KMID : 1103720170760010014
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Journal of the Korean Society of Radiology 2017 Volume.76 No. 1 p.14 ~ p.24
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Comparative Study of Ultrasonography, Computed Tomography, Magnetic Resonance Imaging, and Magnetic Resonance Spectroscopy for the Diagnosis of Fatty Liver in a Rat Model
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Noh Hoon
Song Xiao-li Heo Suk-Hee Kim Jin-Woong Shin Sang-Soo Ahn Kyu-Youn Jeong Yong-Yeon Kang Heoung-Keun
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Abstract
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Purpose: To compare the accuracy of ultrasonography (US), single-energy CT (SECT), dual-energy CT (DECT), MR imaging (MRI), and MR spectroscopy (MRS) for detecting fatty liver in a rat model.
Materials and Methods: Fatty liver was induced by 60% high-fat diet for 1, 2, 3, 4, or 5 weeks (3 rats per group, a total of 15 rats). The control group comprised of five rats fed 10% high-fat diet. US, SECT, DECT, MRI, and MRS of the liver were performed weekly. Histologic steatosis grade and intrahepatocelluar triglyceride level were determined histologically for the livers of sacrificed rats. Pearson correlation test was used to assess the correlation between examinations and standard reference levels. Receiver operating characteristic curves were constructed. Area under the curve (AUC), sensitivity, and specificity were calculated.
Results: US, SECT, DECT, MRI, and MRS were significantly correlated with histologic steatosis grade. The diagnostic performance of AUC, sensitivity, and specificity were 0.893, 80%, and 80% for US, 0.960, 80%, and 80% for SECT, 0.947, 100%, and 60% for DECT, 0.933, 93.3%, and 100% for MRI, and 0.960, 93.3%, and 100% for MRS.
Conclusion: MRS showed the strongest correlation with histologic steatosis grade with the highest sensitivity and specificity for diagnosis of fatty liver compared to other modalities.
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KEYWORD
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Rats, Fatty Liver, Ultrasound, Computed Tomography, Magnetic Resonance Imaging, Spectroscopy
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