Email Alert RSS
Volume 11 Issue 1
Jan.  2020
Turn off MathJax
Article Contents
Article Navigation >  Medical Journal of Peking Union Medical College Hospital  > 2020  >  11(1): 16-20
Yun-xiu HAO, Zhi-wei WANG, Hua-dan XUE, Zheng-yu JIN. Value of CT Texture Analysis for Volumetric Changes of Abdominal Aortic Aneurysm after Endovascular Repair[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(1): 16-20. doi: 10.3969/j.issn.1674-9081.20190216
Citation: Yun-xiu HAO, Zhi-wei WANG, Hua-dan XUE, Zheng-yu JIN. Value of CT Texture Analysis for Volumetric Changes of Abdominal Aortic Aneurysm after Endovascular Repair[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(1): 16-20. doi: 10.3969/j.issn.1674-9081.20190216
shu

Value of CT Texture Analysis for Volumetric Changes of Abdominal Aortic Aneurysm after Endovascular Repair

doi: 10.3969/j.issn.1674-9081.20190216

  • Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

More Information
  • Corresponding author: WANG Zhi-wei Tel: 86-10-69155444, E-mail:zhiweiwang1981@sina.com
  • Received Date: 2019-10-08
  • Publish Date: 2020-01-30
    Abstract
  •   Objective  The aim of this study was to investigate the value of CT texture analysis for volumetric changes of abdominal aortic aneurysm (AAA) after endovascular aneurysm repair (EVAR).  Methods  Clinical and imaging data of patients with AAA undergoing CT angiography (CTA) at the 3rd and 12th months after EVAR in the Department of Radiology, Peking Union Medical College Hospital between July 2014 and June 2019 were retrospectively collected. Using the traditional measurement as the grouping basis, patients were divided into increased and no-increased groups according to the volume changes during the follow-up. Segmentation software was used to manually outline the maximum axial sections of all aneurysms and extract the texture features of the thrombus. The grey level co-occurrence matrix (GLCM), the grey level run length matrix(GLRLM), and the grey level difference matrix(GLDM) were calculated to analyzed their relationship with the enlargement of the aneurysm volume.  Results  A total of 70 patients meeting the inclusive and exclusive criteria were enrolled in this study, 29 cases (41.4%, 29/70) in the increased group and 41 (58.6%, 41/70) in the non-increased group. The areas under the ROC curve of GLCM, GLRLM, and GLDM for the diagnosis of increased volumes were 0.892, 0.888, and 0.800, respectively. The best prediction efficiency was shown in GLCM with the sensitivity and specificity of 86.2% and 85.4% respectively. GLDM had the worst pridiction efficiency with a sensitivity of 86.2% and a specificity of 68.3%.  Conclusion  CT texture analysis might predict the volumetric change of AAA after EVAR.
    • FullText(HTML)
  • loading
    • References(34)
  • [1] Nowicka M, Kowalczyk A, Rusak G, et al. Evaluation the aortic aneurysm remodeling after a successful stentgraft implantation[J]. Pol J Radiol, 2016, 486-490.
    [2] Kent KC, Zwolak RM, Egorova NN, et al. Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals[J]. J Vasc Surg, 2010, 52:539-548. doi:  10.1016/j.jvs.2010.05.090
    [3] Parodi JC, Palmaz JC, Barone HD. Transfemoral intralu-minal graft implantation for abdominal aortic aneurysms[J]. Ann Vase Surg, 1991, 5:491-499. https://www.sciencedirect.com/science/article/abs/pii/S0890509606615410
    [4] Daye D, Walker TG. Complications of endovascular aneur-ysm repair of the thoracic and abdominal aorta:evaluation and management[J]. Cardiovasc Diagn Ther, 2018, (Suppl 1):S138-S156. http://europepmc.org/abstract/MED/29850426
    [5] IMPROVE Trial Investigators, Powell JT, Sweeting MJ, et al. Endovascular or open repair strategy for ruptured abdominal aortic aneurysm:30 day outcomes from IMPROVE randomised trial[J]. BMJ, 2014, 348:f7661. doi:  10.1136/bmj.f7661
    [6] Takagi H, Umemoto T; ALICE (All-Literature Investigation of Cardiovascular Evidence Group). A meta-analysis of adjusted observational studies and randomized controlled trials of endovascular versus open surgical repair for ruptured abdominal aortic aneurysm[J]. Int Angiol, 2016, 35:534-545. https://www.minervamedica.it/en/journals/international-angiology/article.php?cod=R34Y2016N06A0534
    [7] Javor D, Wressnegger A, Unterhumer S, et al. Endoleak detection using single-acquisition split-bolus dual-energy computer tomography (DECT)[J]. Eur Radiol, 2017, 27:1622-1630. doi:  10.1007/s00330-016-4480-6
    [8] Hobo R, Buth J. Secondary interventions following endovascular abdominal aortic aneurysm repair using current endografts. A EUROSTAR report[J]. J Vasc Surg, 2006, 43:896-902. doi:  10.1016/j.jvs.2006.01.010
    [9] Cannavale A, Lucatelli P, Corona M, et al. Evolving concepts and management of endoleaks after endovascular aneurysm repair: where do we stand in 2019?[J]. Clin Radiol, 2019, pii: S0009-9260(19)30641-5.
    [10] Bley TA, Chase PJ, Reeder SB, et al. Endovascular abdominal aortic aneurysm repair:nonenhanced volumetric CT for follow-up[J]. Radiology, 2009, 253:253-262. doi:  10.1148/radiol.2531082093
    [11] Leemans EL, Willems TP, van der Laan MJ, et al. Biomechanical Indices for Rupture Risk Estimation in Abdominal Aortic Aneurysms[J]. J Endovasc Ther, 2017, 24:254-261. doi:  10.1177/1526602816680088
    [12] Bernhard VM, Mitchell RS, Matsumura JS, et al. Ruptured abdominal aortic aneurysm after endovascular repair[J]. J Vasc Surg, 2002, 35:1155-1162. doi:  10.1067/mva.2002.123758
    [13] Demehri S, Signorelli J, Kumamaru KK, et al. Volumetric quantification of type Ⅱ endoleaks:an indicator for aneurysm sac growth following endovascular abdominal aortic aneurysm repair[J]. Radiology, 2015, 271:282-290. http://europepmc.org/abstract/MED/24475801
    [14] Lubner MG, Smith AD, Sandrasegaran K, et al. CT Texture Analysis:Definitions, Applications, Biologic Correlates, and Challenges[J]. Radiographics, 2017, 37:1483-1503. doi:  10.1148/rg.2017170056
    [15] Gao N, Tian S, Li X, et al. Three-Dimensional Texture Feature Analysis of Pulmonary Nodules in CT Images:Lung Cancer Predictive Models Based on Support Vector Machine Classifier[J]. J Digit Imaging, 2019, doi:10.1007/s10278-019-00238-8.[Epub ahead of print].
    [16] Reinert CP, Federmann B, Hofmann J, et al. Computed tomography textural analysis for the differentiation of chronic lymphocytic leukemia and diffuse large B cell lymphoma of Richter syndrome[J]. Eur Radiol, 2019, 29:6911-6921. doi:  10.1007/s00330-019-06291-9
    [17] Seidler M, Forghani B, Reinhold C, et al. Dual-Energy CT Texture Analysis With Machine Learning for the Evaluation and Characterization of Cervical Lymphadenopathy[J]. Comput Struct Biotechnol, 2019, 17:1009-1015. doi:  10.1016/j.csbj.2019.07.004
    [18] Beukinga RJ, Hulshoff JB, Van Dijk LV, et al. Predicting response to neoadjuvant chemoradiotherapy in esophageal cancer with textural features derived from pre-treatment 18F-FDG PET/CT imaging[J]. J Nucl Med, 2017, 58:723-729. doi:  10.2967/jnumed.116.180299
    [19] Taguchi N, Oda S, Yokota Y, et al. CT texture analysis for the prediction of KRAS mutation status in colorectal cancer via a machine learning approach[J]. Eur J Radiol, 2019, 118:38-43. doi:  10.1016/j.ejrad.2019.06.028
    [20] Bezy-Wendling J, Kretowski M, Rolland Y, et al. Toward a better un-derstanding of texture in vascular CT scan simulated images[J]. IEEE Trans Biomed Eng, 2001, 48:120-124. doi:  10.1109/10.900272
    [21] Ganeshan B, Miles KA, Young RC, et al. In search of biologic correlates for liver texture on portal-phase CT[J]. Acad Radiol, 2007; 14:1058-1068. doi:  10.1016/j.acra.2007.05.023
    [22] Bargellini I, Cioni R, Petruzzi P, et al. Endovascular repair of abdominal aortic aneurysms:analysis of aneurysm volumetric changes at mid-term follow-up[J]. Cardiovasc Intervent Radiol, 2005, 28:426-433. doi:  10.1007/s00270-004-0171-9
    [23] Boos J, Brook OR, Fang J, et al. What Is the Optimal Abdominal Aortic Aneurysm Sac Measurement on CT Images during Follow-up after Endovascular Repair?[J]. Radiology, 2017, 285:1032-1041. doi:  10.1148/radiol.2017161424
    [24] Baumueller S, Nguyen TD, Goetti RP, et al. Maximum diameter measurements of aortic aneurysms on axial CT images after endovascular aneurysm repair:sufficient for follow-up?[J]. Cardiovasc Intervent Radiol, 2011, 34:1182-1189. doi:  10.1007/s00270-010-9992-x
    [25] Schnitzbauer M, Güntner O, Wohlgemuth WA, et al. CT after Endovascular Repair of Abdominal Aortic Aneurysms:Diagnostic Accuracy of Diameter Measurements for the Detection of Aneurysm Sac Enlargement[J]. J Vasc Interv Radiol, 2018, 29:178-187. doi:  10.1016/j.jvir.2017.09.012
    [26] Caldwell DP, Pulfer KA, Jaggi GR, et al. Aortic aneurysm volume calculation:effect of operator experience[J]. Abdom Imaging, 2005, 30:259-262. doi:  10.1007/s00261-004-0280-6
    [27] Li Z, Yu L, Wang X, et al. Diagnostic Performance of Mammographic Texture Analysis in the Differential Diagnosis of Benign and Malignant Breast Tumors[J]. Clin Breast Cancer, 2018, 18:e621-e627. doi:  10.1016/j.clbc.2017.11.004
    [28] 王长梅, 管一晖, 张文强, 等. PET/CT显像联合融合图像纹理特征分析在肺癌鉴别诊断中的应用价值探讨[J].中国医学计算机成像杂志, 2010, 16:147-151. http://doi.med.wanfangdata.com.cn/qk/zgyxjsjcx201002012
    [29] Ng F, Ganeshan B, Kozarski R, et al. Assessment of Primary Colorectal Cancer Heterogeneity by Using Whole-Tumor Texture Analysis:Contrast-enhanced CT Texture as a Biomarker of 5-year Survival[J]. Radiology, 2013, 266:177-184. doi:  10.1148/radiol.12120254
    [30] Torheim T, Malinen E, Kvaal K, et al. Classification of dynamic contrast enhanced MR images of cervical cancers using texture analysis and support vector machines[J]. IEEE Trans Med Imaging, 2014, 33:1648-1656. doi:  10.1109/TMI.2014.2321024
    [31] Madycki G, Staszkiewicz W, Gabrusiewicz A. Carotid Plaque Texture Analysis Can Predict the Incidence of Silent Brain Infarcts Among Patients Undergoing Carotid Endarterectomy[J]. Eur J Vasc Endovasc Surg, 2006, 31:373-380. doi:  10.1016/j.ejvs.2005.10.010
    [32] Kotze CW, Rudd JH, Ganeshan B, et al. CT signal heterogeneity of abdominal aortic aneurysm as a possible predictive biomarker for expansion[J]. Atherosclerosis, 2014, 233:510-517. doi:  10.1016/j.atherosclerosis.2014.01.001
    [33] García G, Maiora J, Tapia A, et al. Evaluation of texture for classification of abdominal aortic aneurysm after endovascular repair[J]. J Digit Imaging, 2012, 25:369-376. doi:  10.1007/s10278-011-9417-7
    [34] Kontopodis N, Metaxa E, Papaharilaou Y, et al. Value of volume measurements in evaluating abdominal aortic aneurysms growth rate and need for surgical treatment[J]. Eur J Radiol, 2014, 83:1051-1056. doi:  10.1016/j.ejrad.2014.03.018
    • Relative Articles(0)
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (400) PDF downloads(104) Cited by()
    Proportional views
    Related
    Links: National Health Commission of the People's Republic of China Chinese Academy of Medical Sciences(CAMS) AMLC Check CNKI Database CNKI Term Online Chinese General Practice
    Address：Room 302,Third Floor,Building 7, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing 100730, China
    Tel：010-69154261/4262
    E - mail：medj@pumch.cn
    mjpumch@126.com
    Copyright of website：Editorial Office of Medical Journal of Peking Union Medical College Hospital

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return