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Haimerl, Michael ; Verloh, Niklas ; Zeman, Florian ; Fellner, Claudia ; Nickel, Dominik ; Lang, Sven A. ; Teufel, Andreas ; Stroszczynski, Christian ; Wiggermann, Phillipp

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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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftScientific Reports
Verlag:Nature
Ort der Veröffentlichung:LONDON
Band:7
Nummer des Zeitschriftenheftes oder des Kapitels:43347
Seitenbereich:S. 1-12
Datum7 März 2017
InstitutionenMedizin > Lehrstuhl für Chirurgie
Medizin > Lehrstuhl für Röntgendiagnostik
Identifikationsnummer
WertTyp
10.1038/srep43347DOI
Stichwörter / KeywordsSUPERPARAMAGNETIC IRON-OXIDE; HEPATIC-UPTAKE; CONTRAST AGENT; PARENCHYMAL ENHANCEMENT; HEPATOBILIARY PHASE; 3 TESLA; FIBROSIS; ACID; CIRRHOSIS; VOLUME;
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-351673
Dokumenten-ID35167

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