Cited 40 times in
MRI-based decision tree model for diagnosis of biliary atresia
DC Field | Value | Language |
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dc.contributor.author | 고홍 | - |
dc.contributor.author | 김명준 | - |
dc.contributor.author | 신현주 | - |
dc.contributor.author | 윤혜성 | - |
dc.contributor.author | 이미정 | - |
dc.contributor.author | 한석주 | - |
dc.date.accessioned | 2018-09-28T08:49:53Z | - |
dc.date.available | 2018-09-28T08:49:53Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 0938-7994 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/163129 | - |
dc.description.abstract | OBJECTIVES: To evaluate MRI findings and to generate a decision tree model for diagnosis of biliary atresia (BA) in infants with jaundice. METHODS: We retrospectively reviewed features of MRI and ultrasonography (US) performed in infants with jaundice between January 2009 and June 2016 under approval of the institutional review board, including the maximum diameter of periportal signal change on MRI (MR triangular cord thickness, MR-TCT) or US (US-TCT), visibility of common bile duct (CBD) and abnormality of gallbladder (GB). Hepatic subcapsular flow was reviewed on Doppler US. We performed conditional inference tree analysis using MRI findings to generate a decision tree model. RESULTS: A total of 208 infants were included, 112 in the BA group and 96 in the non-BA group. Mean age at the time of MRI was 58.7 ± 36.6 days. Visibility of CBD, abnormality of GB and MR-TCT were good discriminators for the diagnosis of BA and the MRI-based decision tree using these findings with MR-TCT cut-off 5.1 mm showed 97.3 % sensitivity, 94.8 % specificity and 96.2 % accuracy. CONCLUSIONS: MRI-based decision tree model reliably differentiates BA in infants with jaundice. MRI can be an objective imaging modality for the diagnosis of BA. KEY POINTS: • MRI-based decision tree model reliably differentiates biliary atresia in neonatal cholestasis. • Common bile duct, gallbladder and periportal signal changes are the discriminators. • MRI has comparable performance to ultrasonography for diagnosis of biliary atresia. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer International | - |
dc.relation.isPartOf | EUROPEAN RADIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | MRI-based decision tree model for diagnosis of biliary atresia | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Pediatrics | - |
dc.contributor.googleauthor | Yong Hee Kim | - |
dc.contributor.googleauthor | Myung-Joon Kim | - |
dc.contributor.googleauthor | Hyun Joo Shin | - |
dc.contributor.googleauthor | Haesung Yoon | - |
dc.contributor.googleauthor | Seok Joo Han | - |
dc.contributor.googleauthor | Hong Koh | - |
dc.contributor.googleauthor | Yun Ho Roh | - |
dc.contributor.googleauthor | Mi-Jung Lee | - |
dc.identifier.doi | 10.1007/s00330-018-5327-0 | - |
dc.contributor.localId | A00156 | - |
dc.contributor.localId | A00425 | - |
dc.contributor.localId | A02178 | - |
dc.contributor.localId | A04989 | - |
dc.contributor.localId | A02774 | - |
dc.contributor.localId | A04288 | - |
dc.relation.journalcode | J00851 | - |
dc.identifier.eissn | 1432-1084 | - |
dc.identifier.pmid | 29476221 | - |
dc.identifier.url | https://link.springer.com/article/10.1007%2Fs00330-018-5327-0 | - |
dc.subject.keyword | Biliary atresia | - |
dc.subject.keyword | Decision trees | - |
dc.subject.keyword | Jaundice | - |
dc.subject.keyword | Magnetic resonance imaging | - |
dc.subject.keyword | Paediatrics | - |
dc.contributor.alternativeName | Koh, Hong | - |
dc.contributor.alternativeName | Kim, Myung Joon | - |
dc.contributor.alternativeName | Shin, Hyun Joo | - |
dc.contributor.alternativeName | Yoon, Haesung | - |
dc.contributor.alternativeName | Lee, Mi Jung | - |
dc.contributor.alternativeName | Han, Seok Joo | - |
dc.contributor.affiliatedAuthor | Koh, Hong | - |
dc.contributor.affiliatedAuthor | Kim, Myung Joon | - |
dc.contributor.affiliatedAuthor | Shin, Hyun Joo | - |
dc.contributor.affiliatedAuthor | Yoon, Haesung | - |
dc.contributor.affiliatedAuthor | Lee, Mi Jung | - |
dc.contributor.affiliatedAuthor | Han, Seok Joo | - |
dc.citation.volume | 28 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 3422 | - |
dc.citation.endPage | 3431 | - |
dc.identifier.bibliographicCitation | EUROPEAN RADIOLOGY, Vol.28(8) : 3422-3431, 2018 | - |
dc.identifier.rimsid | 58400 | - |
dc.type.rims | ART | - |
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