Su Ming,Yin Yong,Han Zhujun,Qiu Xiaoping,Qiu Qingtao,Gong Guanzhong.Quantitative analysis on the dynamic changes in heart beat cycle of radiomics characteristics in left ventricular myocardial CT[J].Chinese Journal of Radiological Medicine and Protection,2020,40(8):636-641
Quantitative analysis on the dynamic changes in heart beat cycle of radiomics characteristics in left ventricular myocardial CT
Received:November 13, 2019  
DOI:10.3760/cma.j.issn.0254-5098.2020.08.011
KeyWords:Cardiac Cycle  Myocardial function  Assessment  Radiomics
FundProject:山东省重点研发计划(2018GSF118048,2018GSF118006)
Author NameAffiliationE-mail
Su Ming School of Nuclear Science and Technology, University of South China, Hengyang 421001, China  
Yin Yong Department of Radiation Physics Technology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China  
Han Zhujun Department of Radiation Physics Technology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China  
Qiu Xiaoping School of Nuclear Science and Technology, University of South China, Hengyang 421001, China  
Qiu Qingtao Department of Radiation Physics Technology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China  
Gong Guanzhong Department of Radiation Physics Technology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China gongguanzhong@yeah.net 
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Abstract::
      Objective To provide a feasible method for the evaluation of cardiac function based on cardiac gated 4DCT, the radiomics technology combined with enhanced ECG gated 4DCT images were used to quantitatively analyze the changes of left ventricular CT radiomics characteristics in cardiac cycle. Methods The enhanced ECG 4DCT images of 14 patients were reconstructed at intervals of 5% of cardiac cycle. The left ventricular muscle (LVM) and the contrast agent well filled area of left ventricular were delineated with a 13 mm diameter sphere (Cardiac Region of Interest, cardiac ROI) in a single phase. 3Dslicer software was used to extract 92 features of all the sketches, analyze the distribution of CT values on the cardiac ROI and LVM, and preliminarily screen the stable features based on the cardiac ROI (one-way ANOVA).The stable features were used to further screen LVM (one-way ANOVA) to get the difference features. Wilcoxon rank sum test was used to analyze the change of characteristics with heartbeat in the heartbeat cycle. Results In the heartbeat cycle the mean CT values of cardiac cavity ROI in cardiac cavity changed less than that in LVM, with the change rates of 9.23% and 17.88%, respectively. There were 36 stable features with no significant difference in cardiac cavity ROI (P>0.05). 20 of them were statistically significant (F=1.641-6.206, P<0.05), and the average change rate was 98.63%, such as median (-103.96%) and mean (123.67%) of the first order matrix, gray level non uniformity (99.81%) of GLDM matrix and other changes reached more than 99%. The differences between the maximum and minimum values in different cardiac cycles were statistically significant (Z=-3.921--3.173, P<0.05). Conclusions With the combination of radiomics and enhanced ECG 4DCT image, the microscopic changes of CT image features in the cardiac cycle can be amplifed. A new method for the assessment of left ventricular function changes was provided. The features such as median, mean may have more application potential.
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