磁共振弹性成像在慢性肝病患者肝僵硬和脾僵硬值的相关性研究

Shyam Thangaraju, M. Mahadevappa, S. Venkatesh
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摘要

磁共振弹性成像(Magnetic Resonance Elastography, MRE)是一种测量软组织刚度的无创磁共振技术,有研究表明MRE能准确检测肝纤维化[1][2][3][4]。本研究采用62例不同分期肝纤维化患者的资料(经组织病理学检查,按METAVIR[5]评分系统分期)。通过在软件生成的肝脏和脾脏解剖区域的刚度图中分别放置圆形感兴趣区域(ROI’s),测量肝脏和脾脏的刚度值(kPa)。将这些数值制成表格,并进行相关和回归分析。结果显示,肝脏和脾脏的刚度值之间的Pearson相关系数(r)值为0.59 (P<0.0001)。相应的r2值为0.34。Spearman等级相关系数为0.526。一个简单的线性回归模型给出的斜率为0.7,截距为2.9千帕。这些值表明肝脏和脾脏的硬度值之间存在适度的相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlating liver stiffness and splenic stiffness values in patients with chronic liver diseases using Magnetic Resonance Elastography
Magnetic Resonance Elastography (MRE) is a non-invasive Magnetic Resonance technique for measuring the stiffness of soft tissues, and several studies have shown that MRE accurately detect liver fibrosis [1][2][3][4]. In this study, data from 62 cases with different stages of liver fibrosis (histopathological examination and staged according to METAVIR [5] scoring system) were used. The stiffness values of liver and spleen (in kPa) were measured by placing circular regions of Interests (ROI's) in the software generated stiffness maps in the anatomical regions of liver and spleen respectively. The values were tabulated and correlation and regression analysis performed. Results show a Pearson correlation coefficient (r) value of 0.59 (P<0.0001) between the stiffness values of liver and spleen. The corresponding r2 value is 0.34. The Spearman rank correlation coefficient is 0.526. A simple linear regression model gives a slope of 0.7 with an intercept of 2.9 Kilopaspacls (kPa). These values suggest a moderate correlation between the stiffness values of liver and spleen.
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