Abstract
Purpose
To investigate the value of quantitative features extracted from multi-modality ultrasound, composed of B-mode ultrasound (BUS), strain elastography (SE), and contrast-enhanced ultrasound (CEUS), in the early differentiation of residual tumors from hyperemic rim after ablation for rabbit VX2 liver tumors.
Methods
The study included sixteen rabbits undergoing ablation for normal liver tissue or VX2 liver tumors. BUS, SE, and CEUS examinations of rabbit livers were performed on day 3 and day 7 after ablation. A total of 108 radiomics features were extracted. Spearman rank correlation, the t-test, Kruskal-Wallis test (KW-test), and the least absolute shrinkage and selection operator (LASSO) method were applied to analyze data. The support vector machine (SVM) and logistic regression (LR) classifiers were used to classify hyperemic rim and residual tumors under the leave-one-out cross-validation. Model performance was validated by the area under the receiver operating characteristic curve (AUC).
Results
All ultrasound modalities had features that significantly differed between hyperemic rim and residual tumors, such as the maximal value of BUS, the entropy of brightness of SE, and the skewness value of CEUS (all p < 0.05). For the differentiation between hyperemic rim and residual tumors after ablation, the AUC of multi-modality ultrasound was 93.3% on day 3 and 82.1% on day 7.
Conclusion
The multi-modality ultrasound radiomics is helpful for the early differentiation between hyperemic rim and residual tumors around the ablation area in a rabbit model, which might improve future ablation for liver tumors.
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This work was supported by the National Natural Science Foundation of China (Grant No. 62071285) and Natural Science Foundation of Shanghai (grant number: 19ZR1450700).
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All authors contributed to the study conception and design. YJ, ZJ, HH and WW: Material preparation and data collection were performed. YD, QZ and HC: designed the studies. YD, QZ and HH: drafted and critically revised the manuscript. All authors read and approved the final manuscript.
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Dong, Y., Zhang, Q., Chen, H. et al. Radiomics of Multi-modality Ultrasound in Rabbit VX2 Liver Tumors: Differentiating Residual Tumors from Hyperemic Rim After Ablation. J. Med. Biol. Eng. 42, 780–789 (2022). https://doi.org/10.1007/s40846-022-00763-y
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DOI: https://doi.org/10.1007/s40846-022-00763-y