Technol, Tromso, Norway
  • [ 4 ] [Lin, Ying-Hsiu]Chang Gung Univ, Coll Med, Dept Med Imaging & Radiol Sci, Taoyuan, Taiwan
  • [ 5 ] [Tsai, Yu-Wei]Chang Gung Univ, Coll Med, Dept Med Imaging & Radiol Sci, Taoyuan, Taiwan
  • [ 6 ] [Wan, Yung-Liang]Chang Gung Univ, Coll Med, Dept Med Imaging & Radiol Sci, Taoyuan, Taiwan
  • [ 7 ] [Tsui, Po-Hsiang]Chang Gung Univ, Coll Med, Dept Med Imaging & Radiol Sci, Taoyuan, Taiwan
  • [ 8 ] [Wan, Yung-Liang]Chang Gung Mem Hosp Linkou, Dept Med Imaging & Intervent, Taoyuan, Taiwan
  • [ 9 ] [Yeow, Kee-Min]Chang Gung Mem Hosp Linkou, Dept Med Imaging & Intervent, Taoyuan, Taiwan
  • [ 10 ] [Tsui, Po-Hsiang]Chang Gung Mem Hosp Linkou, Dept Med Imaging & Intervent, Taoyuan, Taiwan
  • [ 11 ] [Wan, Yung-Liang]Chang Gung Univ, Med Imaging Res Ctr, Inst Radiol Res, Taoyuan, Taiwan
  • [ 12 ] [Tsui, Po-Hsiang]Chang Gung Univ, Med Imaging Res Ctr, Inst Radiol Res, Taoyuan, Taiwan
  • [ 13 ] [Wan, Yung-Liang]Chang Gung Mem Hosp Linkou, Taoyuan, Taiwan
  • [ 14 ] [Tsui, Po-Hsiang]Chang Gung Mem Hosp Linkou, Taoyuan, Taiwan
  • [ 15 ] [Ho, Ming-Chih]Natl Taiwan Univ, Natl Taiwan Univ Hosp, Dept Surg, Taipei, Taiwan
  • [ 16 ] [Ho, Ming-Chih]Natl Taiwan Univ, Coll Med, Taipei, Taiwan

Reprint Author's Address:

  • [Tsui, Po-Hsiang]Chang Gung Univ, Coll Med, Dept Med Imaging & Radiol Sci, Taoyuan, Taiwan;;[Ho, Ming-Chih]Natl Taiwan Univ, Natl Taiwan Univ Hosp, Dept Surg, Taipei, Taiwan;;[Ho, Ming-Chih]Natl Taiwan Univ, Coll Med, Taipei, Taiwan

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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

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