Evaluation of Hepatic Steatosis Grades with Thermoacoustic Imaging in a Rabbit Model

Objective: Simple hepatic steatosis can no longer be ignored as a "benign finding", and the management and evaluation of the clinical interventions depend on the degree of hepatic steatosis. Here, we aimed to investigate the feasibility and diagnostic performance of thermoacoustic imaging...

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Main Author: Xiang Hongjin, Huang Lin, Zheng Zhu, Li Jiawu, Qiu Tingting, Wu Zhenru, Shi Yujun, Jiang Huabei, Ling Wenwu, Luo Yan
Format: Article
Language:English
Published: Editorial Office of Advanced Ultrasound in Diagnosis and Therapy 2025-06-01
Series:Advanced Ultrasound in Diagnosis and Therapy
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Online Access:https://www.journaladvancedultrasound.com/fileup/2576-2516/PDF/1751848728710-2066211445.pdf
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author Xiang Hongjin, Huang Lin, Zheng Zhu, Li Jiawu, Qiu Tingting, Wu Zhenru, Shi Yujun, Jiang Huabei, Ling Wenwu, Luo Yan
author_facet Xiang Hongjin, Huang Lin, Zheng Zhu, Li Jiawu, Qiu Tingting, Wu Zhenru, Shi Yujun, Jiang Huabei, Ling Wenwu, Luo Yan
author_sort Xiang Hongjin, Huang Lin, Zheng Zhu, Li Jiawu, Qiu Tingting, Wu Zhenru, Shi Yujun, Jiang Huabei, Ling Wenwu, Luo Yan
collection DOAJ
description Objective: Simple hepatic steatosis can no longer be ignored as a "benign finding", and the management and evaluation of the clinical interventions depend on the degree of hepatic steatosis. Here, we aimed to investigate the feasibility and diagnostic performance of thermoacoustic imaging (TAI) for assessing hepatic steatosis grades in a rabbit model. Methods: High-fat diet was used for the rabbits. To collect various degrees of hepatic steatosis, the diet duration was different (4, 8, 12, 16, 20, and 24 weeks). An in-vivo liver TAI imaging system was developed. At the end of the feed point, rabbits underwent the TAI and laparotomy for liver histopathology. Results: We performed TAI and histopathologic examinations for 33 rabbits developing none (n = 4), mild (n = 16), moderate (n = 6), and severe (n = 7) steatosis with/without hepatic fibrosis. A strong correlation was found between the thermoacoustic fat coefficient (TAFC) derived from TAI and liver fat percentage (Pearson correlation coefficient, 0.865; P < 0.001). Besides, TAFC showed significant differences between the consecutive grades of steatosis. TAI potentially provided a good diagnostic performance, with 83% sensitivity and 100% specificity for mild steatosis, 92% sensitivity and 95% specificity for moderated steatosis, and 100% sensitivity and 92% specificity for severe steatosis. The fibrosis stage did not significantly affect the TAFC. Conclusion: Our findings demonstrate that TAI is a promising way to evaluate hepatic steatosis grades.
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spelling doaj-art-ce78fc474fdb4077b7759e7b250c8f0c2025-08-20T03:28:58ZengEditorial Office of Advanced Ultrasound in Diagnosis and TherapyAdvanced Ultrasound in Diagnosis and Therapy2576-25162025-06-019217118010.37015/AUDT.2025.240074Evaluation of Hepatic Steatosis Grades with Thermoacoustic Imaging in a Rabbit ModelXiang Hongjin, Huang Lin, Zheng Zhu, Li Jiawu, Qiu Tingting, Wu Zhenru, Shi Yujun, Jiang Huabei, Ling Wenwu, Luo Yan0aDepartment of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan, China;bSchool of Electronic Science and Engineering, University of Electronic Science and Technology of China, Chengdu, Sichuan, China;cShenzhen Mindray Bio-medical Electronics Co., Ltd., Shenzhen, Guangdong, China;dLaboratory of Pathology, Key Laboratory of Transplant Engineering and Immunology, NHC, West China Hospital, Sichuan University, Chengdu, Sichuan, China;eDepartment of Medical Engineering, University of South Florida, Tampa, FL, USAObjective: Simple hepatic steatosis can no longer be ignored as a "benign finding", and the management and evaluation of the clinical interventions depend on the degree of hepatic steatosis. Here, we aimed to investigate the feasibility and diagnostic performance of thermoacoustic imaging (TAI) for assessing hepatic steatosis grades in a rabbit model. Methods: High-fat diet was used for the rabbits. To collect various degrees of hepatic steatosis, the diet duration was different (4, 8, 12, 16, 20, and 24 weeks). An in-vivo liver TAI imaging system was developed. At the end of the feed point, rabbits underwent the TAI and laparotomy for liver histopathology. Results: We performed TAI and histopathologic examinations for 33 rabbits developing none (n = 4), mild (n = 16), moderate (n = 6), and severe (n = 7) steatosis with/without hepatic fibrosis. A strong correlation was found between the thermoacoustic fat coefficient (TAFC) derived from TAI and liver fat percentage (Pearson correlation coefficient, 0.865; P < 0.001). Besides, TAFC showed significant differences between the consecutive grades of steatosis. TAI potentially provided a good diagnostic performance, with 83% sensitivity and 100% specificity for mild steatosis, 92% sensitivity and 95% specificity for moderated steatosis, and 100% sensitivity and 92% specificity for severe steatosis. The fibrosis stage did not significantly affect the TAFC. Conclusion: Our findings demonstrate that TAI is a promising way to evaluate hepatic steatosis grades.https://www.journaladvancedultrasound.com/fileup/2576-2516/PDF/1751848728710-2066211445.pdf|hepatic steatosis grade|thermoacoustic imaging
spellingShingle Xiang Hongjin, Huang Lin, Zheng Zhu, Li Jiawu, Qiu Tingting, Wu Zhenru, Shi Yujun, Jiang Huabei, Ling Wenwu, Luo Yan
Evaluation of Hepatic Steatosis Grades with Thermoacoustic Imaging in a Rabbit Model
Advanced Ultrasound in Diagnosis and Therapy
|hepatic steatosis grade|thermoacoustic imaging
title Evaluation of Hepatic Steatosis Grades with Thermoacoustic Imaging in a Rabbit Model
title_full Evaluation of Hepatic Steatosis Grades with Thermoacoustic Imaging in a Rabbit Model
title_fullStr Evaluation of Hepatic Steatosis Grades with Thermoacoustic Imaging in a Rabbit Model
title_full_unstemmed Evaluation of Hepatic Steatosis Grades with Thermoacoustic Imaging in a Rabbit Model
title_short Evaluation of Hepatic Steatosis Grades with Thermoacoustic Imaging in a Rabbit Model
title_sort evaluation of hepatic steatosis grades with thermoacoustic imaging in a rabbit model
topic |hepatic steatosis grade|thermoacoustic imaging
url https://www.journaladvancedultrasound.com/fileup/2576-2516/PDF/1751848728710-2066211445.pdf
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