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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

Article

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

DOI to cite this document: 10.5283/epub.35192


Abstract

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

Item typeArticle
Journal or Publication TitleScientific Reports
PublisherNature
Open Access TypeGold (with APC)
Place of PublicationLONDON
Volume7
Number of Issue or Book Chapter41429
Page Rangepp. 1-10
Date27 January 2017
Date of publication10 Feb 2017 10:15
InstitutionsMedicine > Lehrstuhl für Chirurgie
Medicine > Lehrstuhl für Innere Medizin I
Medicine > Lehrstuhl für Pathologie
Medicine > Lehrstuhl für Röntgendiagnostik
Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Identification Number
ValueType
10.1038/srep41429DOI
Article-ID: 41429Other
KeywordsORGANIC ANION TRANSPORTERS; CHRONIC HEPATITIS-C; T1 RELAXATION-TIME; CONTRAST AGENT; 3 TESLA; PARENCHYMAL ENHANCEMENT; QUANTITATIVE-EVALUATION; CIRRHOSIS; ELASTOGRAPHY; PHASE;
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-351928
Item ID35192

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