Clinical - rifampicin induced inhibition of liver function#

This example illustrates the use of AortaLiver2scan for joint fitting of aorta and liver signals measured over 2 separate scans. The use case is provided by the liver work package of the TRISTAN project which develops imaging biomarkers for drug safety assessment. The data and analysis was first presented at the ISMRM in 2024 (Min et al 2024, manuscript in press).

The data were acquired in the aorta and liver of 10 healthy volunteers with dynamic gadoxetate-enhanced MRI, before and after administration of a drug (rifampicin) which is known to inhibit liver function. The assessments were done on two separate visits at least 2 weeks apart. On each visit, the volunteer had two scans each with a separate contrast agent injection of a quarter dose each. the scans were separated by a gap of about 1 hour to enable gadoxetate to clear from the liver. This design was deemed necessary for reliable measurement of excretion rate when liver function was inhibited.

The research question was to what extent rifampicin inhibits gadoxetate uptake rate from the extracellular space into the liver hepatocytes (khe, mL/min/100mL) and excretion rate from hepatocytes to bile (kbh, mL/100mL/min).

2 of the volunteers only had the baseline assessment, the other 8 volunteers completed the full study. The results showed consistent and strong inhibition of khe (95%) and kbh (40%) by rifampicin. This implies that rifampicin poses a risk of drug-drug interactions (DDI), meaning it can cause another drug to circulate in the body for far longer than expected, potentially causing harm or raising a need for dose adjustment.

Note: this example is different to the 1 scan example of the same study in that this uses both scans to fit the model.

Reference#

Thazin Min, Marta Tibiletti, Paul Hockings, Aleksandra Galetin, Ebony Gunwhy, Gerry Kenna, Nicola Melillo, Geoff JM Parker, Gunnar Schuetz, Daniel Scotcher, John Waterton, Ian Rowe, and Steven Sourbron. Measurement of liver function with dynamic gadoxetate-enhanced MRI: a validation study in healthy volunteers. Proc Intl Soc Mag Reson Med, Singapore 2024.

Setup#

# Import packages
import pandas as pd
import matplotlib.pyplot as plt
import pydmr
import dcmri as dc

# Fetch the data from the TRISTAN rifampicin study:
dmrfile = dc.fetch('tristan_humans_healthy_rifampicin')
data = pydmr.read(dmrfile, 'nest')
rois, pars = data['rois'], data['pars']

Model definition#

In order to avoid some repetition in this script, we define a function that returns a trained model for a single dataset with 2 scans:

def tristan_human_2scan(roi, par, **kwargs):

    model = dc.AortaLiver2scan(

        # Injection parameters
        weight = par['weight'],
        agent = 'gadoxetate',
        dose = par['dose_1'],
        dose2 = par['dose_2'],
        rate = 1,

        # Acquisition parameters
        field_strength = 3,
        t0 = par['t0'],
        TR = par['TR'],
        FA = par['FA_1'],
        FA2 = par['FA_2'],
        TS = roi['time_1'][1]-roi['time_1'][0],

        # Signal parameters
        R10a = 1/par['T1_aorta_1'],
        R10l = 1/par['T1_liver_1'],
        R102a = 1/par['T1_aorta_3'],
        R102l = 1/par['T1_liver_3'],

        # Tissue parameters
        vol = par['liver_volume'],
    )

    xdata = (
        roi['time_1'][roi['aorta_1_accept']] - roi['time_1'][0],
        roi['time_2'][roi['aorta_2_accept']] - roi['time_1'][0],
        roi['time_1'][roi['liver_1_accept']] - roi['time_1'][0],
        roi['time_2'][roi['liver_2_accept']] - roi['time_1'][0],
    )
    ydata = (
        roi['aorta_1'][roi['aorta_1_accept']],
        roi['aorta_2'][roi['aorta_2_accept']],
        roi['liver_1'][roi['liver_1_accept']],
        roi['liver_2'][roi['liver_2_accept']],
    )

    model.train(xdata, ydata, **kwargs)

    return xdata, ydata, model

Before running the full analysis on all cases, lets illustrate the results by fitting the baseline visit for the first subject. We use maximum verbosity to get some feedback about the iterations:

xdata, ydata, model = tristan_human_2scan(
    rois['001']['control'],
    pars['001']['control'],
    xtol=1e-3,
    verbose=2,
)
   Iteration     Total nfev        Cost      Cost reduction    Step norm     Optimality
       0              1         1.8777e+07                                    2.59e+09
       1              2         4.0489e+06      1.47e+07       5.46e+02       1.21e+09
       2              3         1.7966e+06      2.25e+06       1.97e+02       1.30e+09
       3              4         9.6483e+05      8.32e+05       3.61e+02       9.58e+08
       4              5         4.6812e+05      4.97e+05       1.14e+02       8.59e+08
       5              6         2.6100e+05      2.07e+05       7.59e+01       5.41e+08
       6              7         1.9199e+05      6.90e+04       2.92e+01       2.13e+08
       7              8         1.7701e+05      1.50e+04       2.23e+01       3.18e+07
       8              9         1.7331e+05      3.70e+03       2.95e+01       2.21e+07
       9             10         1.7219e+05      1.12e+03       1.31e+01       2.70e+06
      10             12         1.7170e+05      4.84e+02       2.95e+00       9.63e+03
`xtol` termination condition is satisfied.
Function evaluations 12, initial cost 1.8777e+07, final cost 1.7170e+05, first-order optimality 9.63e+03.
   Iteration     Total nfev        Cost      Cost reduction    Step norm     Optimality
       0              1         1.6256e+07                                    5.93e+08
       1              2         5.3227e+06      1.09e+07       3.50e+03       1.11e+09
       2              3         2.1791e+05      5.10e+06       7.42e+02       3.89e+06
       3              5         1.7776e+05      4.01e+04       5.74e+02       1.13e+07
       4              6         1.5782e+05      1.99e+04       6.17e+02       1.24e+07
       5              7         1.4923e+05      8.60e+03       6.51e+02       1.46e+07
       6              8         1.4561e+05      3.62e+03       1.32e+02       3.82e+05
       7             10         1.4019e+05      5.41e+03       4.21e+02       6.45e+06
       8             11         1.3954e+05      6.50e+02       1.13e+02       2.93e+05
       9             13         1.3557e+05      3.97e+03       3.88e+02       5.12e+06
      10             14         1.3508e+05      4.89e+02       1.06e+02       2.54e+05
      11             16         1.3221e+05      2.88e+03       3.54e+02       3.92e+06
      12             17         1.3185e+05      3.63e+02       9.97e+01       2.28e+05
      13             19         1.2978e+05      2.06e+03       3.18e+02       2.92e+06
      14             20         1.2952e+05      2.60e+02       9.11e+01       1.94e+05
      15             22         1.2806e+05      1.47e+03       2.81e+02       2.12e+06
      16             23         1.2787e+05      1.84e+02       8.13e+01       1.59e+05
      17             24         1.2785e+05      2.63e+01       1.02e+03       2.01e+07
      18             25         1.2471e+05      3.14e+03       1.34e+02       1.72e+05
      19             26         1.2434e+05      3.69e+02       4.46e+02       2.99e+06
      20             27         1.2424e+05      9.84e+01       5.03e+01       4.80e+04
      21             28         1.2418e+05      5.70e+01       1.68e+02       3.92e+05
      22             29         1.2417e+05      7.58e+00       3.39e+01       1.16e+04
      23             30         1.2417e+05      4.82e+00       4.90e+01       2.88e+04
      24             31         1.2417e+05      9.23e-01       1.95e+01       3.14e+03
      25             32         1.2417e+05      1.76e-01       8.56e+00       2.76e+02
`xtol` termination condition is satisfied.
Function evaluations 32, initial cost 1.6256e+07, final cost 1.2417e+05, first-order optimality 2.76e+02.
   Iteration     Total nfev        Cost      Cost reduction    Step norm     Optimality
       0              1         2.9587e+05                                    5.66e+04
       1              4         2.9538e+05      4.93e+02       2.28e+02       2.05e+07
       2              6         2.9499e+05      3.88e+02       7.56e+01       7.55e+06
       3              8         2.9496e+05      2.81e+01       7.51e+00       9.80e+06
`xtol` termination condition is satisfied.
Function evaluations 8, initial cost 2.9587e+05, final cost 2.9496e+05, first-order optimality 9.80e+06.

Plot the results to check that the model has fitted the data. The plot also shows the concentration in the two liver compartments separately:

model.plot(xdata, ydata)
plot tristan volunteers 2scan

Print the measured model parameters and any derived parameters. Standard deviations are included as a measure of parameter uncertainty, indicate that all parameters are identified robustly:

model.print_params(round_to=3)
--------------------------------
Free parameters with their stdev
--------------------------------

Aorta second signal scale factor (S02a): 9790.645 (18.19) a.u.
Liver second signal scale factor (S02l): 7648.221 (67.407) a.u.
Second bolus arrival time (BAT2): 8605.984 (0.411) sec
First bolus arrival time (BAT): 75.584 (0.429) sec
Cardiac output (CO): 150.147 (3.003) mL/sec
Heart-lung mean transit time (Thl): 21.189 (0.727) sec
Heart-lung dispersion (Dhl): 0.758 (0.016)
Organs blood mean transit time (To): 25.709 (0.657) sec
Organs extraction fraction (Eo): 0.128 (0.002)
Organs extravascular mean transit time (Toe): 502.89 (15.363) sec
Body extraction fraction (Eb): 0.056 (0.002)
Liver extracellular volume fraction (ve): 0.299 (0.008) mL/cm3
Extracellular mean transit time (Te): 39.546 (1.398) sec
Extracellular dispersion (De): 0.722 (0.019)
Initial hepatocellular uptake rate (khe_i): 0.004 (0.0) mL/sec/cm3
Final hepatocellular uptake rate (khe_f): 0.001 (0.0) mL/sec/cm3
Initial hepatocellular mean transit time (Th_i): 1265.112 (55.845) sec
Final hepatocellular mean transit time (Th_f): 7963.376 (247.242) sec

----------------------------
Fixed and derived parameters
----------------------------

Hematocrit (H): 0.45
Hepatocellular mean transit time (Th): 4614.244 sec
Hepatocellular uptake rate (khe): 0.002 mL/sec/cm3
Biliary tissue excretion rate (Kbh): 0.0 mL/sec/cm3
Hepatocellular tissue uptake rate (Khe): 0.008 mL/sec/cm3
Biliary excretion rate (kbh): 0.0 mL/sec/cm3
Initial biliary excretion rate (kbh_i): 0.001 mL/sec/cm3
Final biliary excretion rate (kbh_f): 0.0 mL/sec/cm3
Liver blood clearance (CL): 2.763 mL/sec

Fit all data#

Now that we have illustrated an individual result in some detail, we proceed with fitting the data for all 10 volunteers, at baseline and rifampicin visit. We do not print output for these individual computations and instead store results in one single dataframe:

results = []

# Loop over all datasets
for subj in rois.keys():
    for visit in rois[subj].keys():

        roi = rois[subj][visit]
        par = pars[subj][visit]

        # Generate a trained model for the scan:
        _, _, model = tristan_human_2scan(roi, par, xtol=1e-3)

        # Export fitted parameters as lists
        rows = model.export_params(type='list')

        # Add visit and subject info
        rows = [row + [visit, subj] for row in rows]

        # Add to the list of all results
        results += rows

# Combine all results into a single dataframe.
cols = ['parameter', 'name', 'value', 'unit', 'stdev',
        'visit', 'subject']
results = pd.DataFrame(results, columns=cols)

# Print all results
print(results.to_string())
    parameter                                      name         value        unit         stdev    visit subject
0        S02a          Aorta second signal scale factor  9.790645e+03        a.u.  1.819040e+01  control     001
1        S02l          Liver second signal scale factor  7.648221e+03        a.u.  6.740686e+01  control     001
2        BAT2                 Second bolus arrival time  8.605984e+03         sec  4.108570e-01  control     001
3         BAT                  First bolus arrival time  7.558391e+01         sec  4.288149e-01  control     001
4          CO                            Cardiac output  1.501472e+02      mL/sec  3.002699e+00  control     001
5         Thl              Heart-lung mean transit time  2.118884e+01         sec  7.267749e-01  control     001
6         Dhl                     Heart-lung dispersion  7.581707e-01              1.567834e-02  control     001
7          To            Organs blood mean transit time  2.570856e+01         sec  6.567367e-01  control     001
8          Eo                Organs extraction fraction  1.279154e-01              2.458967e-03  control     001
9         Toe    Organs extravascular mean transit time  5.028899e+02         sec  1.536268e+01  control     001
10         Eb                  Body extraction fraction  5.645995e-02              1.917502e-03  control     001
11          H                                Hematocrit  4.500000e-01              0.000000e+00  control     001
12         ve       Liver extracellular volume fraction  2.985298e-01      mL/cm3  7.709708e-03  control     001
13         Te           Extracellular mean transit time  3.954582e+01         sec  1.398187e+00  control     001
14         De                  Extracellular dispersion  7.218853e-01              1.933904e-02  control     001
15      khe_i        Initial hepatocellular uptake rate  4.072609e-03  mL/sec/cm3  3.985383e-05  control     001
16      khe_f          Final hepatocellular uptake rate  9.230432e-04  mL/sec/cm3  2.254039e-05  control     001
17       Th_i  Initial hepatocellular mean transit time  1.265112e+03         sec  5.584541e+01  control     001
18       Th_f    Final hepatocellular mean transit time  7.963376e+03         sec  2.472421e+02  control     001
19         Th          Hepatocellular mean transit time  4.614244e+03         sec  0.000000e+00  control     001
20        khe                Hepatocellular uptake rate  2.497826e-03  mL/sec/cm3  0.000000e+00  control     001
21        Kbh             Biliary tissue excretion rate  2.167202e-04  mL/sec/cm3  0.000000e+00  control     001
22        Khe         Hepatocellular tissue uptake rate  8.367093e-03  mL/sec/cm3  0.000000e+00  control     001
23        kbh                    Biliary excretion rate  1.520228e-04  mL/sec/cm3  0.000000e+00  control     001
24      kbh_i            Initial biliary excretion rate  5.544729e-04  mL/sec/cm3  0.000000e+00  control     001
25      kbh_f              Final biliary excretion rate  8.808704e-05  mL/sec/cm3  0.000000e+00  control     001
26         CL                     Liver blood clearance  2.763129e+00      mL/sec  0.000000e+00  control     001
27       S02a          Aorta second signal scale factor  1.067153e+04        a.u.  2.436546e+01  control     002
28       S02l          Liver second signal scale factor  7.794128e+03        a.u.  1.944835e+01  control     002
29       BAT2                 Second bolus arrival time  1.716513e+04         sec  3.109014e-01  control     002
30        BAT                  First bolus arrival time  8.100633e+01         sec  3.343855e-01  control     002
31         CO                            Cardiac output  3.921697e+01      mL/sec  9.947703e-01  control     002
32        Thl              Heart-lung mean transit time  1.471085e+01         sec  6.183024e-01  control     002
33        Dhl                     Heart-lung dispersion  6.410138e-01              1.358620e-02  control     002
34         To            Organs blood mean transit time  3.283050e+01         sec  1.878361e+00  control     002
35         Eo                Organs extraction fraction  2.045170e-01              8.171885e-03  control     002
36        Toe    Organs extravascular mean transit time  4.230557e+02         sec  3.153851e+01  control     002
37         Eb                  Body extraction fraction  7.287376e-02              4.232577e-03  control     002
38          H                                Hematocrit  4.500000e-01              0.000000e+00  control     002
39         ve       Liver extracellular volume fraction  1.000458e-02      mL/cm3  1.825104e-02  control     002
40         Te           Extracellular mean transit time  2.787651e+00         sec  3.913701e+00  control     002
41         De                  Extracellular dispersion  1.503638e-01              5.183752e+00  control     002
42      khe_i        Initial hepatocellular uptake rate  2.821248e-03  mL/sec/cm3  5.997047e-05  control     002
43      khe_f          Final hepatocellular uptake rate  6.902210e-03  mL/sec/cm3  1.292059e-04  control     002
44       Th_i  Initial hepatocellular mean transit time  2.941213e+03         sec  1.798649e+02  control     002
45       Th_f    Final hepatocellular mean transit time  1.792285e+03         sec  7.190541e+01  control     002
46         Th          Hepatocellular mean transit time  2.366749e+03         sec  0.000000e+00  control     002
47        khe                Hepatocellular uptake rate  4.861729e-03  mL/sec/cm3  0.000000e+00  control     002
48        Kbh             Biliary tissue excretion rate  4.225205e-04  mL/sec/cm3  0.000000e+00  control     002
49        Khe         Hepatocellular tissue uptake rate  4.859502e-01  mL/sec/cm3  0.000000e+00  control     002
50        kbh                    Biliary excretion rate  4.182933e-04  mL/sec/cm3  0.000000e+00  control     002
51      kbh_i            Initial biliary excretion rate  3.365943e-04  mL/sec/cm3  0.000000e+00  control     002
52      kbh_f              Final biliary excretion rate  5.523649e-04  mL/sec/cm3  0.000000e+00  control     002
53         CL                     Liver blood clearance  3.323863e+00      mL/sec  0.000000e+00  control     002
54       S02a          Aorta second signal scale factor  1.024057e+04        a.u.  1.513829e+01     drug     002
55       S02l          Liver second signal scale factor  8.521067e+03        a.u.  1.566161e+02     drug     002
56       BAT2                 Second bolus arrival time  1.027811e+04         sec  2.587103e-01     drug     002
57        BAT                  First bolus arrival time  7.136664e+01         sec  2.667076e-01     drug     002
58         CO                            Cardiac output  5.531803e+01      mL/sec  9.080827e-01     drug     002
59        Thl              Heart-lung mean transit time  1.750354e+01         sec  3.927314e-01     drug     002
60        Dhl                     Heart-lung dispersion  4.043587e-01              8.280700e-03     drug     002
61         To            Organs blood mean transit time  2.010887e+01         sec  1.030610e+00     drug     002
62         Eo                Organs extraction fraction  1.802785e-01              8.298877e-03     drug     002
63        Toe    Organs extravascular mean transit time  2.577640e+02         sec  1.794501e+01     drug     002
64         Eb                  Body extraction fraction  6.109319e-02              2.080054e-03     drug     002
65          H                                Hematocrit  4.500000e-01              0.000000e+00     drug     002
66         ve       Liver extracellular volume fraction  1.813419e-01      mL/cm3  8.840426e-03     drug     002
67         Te           Extracellular mean transit time  3.562652e+01         sec  3.143531e+00     drug     002
68         De                  Extracellular dispersion  6.978039e-01              4.249073e-02     drug     002
69      khe_i        Initial hepatocellular uptake rate  2.782874e-04  mL/sec/cm3  1.445532e-05     drug     002
70      khe_f          Final hepatocellular uptake rate  3.644469e-04  mL/sec/cm3  5.358499e-05     drug     002
71       Th_i  Initial hepatocellular mean transit time  3.599985e+04         sec  4.541358e+04     drug     002
72       Th_f    Final hepatocellular mean transit time  1.932531e+03         sec  8.636800e+02     drug     002
73         Th          Hepatocellular mean transit time  1.896619e+04         sec  0.000000e+00     drug     002
74        khe                Hepatocellular uptake rate  3.213671e-04  mL/sec/cm3  0.000000e+00     drug     002
75        Kbh             Biliary tissue excretion rate  5.272540e-05  mL/sec/cm3  0.000000e+00     drug     002
76        Khe         Hepatocellular tissue uptake rate  1.772161e-03  mL/sec/cm3  0.000000e+00     drug     002
77        kbh                    Biliary excretion rate  4.316407e-05  mL/sec/cm3  0.000000e+00     drug     002
78      kbh_i            Initial biliary excretion rate  2.274060e-05  mL/sec/cm3  0.000000e+00     drug     002
79      kbh_f              Final biliary excretion rate  4.236196e-04  mL/sec/cm3  0.000000e+00     drug     002
80         CL                     Liver blood clearance  2.578783e-01      mL/sec  0.000000e+00     drug     002
81       S02a          Aorta second signal scale factor  1.126870e+04        a.u.  1.582046e+01  control     003
82       S02l          Liver second signal scale factor  8.751509e+03        a.u.  1.497266e+01  control     003
83       BAT2                 Second bolus arrival time  9.292805e+03         sec  8.668147e-10  control     003
84        BAT                  First bolus arrival time  7.218977e+01         sec  9.580942e-01  control     003
85         CO                            Cardiac output  1.086297e+02      mL/sec  3.749701e+00  control     003
86        Thl              Heart-lung mean transit time  1.059360e+01         sec  1.114756e+00  control     003
87        Dhl                     Heart-lung dispersion  2.651521e-01              1.374923e-02  control     003
88         To            Organs blood mean transit time  2.335076e-03         sec  9.339678e-01  control     003
89         Eo                Organs extraction fraction  2.518435e-01              1.397371e-02  control     003
90        Toe    Organs extravascular mean transit time  1.319178e+02         sec  8.127160e+00  control     003
91         Eb                  Body extraction fraction  5.005647e-02              2.487578e-03  control     003
92          H                                Hematocrit  4.500000e-01              0.000000e+00  control     003
93         ve       Liver extracellular volume fraction  3.280798e-01      mL/cm3  2.250492e-01  control     003
94         Te           Extracellular mean transit time  5.797145e+01         sec  4.264034e+01  control     003
95         De                  Extracellular dispersion  9.376748e-01              6.916310e-02  control     003
96      khe_i        Initial hepatocellular uptake rate  5.526213e-03  mL/sec/cm3  2.707894e-04  control     003
97      khe_f          Final hepatocellular uptake rate  2.312851e-07  mL/sec/cm3  1.622732e-02  control     003
98       Th_i  Initial hepatocellular mean transit time  2.331682e+03         sec  9.768837e+02  control     003
99       Th_f    Final hepatocellular mean transit time  6.054485e+02         sec  1.169917e+03  control     003
100        Th          Hepatocellular mean transit time  1.468565e+03         sec  0.000000e+00  control     003
101       khe                Hepatocellular uptake rate  2.763222e-03  mL/sec/cm3  0.000000e+00  control     003
102       Kbh             Biliary tissue excretion rate  6.809368e-04  mL/sec/cm3  0.000000e+00  control     003
103       Khe         Hepatocellular tissue uptake rate  8.422409e-03  mL/sec/cm3  0.000000e+00  control     003
104       kbh                    Biliary excretion rate  4.575352e-04  mL/sec/cm3  0.000000e+00  control     003
105     kbh_i            Initial biliary excretion rate  2.881698e-04  mL/sec/cm3  0.000000e+00  control     003
106     kbh_f              Final biliary excretion rate  1.109789e-03  mL/sec/cm3  0.000000e+00  control     003
107        CL                     Liver blood clearance  2.415256e+00      mL/sec  0.000000e+00  control     003
108      S02a          Aorta second signal scale factor  1.280385e+04        a.u.  1.725548e+01     drug     003
109      S02l          Liver second signal scale factor  9.289203e+03        a.u.  4.254702e+01     drug     003
110      BAT2                 Second bolus arrival time  7.306384e+03         sec  6.419619e-01     drug     003
111       BAT                  First bolus arrival time  6.415539e+01         sec  6.663906e-01     drug     003
112        CO                            Cardiac output  6.491461e+01      mL/sec  1.196269e+00     drug     003
113       Thl              Heart-lung mean transit time  1.608535e+01         sec  7.672895e-01     drug     003
114       Dhl                     Heart-lung dispersion  4.132376e-01              1.344874e-02     drug     003
115        To            Organs blood mean transit time  2.377812e+01         sec  8.753632e-01     drug     003
116        Eo                Organs extraction fraction  1.184987e-01              5.207163e-03     drug     003
117       Toe    Organs extravascular mean transit time  3.532561e+02         sec  2.178515e+01     drug     003
118        Eb                  Body extraction fraction  3.522457e-02              1.236775e-03     drug     003
119         H                                Hematocrit  4.500000e-01              0.000000e+00     drug     003
120        ve       Liver extracellular volume fraction  2.005224e-01      mL/cm3  9.085143e-03     drug     003
121        Te           Extracellular mean transit time  2.807449e+01         sec  2.062979e+00     drug     003
122        De                  Extracellular dispersion  6.463976e-01              3.888486e-02     drug     003
123     khe_i        Initial hepatocellular uptake rate  3.503724e-04  mL/sec/cm3  2.605894e-05     drug     003
124     khe_f          Final hepatocellular uptake rate  4.614307e-04  mL/sec/cm3  5.617441e-05     drug     003
125      Th_i  Initial hepatocellular mean transit time  3.913473e+03         sec  9.307798e+02     drug     003
126      Th_f    Final hepatocellular mean transit time  3.339952e+03         sec  7.547031e+02     drug     003
127        Th          Hepatocellular mean transit time  3.626713e+03         sec  0.000000e+00     drug     003
128       khe                Hepatocellular uptake rate  4.059016e-04  mL/sec/cm3  0.000000e+00     drug     003
129       Kbh             Biliary tissue excretion rate  2.757318e-04  mL/sec/cm3  0.000000e+00     drug     003
130       Khe         Hepatocellular tissue uptake rate  2.024220e-03  mL/sec/cm3  0.000000e+00     drug     003
131       kbh                    Biliary excretion rate  2.204414e-04  mL/sec/cm3  0.000000e+00     drug     003
132     kbh_i            Initial biliary excretion rate  2.042885e-04  mL/sec/cm3  0.000000e+00     drug     003
133     kbh_f              Final biliary excretion rate  2.393679e-04  mL/sec/cm3  0.000000e+00     drug     003
134        CL                     Liver blood clearance  3.497928e-01      mL/sec  0.000000e+00     drug     003
135      S02a          Aorta second signal scale factor  6.264891e+03        a.u.  2.037288e+01  control     004
136      S02l          Liver second signal scale factor  5.334207e+03        a.u.  9.427645e+01  control     004
137      BAT2                 Second bolus arrival time  9.546044e+03         sec  7.813532e-02  control     004
138       BAT                  First bolus arrival time  7.111492e+01         sec  8.142436e-02  control     004
139        CO                            Cardiac output  4.712753e+01      mL/sec  4.870679e-01  control     004
140       Thl              Heart-lung mean transit time  1.232815e+01         sec  1.289438e-01  control     004
141       Dhl                     Heart-lung dispersion  4.000424e-01              4.422019e-03  control     004
142        To            Organs blood mean transit time  3.235814e+01         sec  9.391146e-01  control     004
143        Eo                Organs extraction fraction  2.730510e-01              5.751224e-03  control     004
144       Toe    Organs extravascular mean transit time  3.747271e+02         sec  1.732962e+01  control     004
145        Eb                  Body extraction fraction  1.489570e-01              4.201235e-03  control     004
146         H                                Hematocrit  4.500000e-01              0.000000e+00  control     004
147        ve       Liver extracellular volume fraction  5.987639e-02      mL/cm3  1.211494e-02  control     004
148        Te           Extracellular mean transit time  2.578966e+01         sec  4.420578e+00  control     004
149        De                  Extracellular dispersion  5.822189e-01              8.516346e-02  control     004
150     khe_i        Initial hepatocellular uptake rate  2.138194e-03  mL/sec/cm3  2.913040e-05  control     004
151     khe_f          Final hepatocellular uptake rate  3.411637e-03  mL/sec/cm3  8.349187e-05  control     004
152      Th_i  Initial hepatocellular mean transit time  1.113201e+04         sec  1.604382e+03  control     004
153      Th_f    Final hepatocellular mean transit time  2.257134e+04         sec  4.806979e+03  control     004
154        Th          Hepatocellular mean transit time  1.685168e+04         sec  0.000000e+00  control     004
155       khe                Hepatocellular uptake rate  2.774915e-03  mL/sec/cm3  0.000000e+00  control     004
156       Kbh             Biliary tissue excretion rate  5.934127e-05  mL/sec/cm3  0.000000e+00  control     004
157       Khe         Hepatocellular tissue uptake rate  4.634407e-02  mL/sec/cm3  0.000000e+00  control     004
158       kbh                    Biliary excretion rate  5.578813e-05  mL/sec/cm3  0.000000e+00  control     004
159     kbh_i            Initial biliary excretion rate  8.445227e-05  mL/sec/cm3  0.000000e+00  control     004
160     kbh_f              Final biliary excretion rate  4.165120e-05  mL/sec/cm3  0.000000e+00  control     004
161        CL                     Liver blood clearance  2.458707e+00      mL/sec  0.000000e+00  control     004
162      S02a          Aorta second signal scale factor  7.025669e+03        a.u.  1.575401e+01     drug     004
163      S02l          Liver second signal scale factor  6.224727e+03        a.u.  8.356437e+01     drug     004
164      BAT2                 Second bolus arrival time  9.207037e+03         sec  1.007243e-01     drug     004
165       BAT                  First bolus arrival time  6.150700e+01         sec  9.661728e-02     drug     004
166        CO                            Cardiac output  6.578718e+01      mL/sec  5.690652e-01     drug     004
167       Thl              Heart-lung mean transit time  2.055720e+01         sec  1.550536e-01     drug     004
168       Dhl                     Heart-lung dispersion  3.260577e-01              3.264330e-03     drug     004
169        To            Organs blood mean transit time  3.628148e+01         sec  1.055846e+00     drug     004
170        Eo                Organs extraction fraction  2.216650e-01              5.996632e-03     drug     004
171       Toe    Organs extravascular mean transit time  3.339233e+02         sec  1.672941e+01     drug     004
172        Eb                  Body extraction fraction  5.088333e-02              1.663561e-03     drug     004
173         H                                Hematocrit  4.500000e-01              0.000000e+00     drug     004
174        ve       Liver extracellular volume fraction  1.953414e-01      mL/cm3  7.766763e-03     drug     004
175        Te           Extracellular mean transit time  5.273004e+01         sec  3.183034e+00     drug     004
176        De                  Extracellular dispersion  8.040218e-01              2.048512e-02     drug     004
177     khe_i        Initial hepatocellular uptake rate  1.889276e-04  mL/sec/cm3  2.287124e-05     drug     004
178     khe_f          Final hepatocellular uptake rate  3.053184e-04  mL/sec/cm3  2.654593e-05     drug     004
179      Th_i  Initial hepatocellular mean transit time  4.574680e+03         sec  2.232140e+03     drug     004
180      Th_f    Final hepatocellular mean transit time  5.011342e+03         sec  1.778301e+03     drug     004
181        Th          Hepatocellular mean transit time  4.793011e+03         sec  0.000000e+00     drug     004
182       khe                Hepatocellular uptake rate  2.471230e-04  mL/sec/cm3  0.000000e+00     drug     004
183       Kbh             Biliary tissue excretion rate  2.086371e-04  mL/sec/cm3  0.000000e+00     drug     004
184       Khe         Hepatocellular tissue uptake rate  1.265083e-03  mL/sec/cm3  0.000000e+00     drug     004
185       kbh                    Biliary excretion rate  1.678817e-04  mL/sec/cm3  0.000000e+00     drug     004
186     kbh_i            Initial biliary excretion rate  1.758940e-04  mL/sec/cm3  0.000000e+00     drug     004
187     kbh_f              Final biliary excretion rate  1.605675e-04  mL/sec/cm3  0.000000e+00     drug     004
188        CL                     Liver blood clearance  2.429902e-01      mL/sec  0.000000e+00     drug     004
189      S02a          Aorta second signal scale factor  7.726120e+03        a.u.  1.446403e+01  control     005
190      S02l          Liver second signal scale factor  9.089801e+03        a.u.  2.424109e+01  control     005
191      BAT2                 Second bolus arrival time  1.002990e+04         sec  3.714707e-01  control     005
192       BAT                  First bolus arrival time  7.614996e+01         sec  4.437627e-01  control     005
193        CO                            Cardiac output  5.604992e+01      mL/sec  9.632796e-01  control     005
194       Thl              Heart-lung mean transit time  1.398739e+01         sec  5.947882e-01  control     005
195       Dhl                     Heart-lung dispersion  6.965721e-01              1.821456e-02  control     005
196        To            Organs blood mean transit time  3.340178e+01         sec  1.154244e+00  control     005
197        Eo                Organs extraction fraction  1.917576e-01              5.384190e-03  control     005
198       Toe    Organs extravascular mean transit time  3.570076e+02         sec  1.454155e+01  control     005
199        Eb                  Body extraction fraction  7.845596e-02              2.492623e-03  control     005
200         H                                Hematocrit  4.500000e-01              0.000000e+00  control     005
201        ve       Liver extracellular volume fraction  1.296755e-01      mL/cm3  1.569760e-02  control     005
202        Te           Extracellular mean transit time  3.239082e+01         sec  4.145470e+00  control     005
203        De                  Extracellular dispersion  6.952155e-01              5.266387e-02  control     005
204     khe_i        Initial hepatocellular uptake rate  3.858674e-03  mL/sec/cm3  4.180565e-05  control     005
205     khe_f          Final hepatocellular uptake rate  2.692713e-03  mL/sec/cm3  3.913171e-05  control     005
206      Th_i  Initial hepatocellular mean transit time  1.862728e+03         sec  3.892957e+01  control     005
207      Th_f    Final hepatocellular mean transit time  2.096992e+03         sec  6.676368e+01  control     005
208        Th          Hepatocellular mean transit time  1.979860e+03         sec  0.000000e+00  control     005
209       khe                Hepatocellular uptake rate  3.275693e-03  mL/sec/cm3  0.000000e+00  control     005
210       Kbh             Biliary tissue excretion rate  5.050863e-04  mL/sec/cm3  0.000000e+00  control     005
211       Khe         Hepatocellular tissue uptake rate  2.526070e-02  mL/sec/cm3  0.000000e+00  control     005
212       kbh                    Biliary excretion rate  4.395890e-04  mL/sec/cm3  0.000000e+00  control     005
213     kbh_i            Initial biliary excretion rate  4.672312e-04  mL/sec/cm3  0.000000e+00  control     005
214     kbh_f              Final biliary excretion rate  4.150348e-04  mL/sec/cm3  0.000000e+00  control     005
215        CL                     Liver blood clearance  2.310420e+00      mL/sec  0.000000e+00  control     005
216      S02a          Aorta second signal scale factor  6.292205e+03        a.u.  1.745792e+01  control     006
217      S02l          Liver second signal scale factor  6.559557e+03        a.u.  4.963576e+01  control     006
218      BAT2                 Second bolus arrival time  8.584679e+03         sec  3.235349e-01  control     006
219       BAT                  First bolus arrival time  6.970605e+01         sec  3.220324e-01  control     006
220        CO                            Cardiac output  5.011177e+01      mL/sec  5.805452e-01  control     006
221       Thl              Heart-lung mean transit time  1.603134e+01         sec  3.623860e-01  control     006
222       Dhl                     Heart-lung dispersion  2.969414e-01              6.101884e-03  control     006
223        To            Organs blood mean transit time  3.157011e+01         sec  1.200544e+00  control     006
224        Eo                Organs extraction fraction  1.951343e-01              7.081210e-03  control     006
225       Toe    Organs extravascular mean transit time  3.539476e+02         sec  2.014023e+01  control     006
226        Eb                  Body extraction fraction  8.363087e-02              2.765823e-03  control     006
227         H                                Hematocrit  4.500000e-01              0.000000e+00  control     006
228        ve       Liver extracellular volume fraction  2.472340e-01      mL/cm3  3.660919e-02  control     006
229        Te           Extracellular mean transit time  5.483203e+01         sec  7.997865e+00  control     006
230        De                  Extracellular dispersion  7.380212e-01              4.288373e-02  control     006
231     khe_i        Initial hepatocellular uptake rate  4.348603e-03  mL/sec/cm3  7.076769e-05  control     006
232     khe_f          Final hepatocellular uptake rate  3.537081e-03  mL/sec/cm3  7.040039e-05  control     006
233      Th_i  Initial hepatocellular mean transit time  2.853036e+03         sec  1.140698e+02  control     006
234      Th_f    Final hepatocellular mean transit time  2.476063e+03         sec  1.262808e+02  control     006
235        Th          Hepatocellular mean transit time  2.664549e+03         sec  0.000000e+00  control     006
236       khe                Hepatocellular uptake rate  3.942842e-03  mL/sec/cm3  0.000000e+00  control     006
237       Kbh             Biliary tissue excretion rate  3.752980e-04  mL/sec/cm3  0.000000e+00  control     006
238       Khe         Hepatocellular tissue uptake rate  1.594782e-02  mL/sec/cm3  0.000000e+00  control     006
239       kbh                    Biliary excretion rate  2.825116e-04  mL/sec/cm3  0.000000e+00  control     006
240     kbh_i            Initial biliary excretion rate  2.638474e-04  mL/sec/cm3  0.000000e+00  control     006
241     kbh_f              Final biliary excretion rate  3.040173e-04  mL/sec/cm3  0.000000e+00  control     006
242        CL                     Liver blood clearance  2.725095e+00      mL/sec  0.000000e+00  control     006
243      S02a          Aorta second signal scale factor  8.299310e+03        a.u.  1.210577e+01     drug     006
244      S02l          Liver second signal scale factor  6.049581e+03        a.u.  1.039206e+02     drug     006
245      BAT2                 Second bolus arrival time  9.498542e+03         sec  1.844967e-01     drug     006
246       BAT                  First bolus arrival time  6.935194e+01         sec  1.524137e-01     drug     006
247        CO                            Cardiac output  8.613254e+01      mL/sec  1.025472e+00     drug     006
248       Thl              Heart-lung mean transit time  1.688836e+01         sec  2.544116e-01     drug     006
249       Dhl                     Heart-lung dispersion  3.899914e-01              4.547909e-03     drug     006
250        To            Organs blood mean transit time  2.567489e+01         sec  7.632747e-01     drug     006
251        Eo                Organs extraction fraction  1.345560e-01              4.430814e-03     drug     006
252       Toe    Organs extravascular mean transit time  3.461345e+02         sec  1.943602e+01     drug     006
253        Eb                  Body extraction fraction  2.883671e-02              1.177512e-03     drug     006
254         H                                Hematocrit  4.500000e-01              0.000000e+00     drug     006
255        ve       Liver extracellular volume fraction  3.153699e-01      mL/cm3  9.325060e-03     drug     006
256        Te           Extracellular mean transit time  4.242700e+01         sec  1.797941e+00     drug     006
257        De                  Extracellular dispersion  6.620729e-01              2.057131e-02     drug     006
258     khe_i        Initial hepatocellular uptake rate  1.530614e-04  mL/sec/cm3  2.354963e-05     drug     006
259     khe_f          Final hepatocellular uptake rate  2.648234e-04  mL/sec/cm3  3.650516e-05     drug     006
260      Th_i  Initial hepatocellular mean transit time  7.886768e+03         sec  6.808980e+03     drug     006
261      Th_f    Final hepatocellular mean transit time  4.202062e+03         sec  2.311126e+03     drug     006
262        Th          Hepatocellular mean transit time  6.044415e+03         sec  0.000000e+00     drug     006
263       khe                Hepatocellular uptake rate  2.089424e-04  mL/sec/cm3  0.000000e+00     drug     006
264       Kbh             Biliary tissue excretion rate  1.654420e-04  mL/sec/cm3  0.000000e+00     drug     006
265       Khe         Hepatocellular tissue uptake rate  6.625311e-04  mL/sec/cm3  0.000000e+00     drug     006
266       kbh                    Biliary excretion rate  1.132665e-04  mL/sec/cm3  0.000000e+00     drug     006
267     kbh_i            Initial biliary excretion rate  8.680743e-05  mL/sec/cm3  0.000000e+00     drug     006
268     kbh_f              Final biliary excretion rate  1.629272e-04  mL/sec/cm3  0.000000e+00     drug     006
269        CL                     Liver blood clearance  1.474635e-01      mL/sec  0.000000e+00     drug     006
270      S02a          Aorta second signal scale factor  6.510588e+03        a.u.  1.878945e+01  control     007
271      S02l          Liver second signal scale factor  7.566895e+03        a.u.  6.509727e+01  control     007
272      BAT2                 Second bolus arrival time  7.274293e+03         sec  7.264468e-01  control     007
273       BAT                  First bolus arrival time  7.202830e+01         sec  8.214790e-01  control     007
274        CO                            Cardiac output  1.046572e+02      mL/sec  3.530493e+00  control     007
275       Thl              Heart-lung mean transit time  7.720131e+00         sec  9.420930e-01  control     007
276       Dhl                     Heart-lung dispersion  5.108157e-01              3.339669e-02  control     007
277        To            Organs blood mean transit time  2.209695e+01         sec  9.579079e-01  control     007
278        Eo                Organs extraction fraction  1.931799e-01              8.908069e-03  control     007
279       Toe    Organs extravascular mean transit time  2.660483e+02         sec  1.086418e+01  control     007
280        Eb                  Body extraction fraction  3.221324e-02              1.531022e-03  control     007
281         H                                Hematocrit  4.500000e-01              0.000000e+00  control     007
282        ve       Liver extracellular volume fraction  2.034894e-01      mL/cm3  8.661683e-02  control     007
283        Te           Extracellular mean transit time  5.735003e+01         sec  2.565818e+01  control     007
284        De                  Extracellular dispersion  9.395415e-01              3.877148e-02  control     007
285     khe_i        Initial hepatocellular uptake rate  3.865146e-03  mL/sec/cm3  9.409017e-05  control     007
286     khe_f          Final hepatocellular uptake rate  3.130662e-03  mL/sec/cm3  1.128844e-04  control     007
287      Th_i  Initial hepatocellular mean transit time  1.467732e+03         sec  4.125304e+01  control     007
288      Th_f    Final hepatocellular mean transit time  2.157525e+03         sec  7.979579e+01  control     007
289        Th          Hepatocellular mean transit time  1.812629e+03         sec  0.000000e+00  control     007
290       khe                Hepatocellular uptake rate  3.497904e-03  mL/sec/cm3  0.000000e+00  control     007
291       Kbh             Biliary tissue excretion rate  5.516849e-04  mL/sec/cm3  0.000000e+00  control     007
292       Khe         Hepatocellular tissue uptake rate  1.718961e-02  mL/sec/cm3  0.000000e+00  control     007
293       kbh                    Biliary excretion rate  4.394229e-04  mL/sec/cm3  0.000000e+00  control     007
294     kbh_i            Initial biliary excretion rate  5.426811e-04  mL/sec/cm3  0.000000e+00  control     007
295     kbh_f              Final biliary excretion rate  3.691779e-04  mL/sec/cm3  0.000000e+00  control     007
296        CL                     Liver blood clearance  3.302599e+00      mL/sec  0.000000e+00  control     007
297      S02a          Aorta second signal scale factor  4.953224e+03        a.u.  1.095825e+01     drug     007
298      S02l          Liver second signal scale factor  4.956637e+03        a.u.  5.013571e+01     drug     007
299      BAT2                 Second bolus arrival time  8.064048e+03         sec  3.154645e-01     drug     007
300       BAT                  First bolus arrival time  7.015700e+01         sec  3.443810e-01     drug     007
301        CO                            Cardiac output  8.457974e+01      mL/sec  1.871192e+00     drug     007
302       Thl              Heart-lung mean transit time  9.117859e+00         sec  4.704418e-01     drug     007
303       Dhl                     Heart-lung dispersion  5.702630e-01              1.263314e-02     drug     007
304        To            Organs blood mean transit time  2.395229e+01         sec  8.620053e-01     drug     007
305        Eo                Organs extraction fraction  1.803133e-01              6.054414e-03     drug     007
306       Toe    Organs extravascular mean transit time  2.765511e+02         sec  1.235270e+01     drug     007
307        Eb                  Body extraction fraction  3.256811e-02              1.061326e-03     drug     007
308         H                                Hematocrit  4.500000e-01              0.000000e+00     drug     007
309        ve       Liver extracellular volume fraction  1.899436e-01      mL/cm3  7.876864e-03     drug     007
310        Te           Extracellular mean transit time  4.242090e+01         sec  2.772859e+00     drug     007
311        De                  Extracellular dispersion  7.509233e-01              2.691038e-02     drug     007
312     khe_i        Initial hepatocellular uptake rate  2.216159e-04  mL/sec/cm3  7.081731e-05     drug     007
313     khe_f          Final hepatocellular uptake rate  1.535914e-04  mL/sec/cm3  1.849710e-05     drug     007
314      Th_i  Initial hepatocellular mean transit time  1.269319e+03         sec  3.005049e+03     drug     007
315      Th_f    Final hepatocellular mean transit time  1.827336e+04         sec  7.135120e+03     drug     007
316        Th          Hepatocellular mean transit time  9.771340e+03         sec  0.000000e+00     drug     007
317       khe                Hepatocellular uptake rate  1.876037e-04  mL/sec/cm3  0.000000e+00     drug     007
318       Kbh             Biliary tissue excretion rate  1.023401e-04  mL/sec/cm3  0.000000e+00     drug     007
319       Khe         Hepatocellular tissue uptake rate  9.876810e-04  mL/sec/cm3  0.000000e+00     drug     007
320       kbh                    Biliary excretion rate  8.290126e-05  mL/sec/cm3  0.000000e+00     drug     007
321     kbh_i            Initial biliary excretion rate  6.381818e-04  mL/sec/cm3  0.000000e+00     drug     007
322     kbh_f              Final biliary excretion rate  4.432991e-05  mL/sec/cm3  0.000000e+00     drug     007
323        CL                     Liver blood clearance  2.092816e-01      mL/sec  0.000000e+00     drug     007
324      S02a          Aorta second signal scale factor  9.768798e+03        a.u.  1.629059e+01  control     008
325      S02l          Liver second signal scale factor  7.650952e+03        a.u.  3.025559e+01  control     008
326      BAT2                 Second bolus arrival time  7.597609e+03         sec  2.888341e-01  control     008
327       BAT                  First bolus arrival time  7.992303e+01         sec  3.143708e-01  control     008
328        CO                            Cardiac output  1.165313e+02      mL/sec  2.013415e+00  control     008
329       Thl              Heart-lung mean transit time  1.101201e+01         sec  4.330072e-01  control     008
330       Dhl                     Heart-lung dispersion  6.507782e-01              1.665510e-02  control     008
331        To            Organs blood mean transit time  2.955304e+01         sec  9.622736e-01  control     008
332        Eo                Organs extraction fraction  1.419201e-01              5.340016e-03  control     008
333       Toe    Organs extravascular mean transit time  3.078803e+02         sec  1.470476e+01  control     008
334        Eb                  Body extraction fraction  4.656274e-02              1.397959e-03  control     008
335         H                                Hematocrit  4.500000e-01              0.000000e+00  control     008
336        ve       Liver extracellular volume fraction  1.303202e-01      mL/cm3  1.082099e-02  control     008
337        Te           Extracellular mean transit time  1.845779e+01         sec  2.015638e+00  control     008
338        De                  Extracellular dispersion  4.868754e-01              7.764489e-02  control     008
339     khe_i        Initial hepatocellular uptake rate  4.290237e-03  mL/sec/cm3  5.290560e-05  control     008
340     khe_f          Final hepatocellular uptake rate  2.703041e-03  mL/sec/cm3  4.745882e-05  control     008
341      Th_i  Initial hepatocellular mean transit time  1.391711e+03         sec  3.427609e+01  control     008
342      Th_f    Final hepatocellular mean transit time  2.618350e+03         sec  1.003987e+02  control     008
343        Th          Hepatocellular mean transit time  2.005031e+03         sec  0.000000e+00  control     008
344       khe                Hepatocellular uptake rate  3.496639e-03  mL/sec/cm3  0.000000e+00  control     008
345       Kbh             Biliary tissue excretion rate  4.987454e-04  mL/sec/cm3  0.000000e+00  control     008
346       Khe         Hepatocellular tissue uptake rate  2.683114e-02  mL/sec/cm3  0.000000e+00  control     008
347       kbh                    Biliary excretion rate  4.337488e-04  mL/sec/cm3  0.000000e+00  control     008
348     kbh_i            Initial biliary excretion rate  6.248995e-04  mL/sec/cm3  0.000000e+00  control     008
349     kbh_f              Final biliary excretion rate  3.321480e-04  mL/sec/cm3  0.000000e+00  control     008
350        CL                     Liver blood clearance  3.599122e+00      mL/sec  0.000000e+00  control     008
351      S02a          Aorta second signal scale factor  7.246277e+03        a.u.  1.268114e+01     drug     008
352      S02l          Liver second signal scale factor  5.934922e+03        a.u.  1.071750e+02     drug     008
353      BAT2                 Second bolus arrival time  8.206997e+03         sec  1.837903e-01     drug     008
354       BAT                  First bolus arrival time  7.341991e+01         sec  2.022445e-01     drug     008
355        CO                            Cardiac output  1.170531e+02      mL/sec  1.574546e+00     drug     008
356       Thl              Heart-lung mean transit time  1.288422e+01         sec  2.271772e-01     drug     008
357       Dhl                     Heart-lung dispersion  4.081699e-01              9.120409e-03     drug     008
358        To            Organs blood mean transit time  2.057468e+01         sec  6.168034e-01     drug     008
359        Eo                Organs extraction fraction  9.361928e-02              3.103680e-03     drug     008
360       Toe    Organs extravascular mean transit time  4.093215e+02         sec  2.017440e+01     drug     008
361        Eb                  Body extraction fraction  2.589259e-02              7.368691e-04     drug     008
362         H                                Hematocrit  4.500000e-01              0.000000e+00     drug     008
363        ve       Liver extracellular volume fraction  1.671182e-01      mL/cm3  6.453337e-03     drug     008
364        Te           Extracellular mean transit time  3.123088e+01         sec  2.236357e+00     drug     008
365        De                  Extracellular dispersion  6.041368e-01              3.991303e-02     drug     008
366     khe_i        Initial hepatocellular uptake rate  1.386229e-04  mL/sec/cm3  1.082991e-05     drug     008
367     khe_f          Final hepatocellular uptake rate  3.017338e-04  mL/sec/cm3  3.441038e-05     drug     008
368      Th_i  Initial hepatocellular mean transit time  2.591712e+04         sec  3.076831e+04     drug     008
369      Th_f    Final hepatocellular mean transit time  4.412367e+03         sec  1.295506e+03     drug     008
370        Th          Hepatocellular mean transit time  1.516474e+04         sec  0.000000e+00     drug     008
371       khe                Hepatocellular uptake rate  2.201784e-04  mL/sec/cm3  0.000000e+00     drug     008
372       Kbh             Biliary tissue excretion rate  6.594243e-05  mL/sec/cm3  0.000000e+00     drug     008
373       Khe         Hepatocellular tissue uptake rate  1.317501e-03  mL/sec/cm3  0.000000e+00     drug     008
374       kbh                    Biliary excretion rate  5.492225e-05  mL/sec/cm3  0.000000e+00     drug     008
375     kbh_i            Initial biliary excretion rate  3.213636e-05  mL/sec/cm3  0.000000e+00     drug     008
376     kbh_f              Final biliary excretion rate  1.887608e-04  mL/sec/cm3  0.000000e+00     drug     008
377        CL                     Liver blood clearance  1.939032e-01      mL/sec  0.000000e+00     drug     008
378      S02a          Aorta second signal scale factor  5.605455e+03        a.u.  1.206638e+01  control     009
379      S02l          Liver second signal scale factor  4.192256e+03        a.u.  1.452856e+01  control     009
380      BAT2                 Second bolus arrival time  7.765702e+03         sec  1.716511e+00  control     009
381       BAT                  First bolus arrival time  7.823780e+01         sec  1.685091e+00  control     009
382        CO                            Cardiac output  1.181902e+02      mL/sec  4.165472e+00  control     009
383       Thl              Heart-lung mean transit time  8.834581e+00         sec  1.996403e+00  control     009
384       Dhl                     Heart-lung dispersion  6.352304e-01              1.090216e-01  control     009
385        To            Organs blood mean transit time  3.883899e+01         sec  1.328250e+00  control     009
386        Eo                Organs extraction fraction  1.416839e-01              7.724702e-03  control     009
387       Toe    Organs extravascular mean transit time  3.705739e+02         sec  2.606376e+01  control     009
388        Eb                  Body extraction fraction  6.115234e-02              3.587963e-03  control     009
389         H                                Hematocrit  4.500000e-01              0.000000e+00  control     009
390        ve       Liver extracellular volume fraction  1.552259e-01      mL/cm3  1.810646e-02  control     009
391        Te           Extracellular mean transit time  3.633396e+01         sec  5.371669e+00  control     009
392        De                  Extracellular dispersion  7.084318e-01              5.837385e-02  control     009
393     khe_i        Initial hepatocellular uptake rate  2.453089e-03  mL/sec/cm3  4.679890e-05  control     009
394     khe_f          Final hepatocellular uptake rate  2.209206e-03  mL/sec/cm3  5.979454e-05  control     009
395      Th_i  Initial hepatocellular mean transit time  1.859815e+03         sec  5.768775e+01  control     009
396      Th_f    Final hepatocellular mean transit time  1.606173e+03         sec  6.600742e+01  control     009
397        Th          Hepatocellular mean transit time  1.732994e+03         sec  0.000000e+00  control     009
398       khe                Hepatocellular uptake rate  2.331148e-03  mL/sec/cm3  0.000000e+00  control     009
399       Kbh             Biliary tissue excretion rate  5.770360e-04  mL/sec/cm3  0.000000e+00  control     009
400       Khe         Hepatocellular tissue uptake rate  1.501778e-02  mL/sec/cm3  0.000000e+00  control     009
401       kbh                    Biliary excretion rate  4.874651e-04  mL/sec/cm3  0.000000e+00  control     009
402     kbh_i            Initial biliary excretion rate  4.542248e-04  mL/sec/cm3  0.000000e+00  control     009
403     kbh_f              Final biliary excretion rate  5.259545e-04  mL/sec/cm3  0.000000e+00  control     009
404        CL                     Liver blood clearance  2.765013e+00      mL/sec  0.000000e+00  control     009
405      S02a          Aorta second signal scale factor  5.535800e+03        a.u.  1.113282e+01     drug     009
406      S02l          Liver second signal scale factor  4.218050e+03        a.u.  2.888417e+01     drug     009
407      BAT2                 Second bolus arrival time  9.221186e+03         sec  2.070245e-01     drug     009
408       BAT                  First bolus arrival time  7.586624e+01         sec  1.783930e-01     drug     009
409        CO                            Cardiac output  1.132610e+02      mL/sec  1.320129e+00     drug     009
410       Thl              Heart-lung mean transit time  1.609159e+01         sec  2.494207e-01     drug     009
411       Dhl                     Heart-lung dispersion  5.292316e-01              9.893082e-03     drug     009
412        To            Organs blood mean transit time  4.353630e+01         sec  1.123269e+00     drug     009
413        Eo                Organs extraction fraction  1.050285e-01              3.801478e-03     drug     009
414       Toe    Organs extravascular mean transit time  4.797180e+02         sec  2.729875e+01     drug     009
415        Eb                  Body extraction fraction  2.622543e-02              1.015852e-03     drug     009
416         H                                Hematocrit  4.500000e-01              0.000000e+00     drug     009
417        ve       Liver extracellular volume fraction  2.248853e-01      mL/cm3  7.661883e-03     drug     009
418        Te           Extracellular mean transit time  5.753398e+01         sec  3.188507e+00     drug     009
419        De                  Extracellular dispersion  6.888060e-01              2.541151e-02     drug     009
420     khe_i        Initial hepatocellular uptake rate  9.157284e-05  mL/sec/cm3  1.936560e-05     drug     009
421     khe_f          Final hepatocellular uptake rate  1.613601e-04  mL/sec/cm3  2.754102e-05     drug     009
422      Th_i  Initial hepatocellular mean transit time  3.381019e+03         sec  1.665722e+03     drug     009
423      Th_f    Final hepatocellular mean transit time  2.077672e+03         sec  8.203466e+02     drug     009
424        Th          Hepatocellular mean transit time  2.729345e+03         sec  0.000000e+00     drug     009
425       khe                Hepatocellular uptake rate  1.264665e-04  mL/sec/cm3  0.000000e+00     drug     009
426       Kbh             Biliary tissue excretion rate  3.663882e-04  mL/sec/cm3  0.000000e+00     drug     009
427       Khe         Hepatocellular tissue uptake rate  5.623599e-04  mL/sec/cm3  0.000000e+00     drug     009
428       kbh                    Biliary excretion rate  2.839929e-04  mL/sec/cm3  0.000000e+00     drug     009
429     kbh_i            Initial biliary excretion rate  2.292548e-04  mL/sec/cm3  0.000000e+00     drug     009
430     kbh_f              Final biliary excretion rate  3.730688e-04  mL/sec/cm3  0.000000e+00     drug     009
431        CL                     Liver blood clearance  1.517364e-01      mL/sec  0.000000e+00     drug     009
432      S02a          Aorta second signal scale factor  6.916251e+03        a.u.  2.179276e+01  control     010
433      S02l          Liver second signal scale factor  5.343730e+03        a.u.  8.262687e+01  control     010
434      BAT2                 Second bolus arrival time  8.506104e+03         sec  4.987400e-01  control     010
435       BAT                  First bolus arrival time  7.127066e+01         sec  5.034075e-01  control     010
436        CO                            Cardiac output  7.104354e+01      mL/sec  9.218203e-01  control     010
437       Thl              Heart-lung mean transit time  1.677516e+01         sec  5.672326e-01  control     010
438       Dhl                     Heart-lung dispersion  3.944070e-01              1.075651e-02  control     010
439        To            Organs blood mean transit time  4.474967e+01         sec  1.380937e+00  control     010
440        Eo                Organs extraction fraction  1.586817e-01              5.055959e-03  control     010
441       Toe    Organs extravascular mean transit time  5.922403e+02         sec  3.192842e+01  control     010
442        Eb                  Body extraction fraction  3.356487e-02              1.806919e-03  control     010
443         H                                Hematocrit  4.500000e-01              0.000000e+00  control     010
444        ve       Liver extracellular volume fraction  1.265476e-01      mL/cm3  2.537048e-02  control     010
445        Te           Extracellular mean transit time  3.317127e+01         sec  6.879910e+00  control     010
446        De                  Extracellular dispersion  6.655820e-01              8.533956e-02  control     010
447     khe_i        Initial hepatocellular uptake rate  2.896153e-03  mL/sec/cm3  6.087220e-05  control     010
448     khe_f          Final hepatocellular uptake rate  3.633497e-03  mL/sec/cm3  1.211617e-04  control     010
449      Th_i  Initial hepatocellular mean transit time  1.516508e+03         sec  4.722988e+01  control     010
450      Th_f    Final hepatocellular mean transit time  1.615069e+03         sec  4.737610e+01  control     010
451        Th          Hepatocellular mean transit time  1.565789e+03         sec  0.000000e+00  control     010
452       khe                Hepatocellular uptake rate  3.264825e-03  mL/sec/cm3  0.000000e+00  control     010
453       Kbh             Biliary tissue excretion rate  6.386557e-04  mL/sec/cm3  0.000000e+00  control     010
454       Khe         Hepatocellular tissue uptake rate  2.579918e-02  mL/sec/cm3  0.000000e+00  control     010
455       kbh                    Biliary excretion rate  5.578354e-04  mL/sec/cm3  0.000000e+00  control     010
456     kbh_i            Initial biliary excretion rate  5.759628e-04  mL/sec/cm3  0.000000e+00  control     010
457     kbh_f              Final biliary excretion rate  5.408142e-04  mL/sec/cm3  0.000000e+00  control     010
458        CL                     Liver blood clearance  3.512596e+00      mL/sec  0.000000e+00  control     010
459      S02a          Aorta second signal scale factor  7.297374e+03        a.u.  2.410233e+01     drug     010
460      S02l          Liver second signal scale factor  5.045845e+03        a.u.  6.293460e+01     drug     010
461      BAT2                 Second bolus arrival time  7.702869e+03         sec  1.030706e+00     drug     010
462       BAT                  First bolus arrival time  7.934876e+01         sec  1.028708e+00     drug     010
463        CO                            Cardiac output  7.514988e+01      mL/sec  1.163814e+00     drug     010
464       Thl              Heart-lung mean transit time  1.906784e+01         sec  1.201423e+00     drug     010
465       Dhl                     Heart-lung dispersion  4.569737e-01              2.017780e-02     drug     010
466        To            Organs blood mean transit time  4.277017e+01         sec  1.327646e+00     drug     010
467        Eo                Organs extraction fraction  1.583470e-01              5.064064e-03     drug     010
468       Toe    Organs extravascular mean transit time  5.470936e+02         sec  2.951176e+01     drug     010
469        Eb                  Body extraction fraction  3.138833e-02              1.688913e-03     drug     010
470         H                                Hematocrit  4.500000e-01              0.000000e+00     drug     010
471        ve       Liver extracellular volume fraction  2.393926e-01      mL/cm3  9.263442e-03     drug     010
472        Te           Extracellular mean transit time  5.515985e+01         sec  3.518124e+00     drug     010
473        De                  Extracellular dispersion  7.270571e-01              2.723425e-02     drug     010
474     khe_i        Initial hepatocellular uptake rate  1.059489e-04  mL/sec/cm3  3.058806e-05     drug     010
475     khe_f          Final hepatocellular uptake rate  1.877679e-04  mL/sec/cm3  4.659651e-05     drug     010
476      Th_i  Initial hepatocellular mean transit time  4.026476e+03         sec  6.894754e+03     drug     010
477      Th_f    Final hepatocellular mean transit time  1.413372e+04         sec  1.753765e+04     drug     010
478        Th          Hepatocellular mean transit time  9.080097e+03         sec  0.000000e+00     drug     010
479       khe                Hepatocellular uptake rate  1.468584e-04  mL/sec/cm3  0.000000e+00     drug     010
480       Kbh             Biliary tissue excretion rate  1.101310e-04  mL/sec/cm3  0.000000e+00     drug     010
481       Khe         Hepatocellular tissue uptake rate  6.134626e-04  mL/sec/cm3  0.000000e+00     drug     010
482       kbh                    Biliary excretion rate  8.376644e-05  mL/sec/cm3  0.000000e+00     drug     010
483     kbh_i            Initial biliary excretion rate  1.889015e-04  mL/sec/cm3  0.000000e+00     drug     010
484     kbh_f              Final biliary excretion rate  5.381509e-05  mL/sec/cm3  0.000000e+00     drug     010
485        CL                     Liver blood clearance  1.628762e-01      mL/sec  0.000000e+00     drug     010

Plot individual results#

Now lets visualise the main results from the study by plotting the drug effect for all volunteers, and for both biomarkers: uptake rate khe and excretion rate kbh:

# Set up the figure
clr = ['tab:blue', 'tab:orange', 'tab:green', 'tab:red', 'tab:purple',
       'tab:brown', 'tab:pink', 'tab:gray', 'tab:olive', 'tab:cyan']
fs = 10
fig, (ax1, ax2) = plt.subplots(1, 2, figsize=(8,3))
fig.subplots_adjust(wspace=0.5)
ax1.set_title('Hepatocellular uptake rate', fontsize=fs, pad=10)
ax1.set_ylabel('khe (mL/min/100mL)', fontsize=fs)
ax1.set_ylim(0, 60)
ax1.tick_params(axis='x', labelsize=fs)
ax1.tick_params(axis='y', labelsize=fs)
ax2.set_title('Biliary excretion rate', fontsize=fs, pad=10)
ax2.set_ylabel('kbh (mL/min/100mL)', fontsize=fs)
ax2.set_ylim(0, 6)
ax2.tick_params(axis='x', labelsize=fs)
ax2.tick_params(axis='y', labelsize=fs)

# Pivot data for both visits to wide format for easy access:
v1 = pd.pivot_table(results[results.visit=='control'], values='value',
                    columns='parameter', index='subject')
v2 = pd.pivot_table(results[results.visit=='drug'], values='value',
                    columns='parameter', index='subject')

# Plot the rate constants in units of mL/min/100mL
for s in v1.index:
    x = ['baseline']
    khe = [6000*v1.at[s,'khe']]
    kbh = [6000*v1.at[s,'kbh']]
    if s in v2.index:
        x += ['rifampicin']
        khe += [6000*v2.at[s,'khe']]
        kbh += [6000*v2.at[s,'kbh']]
    color = clr[int(s)-1]
    ax1.plot(x, khe, '-', label=s, marker='o', markersize=6, color=color)
    ax2.plot(x, kbh, '-', label=s, marker='o', markersize=6, color=color)
plt.show()

# Choose the last image as a thumbnail for the gallery
# sphinx_gallery_thumbnail_number = -1
Hepatocellular uptake rate, Biliary excretion rate

Total running time of the script: (37 minutes 59.120 seconds)

Gallery generated by Sphinx-Gallery