ISSN 1004-4140
CN 11-3017/P

IQQA-liver自动分析软件在肝脏体积精确测量方面的应用研究

The Study of Accurate Liver Volume Measurement by IQQA-liver Auto Analysis Software

  • 摘要: 目的:探讨IQQA-Liver自动分析软件在多排螺旋CT(MDCT)及核磁共振成像(MRI)检查中测量肝脏体积的准确性及重复性。方法:①对12例家兔行MDCT及MR(FIESTA、LAVA序列)检查,扫描所得的CT及MR图像传至IQQA-Liver肝脏CT影像解读分析系统测量兔肝体积。扫描完成后立即处死家兔,解剖后取得肝脏,使用排水法测量兔肝脏的实际体积(ALV),对三种方法得到的兔肝体积进行对比评价。②重复性研究:半个月后对所有家兔及临床病例进行重复性的研究。结果:①MDCT、MR两个序列(FIESTA、LAVA)测量所得的兔肝体积分别为(126.4±35.8)cm3、(125.0±35.4)cm3、(125.8±35.7)cm3,排水法测得的兔肝真实体积为(126.6±36.4)cm3,MDCT、FIESTA、LAVA所测得的兔肝体积与实际兔肝体积具有明显的相关性(r值分别为0.997、0.997及0.998,P值均<0.05),Bland-Altman图分析显示MDCT、FIESTA、LAVA与“金标准”排水法测量结果一致性较好。②2名操作者各自前后重复测量兔肝脏体积的组内相关系数ICC值分别为0.995和0.985;2名操作者间两次测量兔肝脏体积的组内相关系数ICC值分别为0.996和0.987。结论:CT与MR均能基于IQQA-Liver自动分析软件快速测得较为精确的肝脏体积,并具有较高重复性。

     

    Abstract: Objective: To compare the Accuracy and stability of liver volume measurements by MDCT and MR by IQQA-liver auto analysis software. Method: (1) 12 rabbits were scanned by MDCT and MR FIESTA and LAVA sequences, Then kill the rabbits and measure the rabbits, liver immediately (actual liver volume ALV) by means of water displacement. Compare the liver volumes measured by MDCT, MR and water displacement. (2) Repetitive study: repeat measure the liver volumes of all the rabbits. Results: (1) The liver volumes of rabbit measured by MDCT, MR FIESTA and LAVA sequences were (126.4±35.8) cm3, (125.0±35.4) cm3, (125.8±35.7) cm3, had a significant correlation (r=0.997, 0.997, 0.998, P<0.05) with the liver volume by means of water displacement which was (126.6±36.4) cm3. Liver volume with MDCT, MR FIESTA and LAVA sequences and displacement of water was good consistency by Bland-Altman method. (2) Repetitive study: repeated measures of liver volumes of rabbits and patients at different time by each same operator, the ICC were 0.995, 0.985; measures of liver volumes of rabbits by two operators at each time, the ICC were 0.996, 0.987. Conclusion: MDCT and MR can provide accurate information in the measurement of the liver volume used by IQQA-Liver auto analysis software, with high reliability and reproducibility.

     

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