Evidence map›Paper›PMID 40723070›Full record

ArticleChildren (Basel, Switzerland)2025

A Scoring System Based on Diffusion Tensor Imaging and Blood Biochemistry Tests for Diagnosing Biliary Atresia in Infants.

Bo Liu, Xiaoying Ni, Jin Zhu, Shuang Ding, Helin Zheng, Daisong Liu, Hongrong Xu, Jinhua Cai

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Article in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Bo LiuChongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, Department of Radiology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
Xiaoying NiDepartment of Radiology, The Third Affiliated Hospital of Chongqing Medical University (FangDa Hospital), Chongqing 401120, China.
Jin ZhuChongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, Department of Pathology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
Shuang DingChongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, Department of Radiology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
Helin ZhengChongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, Department of Radiology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
Daisong LiuChongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, Department of Radiology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
Hongrong XuChongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, Department of Radiology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
Jinhua CaiChongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, Department of Radiology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.

Funding

Chongqing Science and Technology Bureau No. CSTB2024NSCQ-MSX0303 and No. cstc2019jscx-msxmX0162
6 · The paper itself

Abstract

objectivesThe aim of this study was to investigate the diagnostic value of a scoring system based on diffusion tensor imaging (DTI) and blood biochemistry tests for biliary atresia (BA) in infants.

methodsSeventy-four patients who had undergone DTI and blood biochemistry tests were included in this study. Among them, 51 (36 BA patients and 15 non-BA patients) were assigned to the training cohort, and 23 (14 BA patients and 9 non-BA patients) were assigned to the validation cohort. The characteristics that significantly differed between the groups in the training cohort were used to develop a scoring system for predicting the presence or absence of BA through binary logistic regression analysis. The scoring system was subsequently validated in the validation cohort, and its diagnostic performance was assessed with receiver operating characteristic curve analysis.

resultsThe mean apparent diffusion coefficient values of the hepatic right and caudate lobes and the serum levels of gamma glutamyl transpeptidase were selected for constructing the scoring system. The accuracy, sensitivity, and specificity of the system in predicting BA were 82.35%, 91.67% and 60%, respectively, in the training cohort and 95.65%, 100% and 88.89%, respectively, in the validation cohort. The areas under the receiver operating characteristic curve in the training cohort and validation cohort for predicting BA were 0.87 and 0.94 (

conclusionsWe developed a relatively noninvasive scoring system for diagnosing BA according to the results of DTI and blood biochemistry tests, which demonstrated good performance and may be a potential method for differentiating BA in infants.

Indexed as

biliary atresiabiochemistryinfantmagnetic resonance imaging

Identifiers

PMID40723070
PMCPMC12293874

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