1
|
Eryuruk U, Tasdemir MN, Karasu HI, Aslan S. Comparison of the efficacy of the gadoxetic acid MRI-derived relative enhancement index (REI) and functional liver imaging score (FLIS) in predicting liver function: validation with Albumin-Bilirubin (ALBI) grade. Abdom Radiol (NY) 2024:10.1007/s00261-024-04324-6. [PMID: 38653813 DOI: 10.1007/s00261-024-04324-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Revised: 03/18/2024] [Accepted: 03/29/2024] [Indexed: 04/25/2024]
Abstract
PURPOSE This study compared the predictive performance of the relative enhancement index (REI) derived from gadoxetic acid (GA)-enhanced MRI with that of the functional liver imaging score (FLIS) in estimating liver function among patients with chronic liver disease (CLD) or liver cirrhosis (LC) by validating them with the albumin-bilirubin (ALBI) grade. MATERIALS AND METHODS We retrospectively examined 166 patients (79 women, 87 men; 57.4 years) who were diagnosed with LC or CLD and underwent GA-enhanced MRI between August 2020 and September 2023. The enhancement ratio (ER) is calculated using the formula: ER = [hepatobiliary phase liver signal (SI HBP20)-precontrast liver signal (SI pre)]/SI pre. The REI is calculated using the formula: REI = Liver Volume (LV) × ER. FLIS was assigned from the sum of three HBP image features, each scored between 0 and 2: liver parenchymal enhancement, biliary contrast excretion, and portal vein sign. Receiver operating characteristic (ROC) curve analysis was performed to determine the optimal cutoff values of ER, REI, and FLIS in differentiating between ALBI grades. The area under the curve (AUC), accuracy, sensitivity, and specificity were calculated for REI and FLIS to distinguish the ALBI grades. Spearman's rank correlation was used to evaluate the ER, REI, and FLIS correlations between the ALBI grades. To evaluate inter-reader reliability for LV, ER, REI, and FLIS, intraclass correlation coefficient (ICC) was used. RESULTS ROC curve analysis showed that the optimal cutoff value of REI for predicting ALBI Grade 1 was 899-905 for readers 1 and 2 and 461-477 for ALBI Grade 3, respectively. REI performed best in predicting ALBI Grade 1, achieving an accuracy range of 94%-92.2%, sensitivity of 94.9%-94.1%, and specificity of 91.7%-87.5% for readers 1 and 2, respectively. All parameters showed high accuracy in distinguishing ALBI Grade 3 from other grades. However, REI outperformed the others, showing an accuracy range of 98.8%-97.6%, sensitivity of 94.4%-94.4%, and specificity of 99.3%-98% for readers 1 and 2, respectively. REI showed the best and very strong correlation with ALBI for both readers. CONCLUSION REI showed a very strong correlation with the ALBI grades for assessing liver function. It outperformed FLIS in predicting the ALBI grades, indicating its potential as a radiologic tool comparable to or better than FLIS in predicting liver function, especially given its dependence on liver volume.
Collapse
Affiliation(s)
- Uluhan Eryuruk
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey.
| | - Merve Nur Tasdemir
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Halil Ibrahim Karasu
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Serdar Aslan
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey
| |
Collapse
|
2
|
Eryuruk U, Tasdemir MN, Aslan S. Comparison of the diagnostic performance of biparametric and multiparametric MRI in detecting muscle invasion of bladder cancer located at the ureteral orifice. Abdom Radiol (NY) 2023; 48:3174-3182. [PMID: 37328615 DOI: 10.1007/s00261-023-03979-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 06/02/2023] [Accepted: 06/05/2023] [Indexed: 06/18/2023]
Abstract
PURPOSE To assess the diagnostic performance of biparametric magnetic resonance imaging (bp-MRI) in predicting detrusor muscle invasion for bladder cancer (BC) located at the ureteral orifice by comparing it with the Vesical Imaging Reporting and Data System (VI-RADS) system based on multiparametric MRI (mp-MRI). METHODS Patients with histopathologically proven BC located at the ureteral orifice from December 2019 to November 2022 were analyzed retrospectively. Two sets, bp-MRI (set 1) and mp-MRI (set 2), were formed from the images. Both sets were evaluated independent of histopathology by three radiologists with different levels of experience in abdominal radiology. Receiver operating characteristic (ROC) curve analysis was used to assess the diagnostic performance of VI-RADS in the prediction of muscle invasion. The intraclass correlation coefficient (ICC) was used to evaluate inter-reader agreement. RESULTS Of 68 patients with BCs located at the ureteral orifice, 50 (48 males, median age: 72 years) met the study criteria. Out of the 50 patients, 36 had non-muscle invasive BC (pTa-T1) and 14 had muscle invasive BC (MIBC) (pT2-T4). In the comparison of VI-RADS categories with histopathologic data for MIBC detection, the area under the curve of the ROC analysis for the bp- and mp-MRI protocol was 1.000-0.986 for reader 1, 0.893-0.901 for reader 2, and 0.808-0.865 for reader 3. There was no statistically significant difference in predicting detrusor muscle invasion with the bp- and mp-MRI-based on VI-RADS categories for all readers (p = 0.126, 0.203, and 0.322, respectively). The ICCs between all the readers showed excellent agreement and were similar for both protocols. CONCLUSION The bp-MRI consisting of DWI and T2-WI can be used as an alternative to the mp-MRI in predicting detrusor muscle invasion for BCs located at the ureteral orifice; however, less experienced readers should exercise caution.
Collapse
Affiliation(s)
- Uluhan Eryuruk
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey.
| | - Merve Nur Tasdemir
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Serdar Aslan
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey
| |
Collapse
|
3
|
Tonkaz G, Sengul D, Bekci T, Sengul I, Cakir IM, Onder RO, Tonkaz DE, Eryuruk U, Aksoy I, Veiga ECDA, Aslan S. A needful, unique, and in-place evaluation of the injuries in earthquake victims with computed tomography, in catastrophic disasters! The 2023 Turkey-Syria earthquakes: part II. Rev Assoc Med Bras (1992) 2023; 69:e20230550. [PMID: 37585998 PMCID: PMC10427186 DOI: 10.1590/1806-9282.20230550] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Accepted: 05/14/2023] [Indexed: 08/18/2023]
Abstract
OBJECTIVE This study aimed to determine the computed tomography findings associated with very recent catastrophic 2023 Turkey-Syria earthquake-related injuries and their anatomotopographic distribution in the adult population. METHODS The incorporated computed tomography scans of 768 adult cases who had been admitted to the hospital and had undergone computed tomography imaging after these tragic disasters had been examined on the Teleradiology Reporting System of the Turkish Ministry of Health. To this end, the injuries were classified into six categories: head, thoracic, spinal, pelvic, extremity, and abdominal injury, with three age groups (18-34, 35-64, and ³65 years) and four different imaging intervals (<24, 24-48, 49-72, and >72 h). RESULTS This study incorporated 316 (41.1%) cases on the first day, 57 (7.5%) on the second day, 219 (28.5%) on the third day, and 176 (22.9%) on the fourth day after the earthquake or later. Of the 768 cases, 109 (14.2%) had a head injury, 100 (13.0%) had a thoracic injury, 99 (12.9%) had a spinal injury, 51 (6.6%) had a pelvic injury, 41 (5.4%) had an extremity injury, and 11 (1.4%) had an abdominal injury. CONCLUSION In these regrettable earthquake disasters, we determined a high ratio of head injuries, which was closely followed by thoracic and spinal injuries, in our preliminary outcomes for the pediatric population, Part I. The frequency of abdominal injuries was low among individuals who experienced the earthquake. Last but not least, we have noticed a higher likelihood of spinal injury in individuals older than 65 years in the studied population.
Collapse
Affiliation(s)
- Gokhan Tonkaz
- Giresun University, Faculty of Medicine, Department of Radiology – Giresun, Turkey
| | - Demet Sengul
- Giresun University, Faculty of Medicine, Department of Pathology – Giresun, Turkey
| | - Tumay Bekci
- Giresun University, Faculty of Medicine, Department of Radiology – Giresun, Turkey
| | - Ilker Sengul
- Giresun University, Faculty of Medicine, Division of Endocrine Surgery – Giresun, Turkey
- Giresun University, Faculty of Medicine, Department of General Surgery – Giresun, Turkey
| | - Ismet Mirac Cakir
- Giresun University, Faculty of Medicine, Department of Radiology – Giresun, Turkey
| | - Ramazan Orkun Onder
- Giresun University, Faculty of Medicine, Department of Radiology – Giresun, Turkey
| | | | - Uluhan Eryuruk
- Giresun University, Faculty of Medicine, Department of Radiology – Giresun, Turkey
| | - Iskender Aksoy
- Giresun University, Faculty of Medicine, Department of Emergency Medicine – Giresun, Turkey
| | - Eduardo Carvalho de Arruda Veiga
- Universidade de São Paulo, Faculty of Medicine of Ribeirão Preto, Department of Gynecology and Obstetrics – São Paulo (SP), Brazil
| | - Serdar Aslan
- Giresun University, Faculty of Medicine, Department of Radiology – Giresun, Turkey
| |
Collapse
|
4
|
Cakir IM, Sengul I, Bekci T, Tonkaz G, Eryuruk U, Onder RO, Aksoy I, Bayar AE, Tonkaz M, Sengul D, Aslan S. A needful, unique, and in-place evaluation of the injuries in earthquake victims with computed tomography, in catastrophic disasters! The 2023 Turkey-Syria earthquakes: part I. Rev Assoc Med Bras (1992) 2023; 69:e20230399. [PMID: 37585997 PMCID: PMC10427183 DOI: 10.1590/1806-9282.20230399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Accepted: 04/04/2023] [Indexed: 08/18/2023]
Abstract
OBJECTIVE This study was carried out to evaluate the injuries in pediatric earthquake victims due to the 2023 Turkey-Syria earthquakes with computed tomography and determine the anatomotopographic distribution of injuries. METHODS The material of this retrospective study consisted of the computed tomography findings of 257 pediatric cases injured in the 2023 Turkey-Syria earthquakes, and those were divided into subgroups based on their age group, i.e., 0-4, 5-9, 10-14, and 15-18 years, and the type of injury, i.e., head, maxillofacial, thoracic, abdominal, pelvic, and spinal injuries. RESULTS Earthquake-related injuries had been detected in 102 (39.6%) patients. Of the 29 patients with multiple injuries, 17, 10, and 2 had injuries in two, three, and four topographic regions, respectively. The most common injury was a head injury, which was detected in 48 (18.7%) cases, followed by thoracic injury, spinal injury, pelvic fracture, abdominal injury, and maxillofacial fracture, which were detected in 40 (15.6%), 22 (8.5%), 19 (7.4%), 10 (3.9%), and 6 (2.3%) patients, respectively. The cranial bone fractures and intracranial injuries were significantly more frequent in the 0-4 years age group compared with other age groups (p=0.028 and p=0.024, respectively). The rib fractures with spinal and pleural injuries were significantly more common in the 15-18 years age group compared with others (p=0.016, p=0.004, and p=0.002, respectively). CONCLUSION The head injury was the most common earthquake-related injury in pediatric cases. Herein, it was more common in younger children compared with other age groups, whereas rib, spine, and pleural injuries were more common in older children.
Collapse
Affiliation(s)
- Ismet Mirac Cakir
- Giresun University, Faculty of Medicine, Department of Radiology – Giresun, Turkey
| | - Ilker Sengul
- Giresun University, Faculty of Medicine, Division of Endocrine Surgery – Giresun, Turkey
- Giresun University, Faculty of Medicine, Department of General Surgery – Giresun, Turkey
| | - Tumay Bekci
- Giresun University, Faculty of Medicine, Department of Radiology – Giresun, Turkey
| | - Gokhan Tonkaz
- Giresun University, Faculty of Medicine, Department of Radiology – Giresun, Turkey
| | - Uluhan Eryuruk
- Giresun University, Faculty of Medicine, Department of Radiology – Giresun, Turkey
| | - Ramazan Orkun Onder
- Giresun University, Faculty of Medicine, Department of Radiology – Giresun, Turkey
| | - Iskender Aksoy
- Giresun University, Faculty of Medicine, Department of Emergency Medicine – Giresun, Turkey
| | - Ayse Elif Bayar
- Giresun University, Faculty of Medicine, Department of Emergency Medicine – Giresun, Turkey
| | - Mehmet Tonkaz
- Gumushane State Hospital, Department of Radiology – Gumushane, Turkey
| | - Demet Sengul
- Giresun University, Faculty of Medicine, Department of Pathology – Giresun, Turkey
| | - Serdar Aslan
- Giresun University, Faculty of Medicine, Department of Radiology – Giresun, Turkey
| |
Collapse
|
5
|
Eryuruk U, Cakir IM, Aslan S. Left superior pulmonary vein thrombosis in a patient with acute pancreatitis. Br J Hosp Med (Lond) 2023; 84:1. [PMID: 37646545 DOI: 10.12968/hmed.2023.0074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Affiliation(s)
- Uluhan Eryuruk
- Faculty of Medicine, Department of Radiology, Giresun University, Giresun, Turkey
| | - Ismet M Cakir
- Faculty of Medicine, Department of Radiology, Giresun University, Giresun, Turkey
| | - Serdar Aslan
- Faculty of Medicine, Department of Radiology, Giresun University, Giresun, Turkey
| |
Collapse
|
6
|
Eryuruk U, Cakir IM. Osteomyelitis of the mandible after insect bite in a pediatric patient. Rev Soc Bras Med Trop 2023; 56:e0165. [PMID: 37283352 DOI: 10.1590/0037-8682-0165-2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 04/28/2023] [Indexed: 06/08/2023] Open
Affiliation(s)
- Uluhan Eryuruk
- Giresun University, Faculty of Medicine, Department of Radiology, Giresun, Turkey
| | - Ismet Mirac Cakir
- Giresun University, Faculty of Medicine, Department of Radiology, Giresun, Turkey
- Samsun Education and Research Hospital, Department of Radiology, Samsun, Turkey
| |
Collapse
|
7
|
Eryuruk U, Cakir IM, Aslan S. A cause of paraparesis in earthquake victim that possibly be overlooked: Traumatic massive lumbar disc herniation. Med Clin (Barc) 2023:S0025-7753(23)00096-9. [PMID: 37045671 DOI: 10.1016/j.medcli.2023.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 02/22/2023] [Indexed: 04/14/2023]
Affiliation(s)
- Uluhan Eryuruk
- Giresun University Faculty of Medicine, Department of Radiology, Giresun, Turkey.
| | - Ismet Mirac Cakir
- Giresun University Faculty of Medicine, Department of Radiology, Giresun, Turkey
| | - Serdar Aslan
- Giresun University Faculty of Medicine, Department of Radiology, Giresun, Turkey
| |
Collapse
|
8
|
Eryuruk U, Bekci T, Aslan S. An unusual presentation of a ganglion cyst: herniation causing a defect of the iliotibial band. Br J Hosp Med (Lond) 2023; 84:1. [PMID: 36848165 DOI: 10.12968/hmed.2022.0345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Affiliation(s)
- Uluhan Eryuruk
- Department of Radiology, Giresun University Faculty of Medicine, Giresun, Turkey
| | - Tumay Bekci
- Department of Radiology, Giresun University Faculty of Medicine, Giresun, Turkey
| | - Serdar Aslan
- Department of Radiology, Giresun University Faculty of Medicine, Giresun, Turkey
| |
Collapse
|
9
|
Cakir IM, Bekci T, Eryuruk U. Multiple Streptococcus sanguinis brain abscesses misdiagnosed as cerebral manifestation of tuberculosis. Rev Soc Bras Med Trop 2022; 55:S0037-86822022000100861. [PMID: 36542020 PMCID: PMC9757706 DOI: 10.1590/0037-8682-0391-2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Accepted: 10/11/2022] [Indexed: 12/23/2022] Open
Affiliation(s)
- Ismet Mirac Cakir
- Giresun University, Faculty of Medicine, Department of Radiology, Giresun, Turkey
| | - Tumay Bekci
- Giresun University, Faculty of Medicine, Department of Radiology, Giresun, Turkey
| | - Uluhan Eryuruk
- Giresun University, Faculty of Medicine, Department of Radiology, Giresun, Turkey
| |
Collapse
|
10
|
Cakir IM, Bekci T, Aslan S, Eryuruk U. Comparison of Doppler Ultrasound and Clinical Features of Patients With and Without Femoral Hernia in Lower Extremity Venous Insufficiency Patients. Ultrasound Q 2022; 38:322-327. [PMID: 36398886 DOI: 10.1097/ruq.0000000000000630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
ABSTRACT In this study, we aim to evaluate Doppler ultrasound (US) and clinical features of patients with and without femoral hernia (FH) in lower extremity chronic venous insufficiency (CVI) patients.We retrospectively analyzed prospectively collected data of 1364 limbs with the CVI suspected. Femoral hernia was detected in 32 of the limbs, and the control group was formed with 32 limbs without FH. All limbs were evaluated with Valsalva maneuver and augmentation method to detect venous reflux in FH group. Venous reflux rates in the Doppler US, venous clinical severity scores (VCSSs), and clinical classes of Clinical-Etiology-Anatomy-Pathophysiology classification were compared statistically in both groups.The mean VCSS was 3.87 ± 0.74 in the FH group and 2.68 ± 0.65 in the control group, which was statistically significant ( P = 0.04). In the more severe clinical classes of Clinical-Etiology-Anatomy-Pathophysiology (C4-6), the number of limbs in the FH group was higher than in the control group (8 and 4, respectively). Doppler US examinations showed venous reflux in 22 of 32 limbs in the FH group and 19 of 32 patients in the control group, and there was a statistically significant difference ( P = 0.029). In the FH group, reflux could be shown only by augmentation method in the vast majority of limbs (16 of 22, 73%).In conclusion, VCSS and reflux rates are higher in limbs with CVI accompanied by FH. In addition, FH may cause false negative results in the evaluation of CVI. The use of augmentation method in limbs with FH can help avoid false negatives.
Collapse
Affiliation(s)
- Ismet Mirac Cakir
- From the Department of Radiology, Giresun University Faculty of Medicine, Giresun, Turkey
| | | | - Serdar Aslan
- From the Department of Radiology, Giresun University Faculty of Medicine, Giresun, Turkey
| | - Uluhan Eryuruk
- From the Department of Radiology, Giresun University Faculty of Medicine, Giresun, Turkey
| |
Collapse
|
11
|
Aslan S, Eryuruk U, Ogreden E, Tasdemir MN, Cınar I, Bekci T. Intrascrotal Extratesticular Schwannoma: A Rare Cause of Scrotal Mass. Curr Med Imaging 2022:CMIR-EPUB-126695. [DOI: 10.2174/1573405618666220930151519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 08/24/2022] [Accepted: 09/01/2022] [Indexed: 11/22/2022]
Abstract
Background:
Schwannoma, also known as neurinoma, is the most common tumor of the peripheral nerves. Intrascrotal extratesticular schwannoma, which is not associated with schwannomatosis and neurofibromatosis-2, is a very rare entity and few cases have been reported in the literature. In this paper, we reported our case of extratesticular schwannoma, an extremely rare cause of scrotal mass, with ultrasound (US) and magnetic resonance imaging (MRI) findings.
Case Report:
A 22-year-old male presented with painless left scrotal swelling. Scrotal US showed an extra-testicular heterogeneous hypoechoic mass with lobulated contour in inferior part of scrotum. Scrotal MRI demonstrated well-defined extratesticular mass, which showed heterogeneous hypointens on T2 weighted-images compared with testis parenchyma. On contrast enhanced images, mass showed mild-modarate enhancement. The patient was underwent to surgery with the preliminary diagnosis of benign intrascrotal extratesticular mass. The lesion was removed with preservation of the testicles by urologists, and final diagnosis was made as scrotal schwannoma by histological and immunohistochemical examination
Conclusion:
Although there is no specific imaging finding of scrotal schwannoma, MRI can be used as a guide to surgery by helping to accurately determine whether the lesion is intra- or extratesticular. In addition, radiologists and urologists should keep schwannoma in mind in the differential diagnosis in the presence of an intrascrotal extratesticular mass.
Collapse
Affiliation(s)
- Serdar Aslan
- Department of Radiology, Giresun University, Turkey
| | | | | | | | - Ilkay Cınar
- Department of Pathology, Giresun University , Turkey
| | - Tumay Bekci
- Department of Radiology, Giresun University, Turkey
| |
Collapse
|
12
|
Aslan S, Eryuruk U, Tasdemir MN, Cakir IM. Determining the efficacy of functional liver imaging score (FLIS) obtained from gadoxetic acid-enhanced MRI in patients with chronic liver disease and liver cirrhosis: the relationship between Albumin-Bilirubin (ALBI) grade and FLIS. Abdom Radiol (NY) 2022; 47:2325-2334. [PMID: 35672474 DOI: 10.1007/s00261-022-03557-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2022] [Revised: 04/26/2022] [Accepted: 05/13/2022] [Indexed: 11/01/2022]
Abstract
PURPOSE (1) To evaluate the efficacy of functional liver imaging score (FLIS) in predicting liver function on gadoxetic acid-enhanced MRI in patients with chronic liver disease (CLD) or liver cirrhosis (LC) and its relationship with ALBI grade. (2) To assess the intra-reader reliability and interreader agreement of readers with different levels of experience in abdominal imaging of FLIS. METHODS We retrospectively included 131 patients (70 men, 61 women; mean ± SD, 53.7 ± 14.6 years) with CLD and LC who underwent GA-enhanced MRI between November 2019 and March 2022. FLIS was assigned as a result of the sum of three hepatobiliary phase (HBP) images features, each scored 0-2: liver parenchymal enhancement, biliary contrast excretion, and portal vein sign. FLIS was calculated using HPB images independently by three radiologists with different experience. In addition, 50 randomly selected patients were reviewed a second time by a reader to assess intra-reader reliability. Patients were divided into the following three groups according to the albumin-bilirubin (ALBI) grade: ALBI grade 1, 2, and 3. We evaluated the correlation between ALBI grade and both FLIS and its parameters using Spearman's rank correlation for each reader. Receiver operating characteristic (ROC) curve analysis was performed to show the optimal cut-off value of FLIS to distinguish between ALBI grades. Intra-reader reliability and inter-reader agreement were evaluated by intraclass correlation coefficient (ICC). RESULTS FLIS and three FLIS parameters showed very strong correlation with ALBI grade for each readers (r = - 0.843 to 0.976, - 0.831 to 0.962, and - 0.819 to 0.902, respectively). ROC curve analysis showed that FLIS ≥ 5 was the optimal cutoff for prediction of ALBI grade 1 for each readers (sensitivity, 83.7% to 95.4%; specificity, 82.6% to 87%; accuracy, 88.6% to 93.6% and area under the curve (AUC), 0.882 to 0.917), and FLIS ≤ 3 was the optimal cutoff for distinguish ALBI grade 3 from other grades for each readers (sensitivity, 100%; specificity, 95.2% to 96%; accuracy, 95.4% to 96.2% and AUC, 0.974 to 0.994). Intra-reader reliability (ICC = 0.95; 95% CI 0.93-0.96) and inter-reader agreement (ICC = 0.85 to 0.90; 95% CI 0.82-0.97) for FLIS were excellent. CONCLUSION FLIS showed a very correlation with hepatic function level and can stratify the ALBI grades. This feature has demonstrated the potential of FLIS to be excellent radiological tools for predicting of liver function of CLD and LC patients in clinical practice. Also, the excellent agreement of FLIS among readers with different levels of experience indicates that it can be used with high accuracy and reproducibility regardless of experience.
Collapse
Affiliation(s)
- Serdar Aslan
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey.
| | - Uluhan Eryuruk
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Merve Nur Tasdemir
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Ismet Mirac Cakir
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey
| |
Collapse
|
13
|
Aslan S, Eryuruk U, Ozdemir B. Tuberculous prostatitis mimicking metastatic prostate cancer. Rev Soc Bras Med Trop 2022; 55:e07262021. [PMID: 35416888 PMCID: PMC9009869 DOI: 10.1590/0037-8682-0726-2021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Accepted: 01/21/2022] [Indexed: 12/04/2022] Open
Affiliation(s)
- Serdar Aslan
- Giresun University, Faculty of Medicine, Department of Radiology, Giresun, Turkey
| | - Uluhan Eryuruk
- Giresun University, Faculty of Medicine, Department of Radiology, Giresun, Turkey
| | - Burhan Ozdemir
- Giresun Prof. A. Ilhan Ozdemir State Hospital, Urology Clinic, Giresun, Turkey
| |
Collapse
|
14
|
Cakir IM, Bekci T, Eryuruk U. A Case of Disseminated Alveolar Echinococcosis Mimicking Metastatic Malignant Disease with Cerebral Involvement. Rev Soc Bras Med Trop 2022; 55:e02842022. [PMID: 36197382 PMCID: PMC9536802 DOI: 10.1590/0037-8682-0284-2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Accepted: 08/03/2022] [Indexed: 11/21/2022] Open
|
15
|
Affiliation(s)
- Serdar Aslan
- Giresun University, Faculty of Medicine, Department of Radiology, Giresun, Turkey
| | - Uluhan Eryuruk
- Giresun University, Faculty of Medicine, Department of Radiology, Giresun, Turkey
| |
Collapse
|
16
|
Jiang S, Couralet M, Girault A, Fourcade A, LeVaillant M, Loirat P, Minvielle E, Eryuruk U, Leclercq P. The Rationale for the French Hospital Experiment with P4P (IFAQ): Lessons from abroad. ACTA ACUST UNITED AC 2012. [DOI: 10.3917/jgem.127.0435] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
|
17
|
Pirson M, Delo C, Di Pierdomenico L, Biloque V, Martins D, Eryuruk U, Leclercq P. Analysis of the variability of nursing care by pathology in a sample of nine Belgian hospitals. BMC Health Serv Res 2011. [PMCID: PMC3238186 DOI: 10.1186/1472-6963-11-s1-a11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|