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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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| Dokumentenart | Artikel | ||||||
| Titel eines Journals oder einer Zeitschrift | Scientific Reports | ||||||
| Verlag: | Nature | ||||||
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| Ort der Veröffentlichung: | LONDON | ||||||
| Band: | 7 | ||||||
| Nummer des Zeitschriftenheftes oder des Kapitels: | 41429 | ||||||
| Seitenbereich: | S. 1-10 | ||||||
| Datum | 27 Januar 2017 | ||||||
| Institutionen | Medizin > 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 |
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| Stichwörter / Keywords | ORGANIC ANION TRANSPORTERS; CHRONIC HEPATITIS-C; T1 RELAXATION-TIME; CONTRAST AGENT; 3 TESLA; PARENCHYMAL ENHANCEMENT; QUANTITATIVE-EVALUATION; CIRRHOSIS; ELASTOGRAPHY; PHASE; | ||||||
| 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-351928 | ||||||
| Dokumenten-ID | 35192 |
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