Feasibility study of ultrasonic fatty liver biopsy: Texture vs. attenuation and backscatter

Diana Gaitini; Yaacov Baruch; Eduard Ghersin; Ella Veitsman; Hedvika Kerner; Bruria Shalem; Geva Yaniv; Chen Sarfaty; Haim Azhari

doi:10.1016/j.ultrasmedbio.2004.08.001

Feasibility study of ultrasonic fatty liver biopsy: Texture vs. attenuation and backscatter

Diana Gaitini, Yaacov Baruch, Eduard Ghersin, Ella Veitsman, Hedvika Kerner, Bruria Shalem, Geva Yaniv, Chen Sarfaty, Haim Azhari

Research output: Contribution to journal › Article › peer-review

68 Scopus citations

Abstract

The objective of this study was to compare textural to attenuation/ backscatter indices of fatty liver correlated to histology to suggest the better approach for an objective noninvasive ultrasonic "biopsy". Forty-four patients with severe steatosis by histopathology were selected for this study. Ten patients had "pure" fatty liver and 34 had in addition fibrosis and/or inflammation. Ultrasonic images were acquired before needle insertion. The ROI used for biopsy was marked on the ultrasonic image and characterized by three attenuation/backscatter and 18 textural related indices. Statistical analysis was performed using logistic regression. Twenty-one healthy subjects served as control. The attenuation/backscatter indices were superior to textural indices in differentiating between the categories studied. Pure fatty livers could be reliably identified (AUC = 1, SE = 0). Among the 18 textural indices, "co-occurrences sum entropy" and "co-occurrences entropy" presented the best results. Attenuation/backscatter based indices appear to have better potential than the textural based indices. (E-mail: D_Gaitini@Rambam. Health.Gov.IL).

Original language	English (US)
Pages (from-to)	1321-1327
Number of pages	7
Journal	Ultrasound in Medicine and Biology
Volume	30
Issue number	10
DOIs	https://doi.org/10.1016/j.ultrasmedbio.2004.08.001
State	Published - Oct 2004
Externally published	Yes

Keywords

Acoustic attenuation
Biopsy
Diffuse liver disease
Histology
Needle biopsy
Steatosis
Texture
Ultrasound

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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Feasibility study of ultrasonic fatty liver biopsy : Texture vs. attenuation and backscatter. / Gaitini, Diana; Baruch, Yaacov; Ghersin, Eduard; Veitsman, Ella; Kerner, Hedvika; Shalem, Bruria; Yaniv, Geva; Sarfaty, Chen; Azhari, Haim.

In: Ultrasound in Medicine and Biology, Vol. 30, No. 10, 10.2004, p. 1321-1327.

Research output: Contribution to journal › Article › peer-review

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