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Haimerl, Michael ; Verloh, Niklas ; Zeman, Florian ; Fellner, Claudia ; Müller-Wille, René ; Schreyer, Andreas G. ; Stroszczynski, Christian ; Wiggermann, Phillipp

Assessment of clinical signs of liver cirrhosis using T1 mapping on Gd-EOB-DTPA-enhanced 3T MRI

Haimerl, Michael, Verloh, Niklas, Zeman, Florian, Fellner, Claudia, Müller-Wille, René, Schreyer, Andreas G. , Stroszczynski, Christian und Wiggermann, Phillipp (2013) Assessment of clinical signs of liver cirrhosis using T1 mapping on Gd-EOB-DTPA-enhanced 3T MRI. Plos One 8 (12).

Veröffentlichungsdatum dieses Volltextes: 12 Feb 2014 12:46
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.29536


Zusammenfassung

Objectives: To assess the differences between normal and cirrhotic livers by means of T1 mapping of liver parenchyma on gadoxetic acid (Gd-EOB-DTPA)-enhanced 3 Tesla (3T) MR imaging (MRI). Methods: 162 patients with normal (n = 96) and cirrhotic livers (n = 66; Child-Pugh class A, n = 30; B, n = 28; C, n = 8) underwent Gd-EOB-DTPA-enhanced 3T MRI. To obtain T1 maps, two TurboFLASH sequences (TI = ...

Objectives: To assess the differences between normal and cirrhotic livers by means of T1 mapping of liver parenchyma on gadoxetic acid (Gd-EOB-DTPA)-enhanced 3 Tesla (3T) MR imaging (MRI). Methods: 162 patients with normal (n = 96) and cirrhotic livers (n = 66; Child-Pugh class A, n = 30; B, n = 28; C, n = 8) underwent Gd-EOB-DTPA-enhanced 3T MRI. To obtain T1 maps, two TurboFLASH sequences (TI = 400 ms and 1000 ms) before and 20 min after Gd-EOB-DTPA administration were acquired. T1 relaxation times of the liver and the reduction rate between pre-and post-contrast enhancement images were measured. Results: The T1 relaxation times for Gd-EOB-DTPA-enhanced MRI showed significant differences between patients with normal liver function and patients with Child-Pugh class A, B, and C (p < 0.001). The T1 relaxation times showed a constant significant increase from Child-Pugh class A up to class C (Child-Pugh class A, 335 ms +/- 80 ms; B, 431 ms +/- 75 ms; C, 557 ms +/- 99 ms; Child-Pugh A to B, p < 0.001; Child-Pugh A to C, p < 0.001; Child-Pugh B to C, p < 0.001) and a constant decrease of the reduction rate of T1 relaxation times (Child-Pugh class A, 57.1% +/- 8.8%; B, 44.3% +/- 10.2%, C, 29.9% +/- 6.9%; Child-Pugh A to B, p < 0.001; Child-Pugh A to C, p < 0.001; Child-Pugh B to C, p < 0.001). Conclusion: Gd-EOB-DTPA-enhanced T1 mapping of the liver parenchyma may present a useful method for determining severity of liver cirrhosis.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftPlos One
Verlag:PUBLIC LIBRARY SCIENCE
Ort der Veröffentlichung:SAN FRANCISCO
Band:8
Nummer des Zeitschriftenheftes oder des Kapitels:12
Datum31 Dezember 2013
InstitutionenMedizin > Lehrstuhl für Röntgendiagnostik
Identifikationsnummer
WertTyp
10.1371/journal.pone.0085658DOI
Stichwörter / KeywordsRELAXATION-TIME; HEPATOCELLULAR-CARCINOMA; QUANTITATIVE-EVALUATION; MOLECULAR-MECHANISMS; CHRONIC HEPATITIS; CONTRAST AGENT; PHASE-III; FIBROSIS; RATS; INFECTION;
Dewey-Dezimal-Klassifikation500 Naturwissenschaften und Mathematik > 570 Biowissenschaften, Biologie
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-295365
Dokumenten-ID29536

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