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Haimerl, Michael ; Probst, Ute ; Poelsterl, Stefanie ; Fellner, Claudia ; Nickel, Dominik ; Weigand, Kilian ; Brunner, Stefan M. ; Zeman, Florian ; Stroszczynski, Christian ; Wiggermann, Philipp

Evaluation of two-point Dixon water-fat separation for liver specific contrast-enhanced assessment of liver maximum capacity

Haimerl, Michael, Probst, Ute, Poelsterl, Stefanie, Fellner, Claudia, Nickel, Dominik, Weigand, Kilian, Brunner, Stefan M., Zeman, Florian, Stroszczynski, Christian und Wiggermann, Philipp (2018) Evaluation of two-point Dixon water-fat separation for liver specific contrast-enhanced assessment of liver maximum capacity. Scientific Reports 8 (1), S. 1-9.

Veröffentlichungsdatum dieses Volltextes: 26 Sep 2018 13:38
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.37776


Zusammenfassung

Gadoxetic acid-enhanced magnetic resonance imaging has become a useful tool for quantitative evaluation of liver capacity. We report on the importance of intrahepatic fat on gadoxetic acidsupported T1 mapping for estimation of liver maximum capacity, assessed by the realtime C-13-methacetin breathing test (C-13-MBT). For T1 relaxometry, we used a respective T1-weighted sequence with two-point ...

Gadoxetic acid-enhanced magnetic resonance imaging has become a useful tool for quantitative evaluation of liver capacity. We report on the importance of intrahepatic fat on gadoxetic acidsupported T1 mapping for estimation of liver maximum capacity, assessed by the realtime C-13-methacetin breathing test (C-13-MBT). For T1 relaxometry, we used a respective T1-weighted sequence with two-point Dixon water-fat separation and various flip angles. Both T1 maps of the inphase component without fat separation (T1_in) and T1 maps merely based on the water component (T1_W) were generated, and respective reduction rates of the T1 relaxation time (rrT1) were evaluated. A steady considerable decline in rrT1 with progressive reduction of liver function could be observed for both T1_in and T1_W (p < 0.001). When patients were subdivided into 3 different categories of C-13-MBT readouts, the groups could be significantly differentiated by their rrT1_in and rrT1_W values (p < 0.005). In a simple correlation model of C-13-MBT values with T1_inpost (r = 0.556; p < 0.001), T1_Wpost (r = 0.557; p < 0.001), rrT1_in (r = 0.711; p < 0.001) and rrT1_W (r = 0.751; p < 0.001), a loglinear correlation has been shown. Liver maximum capacity measured with C-13-MBT can be determined more precisely from gadoxetic acid-supported T1 mapping when intrahepatic fat is taken into account. Here, T1_W maps are shown to be significantly superior to T1_in maps without separation of fat.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftScientific Reports
Verlag:Nature
Ort der Veröffentlichung:LONDON
Band:8
Nummer des Zeitschriftenheftes oder des Kapitels:1
Seitenbereich:S. 1-9
Datum14 September 2018
InstitutionenMedizin > Lehrstuhl für Chirurgie
Medizin > Lehrstuhl für Innere Medizin I
Medizin > Lehrstuhl für Röntgendiagnostik
Medizin > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Identifikationsnummer
WertTyp
10.1038/s41598-018-32207-6DOI
Stichwörter / KeywordsGD-EOB-DTPA; INTENSITY-BASED INDEXES; T1 RELAXOMETRY; LIMAX TEST; MRI; SUPPRESSION; CIRRHOSIS; DISEASE; PROTON; 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-377761
Dokumenten-ID37776

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