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Abstract #3840

Feasibility of utilizing heterogeneity of hepatic stiffness in 3D MR elastography to improve detection of liver fibrosis in pediatric patients with nonalcoholic fatty liver disease

Kang Wang1, Paul Manning1, Tanya Wolfson 2, Michael S. Middleton1, Jeffrey Schwimmer3, Kimberley Newton3, Cynthia Behling3, Janis Durelle3, Melissa Paiz3, Jorge Angeles3, Meng Yin4, Kevin Glaser4, Richard Ehman4, and Claude Sirlin1

1Liver Imaging Group, Department of Radiology, University of California, San Diego, School of Medicine, San Diego, CA, United States, 2Computational and Applied Statistics Laboratory, University of California, San Diego, San Diego, CA, United States, 3Department of Pediatric, University of California, San Diego, San Diego, CA, United States, 4Departments of Radiology, Mayo Clinic, Rochester, MN, United States

We evaluated the feasibility of utilizing heterogeneity of hepatic stiffness in 3D MR elastography to improve detection of liver fibrosis in a cohort of 70 children with NAFLD. Children were dichotomized into two classes of fibrosis. We characterized the heterogeneity of hepatic stiffness by fitting a bi-Gaussian model to the histogram of hepatic stiffness. Features from the bi-Gaussian model and the known class labels were used to develop a support vector machine (SVM) classification model to predict fibrosis. We demonstrated that the SVM model has better overall classification performance than the calculated mean hepatic stiffness as measured by AUROC.

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