Modeling Patient-Informed Liver Contrast Perfusion in Contrast-enhanced Computed Tomography

J Comput Assist Tomogr. 2020 Nov/Dec;44(6):882-886. doi: 10.1097/RCT.0000000000001095.

Abstract

Objective: To determine the correlation between patient attributes and contrast enhancement in liver parenchyma and demonstrate the potential for patient-informed prediction and optimization of contrast enhancement in liver imaging.

Methods: The study included 418 chest/abdomen/pelvis computed tomography scans, with 75% to 25% training-testing split. Two regression models were built to predict liver parenchyma contrast enhancement over time: first model (model A) utilized patient attributes (height, weight, sex, age, bolus volume, injection rate, scan times, body mass index, lean body mass) and bolus-tracking data. A second model (model B) only used the patient attributes. Pearson coefficient was used to assess predictive accuracy.

Results: Weight- and height-related features were found to be statistically significant predictors (P < 0.05), weight being the strongest. Of the 2 models, model A (r = 0.75) showed greater accuracy than model B (r = 0.42).

Conclusions: Patient attributes can be used to build prediction model for liver parenchyma contrast enhancement. The model can have utility in optimization and improved consistency in contrast-enhanced liver imaging.

MeSH terms

  • Body Height*
  • Body Mass Index
  • Body Weight*
  • Contrast Media*
  • Female
  • Humans
  • Iohexol
  • Liver / diagnostic imaging*
  • Male
  • Middle Aged
  • Radiographic Image Enhancement / methods*
  • Tomography, X-Ray Computed / methods*

Substances

  • Contrast Media
  • Iohexol