論文

2021年7月6日

Morphometric evaluation of canine hepatocellular carcinoma using computed tomography: a promising tool for predicting malignancy.

The Journal of veterinary medical science
  • Rommaneeya Leela-Arporn
  • ,
  • Hiroshi Ohta
  • ,
  • Genya Shimbo
  • ,
  • Noboru Sasaki
  • ,
  • Mitsuyoshi Takiguchi

83
9
開始ページ
1459
終了ページ
1464
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1292/jvms.21-0218

The size of canine focal liver lesions (FLLs) is known to be one of the predicting criteria for malignancy. However, there are discrepancies for the measurement of maximum lesion size, resulting in contradicting results among studies and incidences of false positive outcomes. Thus far, the morphometric changes of FLLs for distinguishing malignancy from benignancy remains undocumented. This study aimed to investigate morphometric characteristics of FLLs using computed tomography (CT). CT images of 40 dogs with histopathological confirmation of 49 liver lesions, including 39 hepatocellular carcinomas and 10 nodular hyperplasias were retrospectively reviewed. The morphometric parameters including size (long and short axis diameters measured on transverse image), shape (measured by long to short axis (L/S) ratio), volume, and surface appearance of a liver lesion were evaluated using univariate and stepwise multivariate analyses, respectively. The results of univariate analysis showed that long and short axis diameters, L/S ratio, volume, and surface appearance of a lesion were significantly different between hepatocellular carcinomas and nodular hyperplasias. Multivariate analysis revealed that short axis diameter (>3.30 cm; odds ratio (OR): 36.1, 95% confidence interval (CI): 3.36-387.05, P=0.0031) and L/S ratio (>1.23; OR: 18.1, 95% CI: 1.61-205.12, P=0.0191) were independent predictors of malignancy, with the area under the curve of 0.9154. These results suggest that the combination of short axis diameter and L/S ratio is a promising tool for predicting liver malignancy with outstanding discriminating ability.

リンク情報
DOI
https://doi.org/10.1292/jvms.21-0218
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34234070
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8498825
ID情報
  • DOI : 10.1292/jvms.21-0218
  • PubMed ID : 34234070
  • PubMed Central 記事ID : PMC8498825

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