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Henninger, B; Zoller, H; Rauch, S; Schocke, M; Kannengiesser, S; Zhong, X; Reiter, G; Jaschke, W; Kremser, C.
Automated two-point dixon screening for the evaluation of hepatic steatosis and siderosis: comparison with R2-relaxometry and chemical shift-based sequences.
Eur Radiol. 2015; 25(5): 1356-65.
Doi: 10.1007/s00330-014-3528-8
Web of Science
PubMed
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- Co-authors Med Uni Graz
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Reiter Gert
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- Abstract:
- OBJECTIVES: To evaluate the automated two-point Dixon screening sequence for the detection and estimated quantification of hepatic iron and fat compared with standard sequences as a reference. METHODS: One hundred and two patients with suspected diffuse liver disease were included in this prospective study. The following MRI protocol was used: 3D-T1-weighted opposed- and in-phase gradient echo with two-point Dixon reconstruction and dual-ratio signal discrimination algorithm ("screening" sequence); fat-saturated, multi-gradient-echo sequence with 12 echoes; gradient-echo T1 FLASH opposed- and in-phase. Bland-Altman plots were generated and correlation coefficients were calculated to compare the sequences. RESULTS: The screening sequence diagnosed fat in 33, iron in 35 and a combination of both in 4 patients. Correlation between R2* values of the screening sequence and the standard relaxometry was excellent (r = 0.988). A slightly lower correlation (r = 0.978) was found between the fat fraction of the screening sequence and the standard sequence. Bland-Altman revealed systematically lower R2* values obtained from the screening sequence and higher fat fraction values obtained with the standard sequence with a rather high variability in agreement. CONCLUSIONS: The screening sequence is a promising method with fast diagnosis of the predominant liver disease. It is capable of estimating the amount of hepatic fat and iron comparable to standard methods. KEY POINTS: • MRI plays a major role in the clarification of diffuse liver disease. • The screening sequence was introduced for the assessment of diffuse liver disease. • It is a fast and automated algorithm for the evaluation of hepatic iron and fat. • It is capable of estimating the amount of hepatic fat and iron.
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Adult - administration & dosage
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Aged - administration & dosage
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Algorithms - administration & dosage
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Fatty Liver - diagnosis
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Female - administration & dosage
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Humans - administration & dosage
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Image Processing, Computer-Assisted - methods
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Imaging, Three-Dimensional - administration & dosage
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Liver - pathology
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Magnetic Resonance Imaging - methods
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Male - administration & dosage
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Middle Aged - administration & dosage
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Prospective Studies - administration & dosage
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Siderosis - diagnosis
- Find related publications in this database (Keywords)
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Liver
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Iron
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Fat
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Magnetic resonance
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Relaxometry