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To investigate whether quantitative textural features, extracted from pretreatment MRI, can predict sustained complete response to radiofrequency ablation (RFA) in patients with hepatocellular carcinoma (HCC). METHODS: In this IRB-approved study, patients were selected from a maintained six-year database of consecutive patients who underwent both pretreatment MRI imaging with a probable or definitive imaging diagnosis of HCC (LI-RADS 4 or 5) and loco-regional treatment with RFA. An experienced radiologist manually segmented the hepatic nodules in MRI arterial and equilibrium phases to obtain the volume of interest (VOI) for extraction of 107 quantitative textural features, including shape and first-and second-order features. Statistical analysis was performed to evaluate associations between textural features and complete response.
RESULTS:The study consisted of 34 patients with 51 treated hepatic nodules. Sustained complete response was achieved by 6 patients (4 with single nodule and 2 with multiple nodules). Of the 107 features from the arterial and equilibrium phases, 20 (18%) and 25 (23%) achieved AUC 40.7, respectively. The three best performing features were found in the equilibrium phase: Dependence Non-Uniformity Normalized and Dependence Variance (both GLDM class, with AUC of 0.78 and 0.76, respectively) and Maximum Probability (GLCM class, AUC of 0.76). CONCLUSIONS: This pilot study demonstrates that a radiomic analysis of pre-treatment MRI might be useful in identifying patients with HCC who are most likely to have a sustained complete response to RFA. Second-order features (GLDM and GLCM) extracted from equilibrium phase obtained highest discriminatory performance.
The analysis of LV rotational motion could provide insights into myocardial dysfunction and predict the outcome of interventions, and this analysis could be performed more simply in separate rotational and radial components. In this study we present an automatic method for decomposing the cardiac motion field into radial and rotational components using the Discrete Helmholtz Hodge Decomposition (DHHD). The DHHD was applied to the following 3D motion fields (i) Synthetic complex motion fields, created by applying curl and gradient operators to Gaussian potentials, to determine numerical accuracy; (ii) Synthetic motion field from the 4D Extended Cardiac-Torso (XCAT) phantom (v2.0), to validate the use of the DHHD in decomposing cardiac motion fields. Decomposition error was found to decrease with increasing smoothness of the fields, while keeping motion field components small at the boundary of the motion field domain. The DHHD was seen to separate radial and rotational cardiac motion, allowing possible simplification of motion analysis.
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