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Gd-EOB-DTPA-enhanced MRI for evaluation of liver function: Comparison betewwn signal-intensity-based indices and T1 relaxometry
Haimerl, Michael, Verloh, Niklas, Zeman, Florian, Fellner, Claudia, Nickel, Dominik, Lang, Sven A., Teufel, Andreas, Stroszczynski, Christian und Wiggermann, Phillipp (2017) Gd-EOB-DTPA-enhanced MRI for evaluation of liver function: Comparison betewwn signal-intensity-based indices and T1 relaxometry. Scientific Reports 7 (43347), S. 1-12.Veröffentlichungsdatum dieses Volltextes: 21 Apr 2017 10:00
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.35167
Zusammenfassung
Gadolinium ethoxybenzyl-diethylenetriaminepentaacetic acid (Gd-EOB-DTPA) is a paramagnetic hepatobiliary magnetic resonance (MR) contrast agent. Due to its OATP1B1/B3-dependent hepatocyte-specific uptake and paramagnetic properties increasing evidence has emerged to suggest that Gd-EOBDTPA- enhanced MRI can be potentially used for evaluation of liver function. In this paper we compare the ...
Gadolinium ethoxybenzyl-diethylenetriaminepentaacetic acid (Gd-EOB-DTPA) is a paramagnetic hepatobiliary magnetic resonance (MR) contrast agent. Due to its OATP1B1/B3-dependent hepatocyte-specific uptake and paramagnetic properties increasing evidence has emerged to suggest that Gd-EOBDTPA- enhanced MRI can be potentially used for evaluation of liver function. In this paper we compare the diagnostic performance of Gd-EOB-DTPA-enhanced relaxometry-based and commonly used signal-intensity (SI)-based indices, including the hepatocellular uptake index (HUI) and SI-based indices corrected by spleen or muscle, for evaluation of liver function, determined using the Indocyanin green clearance (ICG) test. Simple linear regression model showed a significant correlation of the plasma disappearance rate of ICG (ICG-PDR) with all Gd-EOB-DTPA-enhanced MRI-based liver function indices with a significantly better correlation of relaxometry-based indices on ICG-PDR compared to SI-based indices. Among SI-based indices, HUI achieved best correlation on ICG-PDR and no significant difference of respective correlations on ICG-PDR could be shown. Assessment of liver volume and consecutive evaluation of multiple linear regression model revealed a stronger correlation of ICG-PDR with both (SI)-based and T1 relaxometry-based indices. Thus, liver function can be estimated quantitatively from Gd-EOB-DTPA-enhanced MRI-based indices. Here, indices derived from T1 relaxometry are superior to SI-based indices, and all indices benefit from taking into account respective liver volumes.
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| Dokumentenart | Artikel | ||||
| Titel eines Journals oder einer Zeitschrift | Scientific Reports | ||||
| Verlag: | Nature | ||||
|---|---|---|---|---|---|
| Ort der Veröffentlichung: | LONDON | ||||
| Band: | 7 | ||||
| Nummer des Zeitschriftenheftes oder des Kapitels: | 43347 | ||||
| Seitenbereich: | S. 1-12 | ||||
| Datum | 7 März 2017 | ||||
| Institutionen | Medizin > Lehrstuhl für Chirurgie Medizin > Lehrstuhl für Röntgendiagnostik | ||||
| Identifikationsnummer |
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| Stichwörter / Keywords | SUPERPARAMAGNETIC IRON-OXIDE; HEPATIC-UPTAKE; CONTRAST AGENT; PARENCHYMAL ENHANCEMENT; HEPATOBILIARY PHASE; 3 TESLA; FIBROSIS; ACID; CIRRHOSIS; VOLUME; | ||||
| Dewey-Dezimal-Klassifikation | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||
| Status | Veröffentlicht | ||||
| Begutachtet | Ja, diese Version wurde begutachtet | ||||
| An der Universität Regensburg entstanden | Ja | ||||
| URN der UB Regensburg | urn:nbn:de:bvb:355-epub-351673 | ||||
| Dokumenten-ID | 35167 |
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