Title
Limited correlation between conventional pathologist and automatic computer-assisted quantification of hepatic steatosis due to difference between event-based and surface-based analysis.
Abstract
Computer-assisted automatic quantification (CAQ) was developed as an alternative method for the diagnosis of hepatic steatosis in order to compensate for observer-dependent bias. Here, we aim to demonstrate that CAQ can provide an accurate and precise result in analysis of fatty content, but that it is inappropriate to validate CAQ by comparison with conventional pathologist estimation (PE). Male rats were fed with a methionine-choline-deficient plus high-fat diet for three days, one week, or two weeks to induce mild, moderate, or severe steatosis. Samples were collected from all liver lobes. Severity of hepatic steatosis was assessed by an experienced pathologist who estimated the percentage of hepatocytes containing lipid droplets. Fatty content was quantified by PE, CAQ, and biochemical analysis (BA). CAQ, PE, and BA can correctly reflect severe fatty change. However, in the case of mild and moderate steatosis, PE could not reflect the true fatty content ( r between PE and BA was <0). The result of CAQ correlated well with that of BA among the various degrees of severity of hepatic steatosis. In conclusion, due to a difference between event-based and surface-based analysis, it is inappropriate to validate the CAQ of hepatic steatosis by comparison with PE.
Year
DOI
Venue
2014
10.1109/JBHI.2013.2282999
IEEE J. Biomedical and Health Informatics
Keywords
Field
DocType
hepatocytes,pathologist estimation (pe),methionine-choline-deficient diet,diseases,drops,liver lobes,fatty content,computer-assisted quantification (caq),time 1 week,biochemical analysis (ba),biochemistry,time 3 day,observer-dependent bias,pathologist estimation,biochemical analysis,lipid droplets,liver,hepatic steatosis,male rats,medical diagnostic computing,surface-based analysis,time 2 week,patient diagnosis,hepatic steatosis diagnosis,automatic computer-assisted quantification,event-based analysis,high-fat diet,correlation,lipidomics,barium,estimation
Diabetes mellitus,Lipid droplet,Correlation,Steatosis,Medicine,Pathology
Journal
Volume
Issue
ISSN
18
4
2168-2208
Citations 
PageRank 
References 
3
0.57
0
Authors
8
Name
Order
Citations
PageRank
Mei-Hong Deng1121.26
Uta Dahmen2234.84
Jian Sun330.57
Hai Huang430.57
Christian Sehestedt530.57
André Homeyer6536.60
Andrea Schenk731031.12
Olaf Dirsch8192.97