Quantifying Oxaliplatin-Related Hepatic Sinusoidal Injury Based on 3D CT Image Segmentation Technology
10.3969/j.issn.1005-5185.2025.02.015
- VernacularTitle:基于三维CT图像分割技术量化奥沙利铂所致肝窦损伤
- Author:
Tingting GUO
1
;
Xuelin FU
;
Wugen LI
;
Ting ZHAN
;
Jun DENG
;
Bin YAO
;
Qiaoboyang WU
Author Information
1. 南昌大学江西医学院第二附属医院医学影像中心,江西 南昌 330006;宜春市第二人民医院放射科,江西 宜春 336000
- Publication Type:Journal Article
- Keywords:
Chemical and drug induced liver injury;
Oxaliplatin;
Tomography,X-ray computed;
Image segmentation
- From:
Chinese Journal of Medical Imaging
2025;33(2):186-191
- CountryChina
- Language:Chinese
-
Abstract:
Purpose To investigate the value of oxaliplatin-induced sinusoidal injury based on 3D CT image segmentation technology,and to analyze its variation.Materials and Methods A total of 24 patients with uneven hypoperfusion of liver parenchyma in the portal vein phase of enhanced CT after receiving oxaliplatin regimen chemotherapy from November 2019 to July 2021 in the Second Affiliated Hospital,Jiangxi Medical College,Nanchang University were analyzed,retrospectively.The imaging data of patients with epigastric CT enhancement before chemotherapy,early chemotherapy(1-3 cycles)and late chemotherapy(≥4 cycles)were collected.Two doctors used 3D Slicer software to segment and measure the liver volume and spleen volume at each stage on the CT image,as well as the hepatic hypoperfusion volume(HHV)of the liver in the portal vein phase after chemotherapy,and calculated the HHV ratio(HHVR),liver volume hepatomegaly rate and spleen volume splenomegaly rate,and performed statistical analysis.Results The ICC for HHV,liver volume and spleen volume measured by two doctors were 0.997(P=0.000),0.905(P=0.000)and 0.998(P=0.000),respectively.Reddish-brown could be used to represent normal liver parenchyma,and blue could be used to render the HHV area to achieve HHV visualization.There was a statistically significant increase in HHVR in the late stage of chemotherapy compared with the early stage of chemotherapy[(74.35±30.56)%vs.(57.15±30.53)%;t=3.226,P=0.004].In the early and late stages of chemotherapy,the liver volume and spleen volume increased statistically significantly compared with those before chemotherapy(all P<0.05),and the spleen volume splenomegaly rate value in the late stage of chemotherapy increased statistically compared with the early stage of chemotherapy[25.75(7.40,70.66)%vs.17.86(4.44,63.59)%;Z=2.229,P=0.026].The Pearson correlation coefficient between liver volume hepatomegaly rate and HHVR was 0.377(P=0.008),and the Spearman correlation coefficient between spleen volume splenomegaly rate and HHVR was 0.296(P=0.041).Conclusion The application of 3D CT image segmentation technology to measure the HHV caused by oxaliplatin has good consistency,and can realize the visual display of HHV.With the increase of chemotherapy cycle,the extent of oxaliplatin-induced sinusoidal injury shows an increasing trend,and is positively correlated with hepatomegaly and splenomegaly.
