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To accurately characterize cirrhosis, knowledge of the 3D fibrous structures is essential. Histology is the gold standard in cirrhosis screening, but it mainly provides structural information in 2D planes and destroys the 3D samples in the process. The aim of this study was to evaluate the potential of X‐ray phase‐contrast computed tomography (PCCT) with iodine staining for the 3D nondestructive visualization of internal structural details in entire cirrhotic livers with histopathologic correlation. In this study, cirrhotic livers induced by carbon tetrachloride (CCl4) in rats were imaged via PCCT and then histopathologically processed. Characteristics of the cirrhosis, i.e. abnormal nodules surrounded by annular fibrosis, were established and a 3D reconstruction of these structures was also performed via PCCT. Fibrosis area, septal width and nodular size were measured and the correlation for these quantitative measurements between PCCT and histopathologic findings was analyzed. The results showed that fibrous bands, small nodules and angio‐architecture in cirrhosis were clearly presented in the PCCT images, with histopathologic findings as standard reference. In comparison with histopathology, PCCT was associated with a very close value for fibrosis area, septal width and nodular size. The quantitative measurements showed a strong correlation between PCCT and histopathology. Additionally, the 3D structures of fibrous bands and microvasculature were presented simultaneously. PCCT provides excellent results in the assessment of cirrhosis characteristics and 3D presentation of these feature structures compared with histopathology. Thus, the technique may serve as an adjunct nondestructive 3D modality for cirrhosis characterization. [ABSTRACT FROM AUTHOR]

In‐line X‐ray phase‐contrast computed tomography (IL‐PCCT) can reveal fine inner structures for low‐Z materials (e.g. biological soft tissues), and shows high potential to become clinically applicable. Typically, IL‐PCCT utilizes filtered back‐projection (FBP) as the standard reconstruction algorithm. However, the FBP algorithm requires a large amount of projection data, and subsequently a large radiation dose is needed to reconstruct a high‐quality image, which hampers its clinical application in IL‐PCCT. In this study, an iterative reconstruction algorithm for IL‐PCCT was proposed by combining the simultaneous algebraic reconstruction technique (SART) with eight‐neighbour forward and backward (FAB8) diffusion filtering, and the reconstruction was performed using the Shepp–Logan phantom simulation and a real synchrotron IL‐PCCT experiment. The results showed that the proposed algorithm was able to produce high‐quality computed tomography images from few‐view projections while improving the convergence rate of the computed tomography reconstruction, indicating that the proposed algorithm is an effective method of dose reduction for IL‐PCCT. [ABSTRACT FROM AUTHOR]

Microvascular changes in liver fibrosis are considered as an important pathophysiological characteristic. Now, there is a lack of high-resolution three-dimensional (3D) imaging methods for observing the microvasculature throughout the entire livers. This study aims to investigate the 3D microvascular changes in the whole fibrotic livers via X-ray phase-contrast computed tomography (PCCT) and explore the correlations between portal pressures and microvascular changes in liver fibrosis progression. Twenty-three fibrotic rats were imaged ex vivo using PCCT. Morphological changes of the microvasculature were characterized using tortuosity, texture features of the vascular inner wall, fractal dimension (FD) and Murray's deviation (MD), and quantitative changes were evaluated by microvascular density (MVD). The degree of liver fibrosis was assessed by histochemistry, and the portal pressure of each rat was measured before euthanasia. Using PCCT, subtle vascular structures in fibrotic livers were revealed in the 3D modality, and the qualitative description and quantitative evaluation of microvascular changes showed important differences during the progression of liver fibrosis. Moreover, microvascular changes, including tortuosity, texture features of the vascular inner wall, MD and MVD, exhibited good correlations with the fibrosis area (R ≥ 0.729, P < 0.001) and portal pressure (R ≥ 0.715, P < 0.001) in the development of fibrosis. PCCT technique demonstrates outstanding potential for 3D visualization of microvasculature in liver fibrosis. Microvascular changes in fibrotic livers may serve as a new surrogate histopathological marker in evaluating portal pressures or prognosing portal hypertension. • PCCT technique demonstrates outstanding potential for 3D visualization of microvasculature in liver fibrosis. • Microvascular changes exhibited good correlations with the fibrosis area and portal pressure in the development of fibrosis. • Microvascular changes may serve as a new surrogate histopathological marker in prognosing portal hypertension. [ABSTRACT FROM AUTHOR]