Active Digestion, Kidneys & Other Organs NIHR-supported project Bones, Joints & Muscles

BRC CF6: Quantitative assessment of lipids in fatty liver disease using thermoacoustic tomography

In plain English

AI plain-English summary

A needle biopsy remains the only reliable way to diagnose fatty liver disease, but a new imaging technique called thermoacoustic tomography could replace it with a non-invasive scan. Fatty liver disease affects roughly one in four people worldwide. In its progressive form, it scars the liver and can lead to organ failure. The current gold standard for diagnosis—a biopsy—is invasive, costly, and carries risks such as bleeding. It is also impractical for screening large populations. Existing non-invasive imaging methods lack the accuracy needed to detect the disease in its early stages, when intervention is most effective. Thermoacoustic tomography works by sending short pulses of radio waves into tissue. Fat absorbs these waves more strongly than other tissues, causing it to heat and expand slightly, producing ultrasound waves that a detector picks up. The technique is highly sensitive to fat and can generate high-resolution 3D images. In this project, researchers will test the method on excised tissue specimens, quantify the fat content in the images, and compare the results with standard histopathology. If successful, the technique could provide a safe, accurate, and scalable way to diagnose and monitor fatty liver disease without a needle—potentially transforming screening and treatment for millions of people.

View original technical description
The project aims to investigate the feasibility of a new non-invasive imaging technique called thermoacoustic (TA) tomography for the assessment of metabolic dysfunction associated fatty liver disease (MAFLD). MAFLD is a major disease associated with a buildup of fat in the liver, with an alarming global prevalence (as much as 1/4 people). The progressive form of the disease could lead to scarring of the liver and ultimately, end stage liver failure. Currently, a biopsy is the gold standard for diagnosing the disease, but it is invasive, costly and risk complications such as bleeding. It is also challenging to deploy for screening a large at-risk population. Non-invasive imaging is an attractive alternative, but existing techniques provide limited diagnostic accuracy, especially in the early stage of the disease. There is therefore a need for accurate, non-invasive imaging techniques for the detection, monitoring progression and treatment of the disease. TA tomography could meet this need because it is very sensitivity to the presence of fat and can provide high resolution 3-D images. We will explore the potential in this project by carrying out TA imaging of excised tissue specimens, quantifying the fat content in the images and comparing the results to histopathological analysis.

Researchers

Olumide Ogunlade (Principal Investigator)

Related Research

Grants with similar aims, by meaning.

Multiparametric diagnosis of fatty liver disease with magnetic resonance fingerprinting
Towards a viable Artificial Intelligence companion for the healthcare management of Non-Alcoholic Fatty Liver Disease (NAFLD)
Quantitative measurement of tissue elastic properties using acoustic microscopy.
Liver Investigation: Testing Marker Utility in Steatohepatitis (LITMUS): Assessment & Validation of Imaging Modality Performance across the NAFLD Spectrum in a Prospectively Recruited Cohort
LiverMultiscan with MRI – replacing liver biopsy

Original classification

Thrombo Inflammation

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