Diana Bencikova1,2, Veronika Janacova1, Marcus Raudner1, Ahmed Ba-Ssalamah1, Siegfried Trattnig1,2, and Martin Krssak3
1Department of Biomedical Imaging and Image-Guided Therapy, Medical University Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular Imaging, MOLIMA, Vienna, Austria, 3Division of Endocrinology and Metabolism, Department of Medicine III, Medical University Vienna, Vienna, Austria
Synopsis
GLCM
texture analysis is a promising technique for characterizing and classifying
tissue pathologies. In liver applications it has been mostly performed on
T2-weighted images. Fast radial T2 mapping techniques enable acquiring T2 maps
in clinically feasible measurement time (during breath-hold). Here, we explored
the performance of the different settings of GLCM texture analysis in liver T2
maps, which might be more advantageous compared to T2-weighted images. We
identified the grey-level quantization of 8bits and direction of 90° as the best setting for discrimination between
fibrotic and healthy livers.
Introduction
T2 mapping of a tissue is an MRI technique providing
information about pathological status of a tissue. Even-though, liver T2
mapping has been proposed to be a marker of hepatic fibrosis and inflammation [1],
long scan times precluded wide applications in clinical settings. Recently,
radial turbo-spin-echo (rTSE) acquisition schemes provided good-quality T2 maps
with high spatial resolution within a breath-hold period. This enables to
integrate T2 mapping in the clinical measurements and to scrutinize their asset
in clinical decisions [2].
There have been several studies employing texture analysis
on T2-weighted MR images of liver with promising results [3-5],
but potential advantage of T2 mapping over T2 weighted imaging are: 1. lower
influence of measurement parameters allows for data and result comparison
between different centers and 2. Elimination of image inhomogeneity caused by
imperfections of the B0 and B1 homogeneity, which is especially problematic for
large organs, given the T2 value is an absolute measure of a signal. The
additional benefit of rTSE T2 mapping technique is high in-plane resolution
which improves the texture-based classification.
Grey-level co-occurrence matrix (GLCM) is a texture analysis
method which examines the spatial relationships of pixels. The crucial step for
data analysis and population discrimination is proper selection of calculated
GLCM features which needs to be tailored to specific application [6].
Therefore, the goal of this study was to
calculate and compare the GLCM features of rTSE acquired liver T2 maps between
healthy controls and patients with advanced fibrosis with different GLCM
calculation settings, and to analyze the influence of parameter settings for
the discrimination. Materials and methods
All measurements were
performed on a 3T PrismaFit Siemens system (Siemens Healthcare,
Erlangen, Germany) equipped with an 18-channel body coil and a 30-channel body
coil and 32-channel spine coil.
A list of 116 patients
that underwent MR abdomen examination with rTSE T2 mapping sequence
(parameters: TR = 1500ms, ETL = 29, TE range = 9.2 – 266ms, echo-spacing = 9.2ms,
FOV 400x400 mm2, matrix size = 256x256, radial views = 290, FA = 180°, slice
thickness = 6mm, number of slices = 5, time of acquisition = 17sec, with
fat-suppression applied) and 2D SE-EPI MRE examination (parameters: TR/TE =
1000/47msec, FOV = 380 x 380, matrix = 256 x 256 (acquired 100 x 100), slice
thickness = 8mm, number of slices = 4, breath-hold time = 11sec) was given. Patients
with advanced fibrosis in radiological report and successful MRE examination
with stiffness > 3 kPa were selected (26). Patients with degraded T2 map
quality (7) and suspected iron overload (7) were excluded, which yielded 12
patients in total.
Regions
of interest (ROIs) covering whole transversal cross-section of the liver were manually
selected in Slicer3D [7] on the slice with biggest liver coverage and
with no streaking artifacts. Large vessels were excluded with LevelTracing
algorithm. ROIs were subsequently transferred to Matlab, where the computation
of GLCM together with 20 features was carried out [8]. Prior to that, ±3σ
normalization was performed [9]. The GLCM computation was calculated for 4
different angles (0°,
45°, 90°,
135°) with fixed distance of 1 pixel, and for 5
different grey-quantization-levels (8, 16, 32, 64, 128), yielding 20 different
settings for GLCM feature computation per subject.
Statistical
analysis of the data was performed in RStudio. The features of two groups
(healthy vs fibrotic) were compared for each GLCM computation setting
separately with Mann-Whitney U test. The highest number of statistically
significant features was considered as the most discriminatory setting. To find
the features that are correlated, clustered heatmap was assessed. Results
Patient and healthy control characteristics and T2 values
are summarized in table 1. The mean T2 values of fibrotic patients were
significantly different from healthy controls (p = 0.0196), but we have observed
significant overlap between these two groups.
An
example of GLCM computation in a control for each setting is depicted in Figure
1. The number of statistically significantly different features for each
setting is summarized in Table 2. Generally, grey-level quantization of 8
yielded the highest number of statistically significant features (except for
the 0°), and the direction of 90° gave the highest number of significant features,
yielding the setting of 90° and
8bit grey-level quantization to be the best setting. The comparison between the
groups and the heatmap of the features for 90° and 8bit grey-level quantization is depicted in Table
3 and Figure 2, respectively. Discussion
Even
though there is statistically significant difference in T2 values between
fibrotic and healthy livers, it doesn’t have sufficient discriminatory power. GLCM
texture analysis might provide additional discrimination. The grid in 64 and
128bit in Fig.1 in our results suggest that the grey-level-quantization is too
large. Decreasing the number of grey-levels to 32 and below improved the
discrimination ability of some features. The dependence on the choice of
direction was observed in cluster shade and correlation. These preliminary
results will be used for further analysis on larger datasets of patients, which
will be further used to build classification models. Conclusion
For
the GLCM texture analysis of liver T2 maps, the best setting for computation is
the grey-level quantization of 8bits in the direction of 90°. Acknowledgements
No acknowledgement found.References
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