Literature DB >> 28055246

Validation of a semi-automated technique to accurately measure abdominal fat distribution using CT and MRI for clinical risk stratification.

Mohammed A Waduud1, Amal Sharaf1, Iain Roy1, Rosario Lopez-Gonzalez2, Andrew Hart1,3, David McGill1, Giles Roditi2, John Biddlestone1,3.   

Abstract

OBJECTIVE: A valid method for accurate quantification of abdominal fat distribution (AFD) using both CT and MRI is described. This method will be primarily useful in the prospective risk stratification of patients undergoing reconstructive breast surgery. Secondary applications in many other clinical specialities are foreseen.
METHODS: 15 sequential patients who had undergone breast reconstruction following both CT and MRI (30 scans) were retrospectively identified at our single centre. The AFD was quantified at the level of the L3 vertebra. Image analysis was performed by at least two independent operators using free software. Intra- and interobserver differences were assessed using Bland-Altman plots. Data were validated between imaging modalities by Pearson's correlation. Linear regression analyses were used to mathematically normalize results between imaging modalities.
RESULTS: The method was statistically independent of rater bias (intra: Pearson's R-0.954-1.00; inter: 0.799-0.999). Strong relationships between imaging modalities were demonstrated and are independent of time between imaging (Pearson's R 0.625-0.903). Interchangeable mathematical models to normalize between imaging modality are shown.
CONCLUSION: The method described is highly reproducible and independent of rater bias. A strong interchangeable relationship exists between calculations of AFD on retrospective CT and MRI. Advances in knowledge: This is the first technique to be applicable to scans that are not performed sequentially or in a research setting. Analysis is semi-automated and results can be compared directly, regardless of imaging modality or patient position. This method has clinical utility in prospective risk stratification and will be applicable to many clinical specialities.

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Year:  2017        PMID: 28055246      PMCID: PMC5601525          DOI: 10.1259/bjr.20160662

Source DB:  PubMed          Journal:  Br J Radiol        ISSN: 0007-1285            Impact factor:   3.039


  27 in total

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Review 1.  MRI adipose tissue and muscle composition analysis-a review of automation techniques.

Authors:  Magnus Borga
Journal:  Br J Radiol       Date:  2018-07-24       Impact factor: 3.039

2.  Comparison of quantity and quality of muscle as clinical prognostic markers in patients undergoing carotid endarterectomy.

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3.  Role of Perirectal Fat in the Carcinogenesis and Development of Early-Onset Rectal Cancer.

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4.  Pelvic MRI and CT images are interchangeable for measuring peripouch fat.

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