Direkt zum Inhalt

Haimerl, Michael ; Utpatel, Kirsten ; Verloh, Niklas ; Zeman, Florian ; Fellner, Claudia ; Nickel, Dominik ; Teufel, Andreas ; Fichtner-Feigl, Stefan ; Evert, Matthias ; Stroszczynski, Christian ; Wiggermann, Phillipp

Gd-EOB-DTPA-enhanced MR relaxometry for the detection and staging of liver fibrosis

Haimerl, Michael, Utpatel, Kirsten, Verloh, Niklas, Zeman, Florian, Fellner, Claudia, Nickel, Dominik, Teufel, Andreas, Fichtner-Feigl, Stefan, Evert, Matthias, Stroszczynski, Christian und Wiggermann, Phillipp (2017) Gd-EOB-DTPA-enhanced MR relaxometry for the detection and staging of liver fibrosis. Scientific Reports 7 (41429), S. 1-10.

Veröffentlichungsdatum dieses Volltextes: 10 Feb 2017 10:15
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.35192


Zusammenfassung

Gd-EOB-DTPA, a liver-specific contrast agent with T1-shortening effects, is routinely used in clinical routine for detection and characterization of focal liver lesions and has recently received increasing attention as a tool for the quantitative analyses of liver function. We report the relationship between the extent of Gd-EOB-DTPA-induced T1 relaxation and the degree of liver fibrosis, which ...

Gd-EOB-DTPA, a liver-specific contrast agent with T1-shortening effects, is routinely used in clinical routine for detection and characterization of focal liver lesions and has recently received increasing attention as a tool for the quantitative analyses of liver function. We report the relationship between the extent of Gd-EOB-DTPA-induced T1 relaxation and the degree of liver fibrosis, which was assessed according to the METAVIR score. For the T1 relaxometry, a transverse 3D VIBE sequence with inline T1 calculation was acquired prior to and 20 minutes after Gd-EOB-DTPA administration. The reduction rates of the T1 relaxation time (rrT1) between the pre- and postcontrast images were calculated, and the optimal cutoff values for the fibrosis stages were determined with receiver operating characteristic (ROC) curve analyses. The rrT1 decreased with the severity of liver fibrosis and regression analysis revealed a significant correlation of the rrT1 with the stage of liver fibrosis (r = -0.906, p < 0.001). ROC analysis revealed sensitivities >= 78% and specificities >= 94% for the differentiation of different fibrosis stages. Gd-EOB-DTPA-enhanced T1 relaxometry is a reliable tool for both the detection of initial hepatic fibrosis and the staging of hepatic fibrosis.



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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:41429
Seitenbereich:S. 1-10
Datum27 Januar 2017
InstitutionenMedizin > Lehrstuhl für Chirurgie
Medizin > Lehrstuhl für Innere Medizin I
Medizin > Lehrstuhl für Pathologie
Medizin > Lehrstuhl für Röntgendiagnostik
Medizin > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Identifikationsnummer
WertTyp
10.1038/srep41429DOI
Article-ID: 41429Andere
Stichwörter / KeywordsORGANIC ANION TRANSPORTERS; CHRONIC HEPATITIS-C; T1 RELAXATION-TIME; CONTRAST AGENT; 3 TESLA; PARENCHYMAL ENHANCEMENT; QUANTITATIVE-EVALUATION; CIRRHOSIS; ELASTOGRAPHY; PHASE;
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-351928
Dokumenten-ID35192

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