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Erschienen in:

08.08.2023 | Gastrointestinal

Impact of fat on the apparent T1 value of the liver: assessment by water-only derived T1 mapping

verfasst von: Mayumi Higashi, Masahiro Tanabe, Masatoshi Yamane, Mahesh B. Keerthivasan, Hiroshi Imai, Teppei Yonezawa, Michihiro Nakamura, Katsuyoshi Ito

Erschienen in: European Radiology | Ausgabe 10/2023

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Abstract

Objectives

To determine the impact of fat on the apparent T1 value of the liver using water-only derived T1 mapping.

Methods

3-T MRI included 2D Look-Locker T1 mapping and proton density fat fraction (PDFF) mapping. T1 values of the liver were compared among T1 maps obtained by in-phase (IP), opposed-phase (OP), and Dixon water sequences using paired t-test. The correlation between T1 values of the liver on each T1 map and PDFF was assessed using Spearman correlation coefficient. The absolute differences between T1 value of the liver on Dixon water images and that on IP or OP images were also correlated with PDFF.

Results

One hundred sixty-two patients (median age, 70 [range, 24–91] years, 90 men) were retrospectively evaluated. The T1 values of the liver on each T1 map were significantly different (p < 0.001). The T1 value of the liver on IP images was significantly negatively correlated with PDFF (r =  − 0.438), while the T1 value of the liver on OP images was slightly positively correlated with PDFF (r = 0.164). The T1 value of the liver on Dixon water images was slightly negatively correlated with PDFF (r =  − 0.171). The absolute differences between T1 value of the liver on Dixon water images and that on IP or OP images were significantly correlated with PDFF (r = 0.606, 0.722; p < 0.001).

Conclusion

Fat correction for the apparent T1 value by water-only derived T1 maps will be helpful for accurately evaluating the T1 value of the liver.

Clinical relevance statement

Fat-corrected T1 mapping of the liver with the water component only obtained from the 2D Dixon Look-Locker sequence could be useful for accurately evaluating the T1 value of the liver without the impact of fat in daily clinical practice.

Key Points

The T1 values of the liver on the conventional T1 maps are significantly affected by the presence of fat.
The apparent T1 value of the liver on water-only derived T1 maps would be slightly impacted by the presence of fat.
Fat correction for the apparent T1 values is necessary for the accurate assessment of the T1 values of the liver.
Literatur
1.
Zurück zum Zitat Younossi ZM, Koenig AB, Abdelatif D, Fazel Y, Henry L, Wymer M (2016) Global epidemiology of nonalcoholic fatty liver disease-meta-analytic assessment of prevalence, incidence, and outcomes. Hepatology 64:73–84CrossRefPubMed Younossi ZM, Koenig AB, Abdelatif D, Fazel Y, Henry L, Wymer M (2016) Global epidemiology of nonalcoholic fatty liver disease-meta-analytic assessment of prevalence, incidence, and outcomes. Hepatology 64:73–84CrossRefPubMed
2.
Zurück zum Zitat Perumpail BJ, Khan MA, Yoo ER, Cholankeril G, Kim D, Ahmed A (2017) Clinical epidemiology and disease burden of nonalcoholic fatty liver disease. World J Gastroenterol 23:8263–8276CrossRefPubMedPubMedCentral Perumpail BJ, Khan MA, Yoo ER, Cholankeril G, Kim D, Ahmed A (2017) Clinical epidemiology and disease burden of nonalcoholic fatty liver disease. World J Gastroenterol 23:8263–8276CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Banerjee R, Pavlides M, Tunnicliffe EM et al (2014) Multiparametric magnetic resonance for the non-invasive diagnosis of liver disease. J Hepatol 60:69–77CrossRefPubMedPubMedCentral Banerjee R, Pavlides M, Tunnicliffe EM et al (2014) Multiparametric magnetic resonance for the non-invasive diagnosis of liver disease. J Hepatol 60:69–77CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Li Z, Sun J, Hu X et al (2016) Assessment of liver fibrosis by variable flip angle T1 mapping at 3.0T. J Magn Reson Imaging 43:698–703CrossRefPubMed Li Z, Sun J, Hu X et al (2016) Assessment of liver fibrosis by variable flip angle T1 mapping at 3.0T. J Magn Reson Imaging 43:698–703CrossRefPubMed
5.
Zurück zum Zitat Luetkens JA, Klein S, Träber F et al (2018) Quantification of liver fibrosis at T1 and T2 mapping with extracellular volume fraction MRI: preclinical results. Radiology 288:748–754CrossRefPubMed Luetkens JA, Klein S, Träber F et al (2018) Quantification of liver fibrosis at T1 and T2 mapping with extracellular volume fraction MRI: preclinical results. Radiology 288:748–754CrossRefPubMed
6.
Zurück zum Zitat Haimerl M, Verloh N, Zeman F et al (2013) Assessment of clinical signs of liver cirrhosis using T1 mapping on Gd-EOB-DTPA-enhanced 3T MRI. PLoS One 8:e85658CrossRefPubMedPubMedCentral Haimerl M, Verloh N, Zeman F et al (2013) Assessment of clinical signs of liver cirrhosis using T1 mapping on Gd-EOB-DTPA-enhanced 3T MRI. PLoS One 8:e85658CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Cassinotto C, Feldis M, Vergniol J et al (2015) MR relaxometry in chronic liver diseases: comparison of T1 mapping, T2 mapping, and diffusion-weighted imaging for assessing cirrhosis diagnosis and severity. Eur J Radiol 84:1459–1465CrossRefPubMed Cassinotto C, Feldis M, Vergniol J et al (2015) MR relaxometry in chronic liver diseases: comparison of T1 mapping, T2 mapping, and diffusion-weighted imaging for assessing cirrhosis diagnosis and severity. Eur J Radiol 84:1459–1465CrossRefPubMed
8.
Zurück zum Zitat Schaapman JJ, Tushuizen ME, Coenraad MJ, Lamb HJ (2021) Multiparametric MRI in patients with nonalcoholic fatty liver disease. J Magn Reson Imaging 53:1623–1631CrossRefPubMed Schaapman JJ, Tushuizen ME, Coenraad MJ, Lamb HJ (2021) Multiparametric MRI in patients with nonalcoholic fatty liver disease. J Magn Reson Imaging 53:1623–1631CrossRefPubMed
9.
Zurück zum Zitat Pavlides M, Banerjee R, Tunnicliffe EM et al (2017) Multiparametric magnetic resonance imaging for the assessment of non-alcoholic fatty liver disease severity. Liver Int 37:1065–1073CrossRefPubMedPubMedCentral Pavlides M, Banerjee R, Tunnicliffe EM et al (2017) Multiparametric magnetic resonance imaging for the assessment of non-alcoholic fatty liver disease severity. Liver Int 37:1065–1073CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Mozes FE, Tunnicliffe EM, Pavlides M, Robson MD (2016) Influence of fat on liver T1 measurements using modified Look-Locker inversion recovery (MOLLI) methods at 3T. J Magn Reson Imaging 44:105–111CrossRefPubMedPubMedCentral Mozes FE, Tunnicliffe EM, Pavlides M, Robson MD (2016) Influence of fat on liver T1 measurements using modified Look-Locker inversion recovery (MOLLI) methods at 3T. J Magn Reson Imaging 44:105–111CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Erden A, Kuru Öz D, Peker E et al (2021) MRI quantification techniques in fatty liver: the diagnostic performance of hepatic T1, T2, and stiffness measurements in relation to the proton density fat fraction. Diagn Interv Radiol 27:7–14CrossRefPubMed Erden A, Kuru Öz D, Peker E et al (2021) MRI quantification techniques in fatty liver: the diagnostic performance of hepatic T1, T2, and stiffness measurements in relation to the proton density fat fraction. Diagn Interv Radiol 27:7–14CrossRefPubMed
12.
Zurück zum Zitat Ahn JH, Yu JS, Park KS et al (2021) Effect of hepatic steatosis on native T1 mapping of 3T magnetic resonance imaging in the assessment of T1 values for patients with non-alcoholic fatty liver disease. Magn Reson Imaging 80:1–8CrossRefPubMed Ahn JH, Yu JS, Park KS et al (2021) Effect of hepatic steatosis on native T1 mapping of 3T magnetic resonance imaging in the assessment of T1 values for patients with non-alcoholic fatty liver disease. Magn Reson Imaging 80:1–8CrossRefPubMed
13.
Zurück zum Zitat Mozes FE, Tunnicliffe EM, Moolla A et al (2019) Mapping tissue water T1 in the liver using the MOLLI T1 method in the presence of fat, iron and B0 inhomogeneity. NMR Biomed 32:e4030CrossRefPubMed Mozes FE, Tunnicliffe EM, Moolla A et al (2019) Mapping tissue water T1 in the liver using the MOLLI T1 method in the presence of fat, iron and B0 inhomogeneity. NMR Biomed 32:e4030CrossRefPubMed
14.
Zurück zum Zitat Jaubert O, Arrieta C, Cruz G et al (2020) Multi-parametric liver tissue characterization using MR fingerprinting: simultaneous T1, T2, T2*, and fat fraction mapping. Magn Reson Med 84:2625–2635CrossRefPubMed Jaubert O, Arrieta C, Cruz G et al (2020) Multi-parametric liver tissue characterization using MR fingerprinting: simultaneous T1, T2, T2*, and fat fraction mapping. Magn Reson Med 84:2625–2635CrossRefPubMed
15.
Zurück zum Zitat Feng L, Liu F, Soultanidis G et al (2021) Magnetization-prepared GRASP MRI for rapid 3D T1 mapping and fat/water-separated T1 mapping. Magn Reson Med 86:97–114CrossRefPubMedPubMedCentral Feng L, Liu F, Soultanidis G et al (2021) Magnetization-prepared GRASP MRI for rapid 3D T1 mapping and fat/water-separated T1 mapping. Magn Reson Med 86:97–114CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Thompson RB, Chow K, Mager D, Pagano JJ, Grenier J (2021) Simultaneous proton density fat-fraction and R2∗ imaging with water-specific T1 mapping (PROFIT1): application in liver. Magn Reson Med 85:223–238CrossRefPubMed Thompson RB, Chow K, Mager D, Pagano JJ, Grenier J (2021) Simultaneous proton density fat-fraction and R2∗ imaging with water-specific T1 mapping (PROFIT1): application in liver. Magn Reson Med 85:223–238CrossRefPubMed
17.
Zurück zum Zitat Fellner C, Nickel MD, Kannengiesser S et al (2023) Water-fat separated T1 mapping in the liver and correlation to hepatic fat fraction. Diagnostics (Basel) 13:201CrossRefPubMed Fellner C, Nickel MD, Kannengiesser S et al (2023) Water-fat separated T1 mapping in the liver and correlation to hepatic fat fraction. Diagnostics (Basel) 13:201CrossRefPubMed
18.
Zurück zum Zitat Wang Y, Qi H, Wang Y et al (2023) Free-breathing simultaneous water-fat separation and T1 mapping of the whole liver (SWALI) with isotropic resolution using 3D golden-angle radial trajectory. Quant Imaging Med Surg 13:912–923CrossRefPubMedPubMedCentral Wang Y, Qi H, Wang Y et al (2023) Free-breathing simultaneous water-fat separation and T1 mapping of the whole liver (SWALI) with isotropic resolution using 3D golden-angle radial trajectory. Quant Imaging Med Surg 13:912–923CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Le Y, Dale B, Akisik F, Koons K, Lin C (2016) Improved T1, contrast concentration, and pharmacokinetic parameter quantification in the presence of fat with two-point Dixon for dynamic contrast-enhanced magnetic resonance imaging. Magn Reson Med 75:1677–1684CrossRefPubMed Le Y, Dale B, Akisik F, Koons K, Lin C (2016) Improved T1, contrast concentration, and pharmacokinetic parameter quantification in the presence of fat with two-point Dixon for dynamic contrast-enhanced magnetic resonance imaging. Magn Reson Med 75:1677–1684CrossRefPubMed
20.
Zurück zum Zitat Reeder SB, Hu HH, Sirlin CB (2012) Proton density fat-fraction: a standardized MR-based biomarker of tissue fat concentration. J Magn Reson Imaging 36:1011–1014CrossRefPubMedPubMedCentral Reeder SB, Hu HH, Sirlin CB (2012) Proton density fat-fraction: a standardized MR-based biomarker of tissue fat concentration. J Magn Reson Imaging 36:1011–1014CrossRefPubMedPubMedCentral
21.
Zurück zum Zitat Reeder SB (2013) Emerging quantitative magnetic resonance imaging biomarkers of hepatic steatosis. Hepatology 58:1877–1880CrossRefPubMed Reeder SB (2013) Emerging quantitative magnetic resonance imaging biomarkers of hepatic steatosis. Hepatology 58:1877–1880CrossRefPubMed
22.
Zurück zum Zitat Henninger B, Alustiza J, Garbowski M, Gandon Y (2020) Practical guide to quantification of hepatic iron with MRI. Eur Radiol 30:383–393CrossRefPubMed Henninger B, Alustiza J, Garbowski M, Gandon Y (2020) Practical guide to quantification of hepatic iron with MRI. Eur Radiol 30:383–393CrossRefPubMed
23.
Zurück zum Zitat McDonald N, Eddowes PJ, Hodson J et al (2018) Multiparametric magnetic resonance imaging for quantitation of liver disease: a two-centre cross-sectional observational study. Sci Rep 8:9189CrossRefPubMedPubMedCentral McDonald N, Eddowes PJ, Hodson J et al (2018) Multiparametric magnetic resonance imaging for quantitation of liver disease: a two-centre cross-sectional observational study. Sci Rep 8:9189CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Li J, Liu H, Zhang C et al (2020) Native T1 mapping compared to ultrasound elastography for staging and monitoring liver fibrosis: an animal study of repeatability, reproducibility, and accuracy. Eur Radiol 30:337–345CrossRefPubMed Li J, Liu H, Zhang C et al (2020) Native T1 mapping compared to ultrasound elastography for staging and monitoring liver fibrosis: an animal study of repeatability, reproducibility, and accuracy. Eur Radiol 30:337–345CrossRefPubMed
25.
Zurück zum Zitat Eddowes PJ, McDonald N, Davies N et al (2018) Utility and cost evaluation of multiparametric magnetic resonance imaging for the assessment of non-alcoholic fatty liver disease. Aliment Pharmacol Ther 47:631–644CrossRefPubMed Eddowes PJ, McDonald N, Davies N et al (2018) Utility and cost evaluation of multiparametric magnetic resonance imaging for the assessment of non-alcoholic fatty liver disease. Aliment Pharmacol Ther 47:631–644CrossRefPubMed
26.
Zurück zum Zitat Ding Y, Rao SX, Meng T, Chen C, Li R, Zeng MS (2014) Usefulness of T1 mapping on Gd-EOB-DTPA-enhanced MR imaging in assessment of non-alcoholic fatty liver disease. Eur Radiol 24:959–966CrossRefPubMed Ding Y, Rao SX, Meng T, Chen C, Li R, Zeng MS (2014) Usefulness of T1 mapping on Gd-EOB-DTPA-enhanced MR imaging in assessment of non-alcoholic fatty liver disease. Eur Radiol 24:959–966CrossRefPubMed
27.
Zurück zum Zitat de Bazelaire CM, Duhamel GD, Rofsky NM, Alsop DC (2004) MR imaging relaxation times of abdominal and pelvic tissues measured in vivo at 3.0 T: preliminary results. Radiology 230:652–659CrossRefPubMed de Bazelaire CM, Duhamel GD, Rofsky NM, Alsop DC (2004) MR imaging relaxation times of abdominal and pelvic tissues measured in vivo at 3.0 T: preliminary results. Radiology 230:652–659CrossRefPubMed
28.
Zurück zum Zitat Zhang YT, Yeung HN, Carson PL, Ellis JH (1992) Experimental analysis of T1 imaging with a single-scan, multiple-point, inversion-recovery technique. Magn Reson Med 25:337–343CrossRefPubMed Zhang YT, Yeung HN, Carson PL, Ellis JH (1992) Experimental analysis of T1 imaging with a single-scan, multiple-point, inversion-recovery technique. Magn Reson Med 25:337–343CrossRefPubMed
29.
Zurück zum Zitat Taylor AJ, Salerno M, Dharmakumar R, Jerosch-Herold M (2016) T1 mapping: basic techniques and clinical applications. JACC Cardiovasc Imaging 9:67–81CrossRefPubMed Taylor AJ, Salerno M, Dharmakumar R, Jerosch-Herold M (2016) T1 mapping: basic techniques and clinical applications. JACC Cardiovasc Imaging 9:67–81CrossRefPubMed
Metadaten
Titel
Impact of fat on the apparent T1 value of the liver: assessment by water-only derived T1 mapping
verfasst von
Mayumi Higashi
Masahiro Tanabe
Masatoshi Yamane
Mahesh B. Keerthivasan
Hiroshi Imai
Teppei Yonezawa
Michihiro Nakamura
Katsuyoshi Ito
Publikationsdatum
08.08.2023
Verlag
Springer Berlin Heidelberg
Erschienen in
European Radiology / Ausgabe 10/2023
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-023-10052-0

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