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Erschienen in: European Radiology 6/2016

17.09.2015 | Magnetic Resonance

Effect of gadolinium on hepatic fat quantification using multi-echo reconstruction technique with T2* correction and estimation

verfasst von: Mingmei Ge, Jing Zhang, Bing Wu, Zhiqin Liu, Hai Song, Xiangfeng Meng, Xinhuai Wu

Erschienen in: European Radiology | Ausgabe 6/2016

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Abstract

Objectives

To determine whether hepatic fat quantification is affected by administration of gadolinium using a multiecho reconstruction technique with T2* correction and estimation.

Methods

Forty-eight patients underwent the investigational sequence for hepatic fat quantification at 3.0T MRI once before and twice after administration of gadopentetate dimeglumine (0.1 mmol/kg). A one-way repeated-measures analysis of variance with pairwise comparisons was conducted to evaluate the systematic bias of fat fraction (FF) and R2* measurements between three acquisitions. Bland-Altman plots were used to assess the agreements between pre- and post-contrast FF measurements in the liver. A P value <0.05 indicated statistically significant difference.

Results

FF measurements of liver, spleen and spine revealed no significant systematic bias between the three measurements (P > 0.05 for all). Good agreements (95 % confidence interval) of FF measurements were demonstrated between pre-contrast and post-contrast1 (−0.49 %, 0.52 %) and post-contrast2 (−0.83 %, 0.77 %). R2* increased in liver and spleen (P = 0.039, P = 0.01) after administration of gadolinium.

Conclusions

Although under the impact of an increased R2* in liver and spleen post-contrast, the investigational sequence can still obtain stable fat quantification. Therefore, it could be applied post-contrast to substantially increase the efficiency of MR examination and also provide a backup for the occasional failure of FF measurements pre-contrast.

Key Points

• Fat quantification with IDEAL-based investigational sequence remains stable after gadolinium administration.
• It can be integrated into tri-phase liver MRI without adding scan time.
• This helps optimize MR protocols and provides more useful information for clinicians.
Literatur
2.
Zurück zum Zitat Matteoni CA, Younossi ZM, Gramlich T, Boparai N, Liu YC, McCullough AJ (1999) Nonalcoholic fatty liver disease: a spectrum of clinical and pathological severity. Gastroenterology 116:1413–1419CrossRefPubMed Matteoni CA, Younossi ZM, Gramlich T, Boparai N, Liu YC, McCullough AJ (1999) Nonalcoholic fatty liver disease: a spectrum of clinical and pathological severity. Gastroenterology 116:1413–1419CrossRefPubMed
3.
Zurück zum Zitat Gramlich T, Kleiner DE, McCullough AJ, Matteoni CA, Boparai N, Younossi ZM (2004) Pathologic features associated with fibrosis in nonalcoholic fatty liver disease. Hum Pathol 35:196–199CrossRefPubMed Gramlich T, Kleiner DE, McCullough AJ, Matteoni CA, Boparai N, Younossi ZM (2004) Pathologic features associated with fibrosis in nonalcoholic fatty liver disease. Hum Pathol 35:196–199CrossRefPubMed
4.
Zurück zum Zitat Falck-Ytter Y, Younossi ZM, Marchesini G, McCullough AJ (2001) Clinical features and natural history of nonalcoholic steatosis syndromes. Semin Liver Dis 21:17–26CrossRefPubMed Falck-Ytter Y, Younossi ZM, Marchesini G, McCullough AJ (2001) Clinical features and natural history of nonalcoholic steatosis syndromes. Semin Liver Dis 21:17–26CrossRefPubMed
5.
Zurück zum Zitat Ratziu V, Charlotte F, Heurtier A et al (2005) Sampling variability of liver biopsy in nonalcoholic fatty liver disease. Gastroenterology 128:1898–1906CrossRefPubMed Ratziu V, Charlotte F, Heurtier A et al (2005) Sampling variability of liver biopsy in nonalcoholic fatty liver disease. Gastroenterology 128:1898–1906CrossRefPubMed
8.
Zurück zum Zitat Glover GH, Schneider E (1991) Three-point Dixon technique for true water/fat decomposition with Bo inhomogeneity correction. Magn Reson Med 18:371–383CrossRefPubMed Glover GH, Schneider E (1991) Three-point Dixon technique for true water/fat decomposition with Bo inhomogeneity correction. Magn Reson Med 18:371–383CrossRefPubMed
9.
Zurück zum Zitat Glover GH (1991) Multipoint Dixon technique for water and fat proton and susceptibility imaging. J Magn Reson Imaging 1:521–530CrossRefPubMed Glover GH (1991) Multipoint Dixon technique for water and fat proton and susceptibility imaging. J Magn Reson Imaging 1:521–530CrossRefPubMed
10.
Zurück zum Zitat Reeder SB, Wen Z, Yu H et al (2004) Multicoil Dixon chemical species separation with an iterative least squares estimation method. Magn Reson Med 51:35–45CrossRefPubMed Reeder SB, Wen Z, Yu H et al (2004) Multicoil Dixon chemical species separation with an iterative least squares estimation method. Magn Reson Med 51:35–45CrossRefPubMed
11.
Zurück zum Zitat Reeder SB, Pineda AR, Wen Z et al (2005) Iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL): application with fast spin-echo imaging. Magn Reson Med 54:636–644CrossRefPubMed Reeder SB, Pineda AR, Wen Z et al (2005) Iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL): application with fast spin-echo imaging. Magn Reson Med 54:636–644CrossRefPubMed
12.
Zurück zum Zitat Xiang Q, An L (1997) Water-fat imaging with direct phase encoding. J Magn Reson Imaging 7:1002–1015CrossRefPubMed Xiang Q, An L (1997) Water-fat imaging with direct phase encoding. J Magn Reson Imaging 7:1002–1015CrossRefPubMed
13.
Zurück zum Zitat Ma J (2004) Breath-hold water and fat imaging using a dual-echo two-point Dixon technique with an efficient and robust phase-correction algorithm. Magn Reson Med 52:415–419CrossRefPubMed Ma J (2004) Breath-hold water and fat imaging using a dual-echo two-point Dixon technique with an efficient and robust phase-correction algorithm. Magn Reson Med 52:415–419CrossRefPubMed
14.
Zurück zum Zitat Martin J, Sentis M, Puig J et al (1996) Comparison of in-phase and opposed-phase GRE and conventional SE MR pulse sequences in T1-weighted imaging of liver lesions. J Comput Assist Tomogr 20:890–897CrossRefPubMed Martin J, Sentis M, Puig J et al (1996) Comparison of in-phase and opposed-phase GRE and conventional SE MR pulse sequences in T1-weighted imaging of liver lesions. J Comput Assist Tomogr 20:890–897CrossRefPubMed
15.
16.
Zurück zum Zitat Hussain HK, Chenevert TL, Londy FJ et al (2005) Hepatic fat fraction: MR imaging for quantitative measurement and display: early experience. Radiology 237:1048–1055CrossRefPubMed Hussain HK, Chenevert TL, Londy FJ et al (2005) Hepatic fat fraction: MR imaging for quantitative measurement and display: early experience. Radiology 237:1048–1055CrossRefPubMed
17.
Zurück zum Zitat Ligabue G, Besutti G, Scaglioni R, Stentarelli C, Guaraldi G (2013) MR quantitative biomarkers of non-alcoholic fatty liver disease: technical evolutions and future trends. Quant Imaging Med Surg 3:192–195PubMedPubMedCentral Ligabue G, Besutti G, Scaglioni R, Stentarelli C, Guaraldi G (2013) MR quantitative biomarkers of non-alcoholic fatty liver disease: technical evolutions and future trends. Quant Imaging Med Surg 3:192–195PubMedPubMedCentral
18.
Zurück zum Zitat Karçaaltincaba M, Idilman I, Celik A (2011) Focal sparing of iron and fat in liver tissue in patients with hemosiderosis: diagnosis with combination of R2* relaxometry and proton density fat fraction calculation by MRI. Diagn Interv Radiol 17:323–327PubMed Karçaaltincaba M, Idilman I, Celik A (2011) Focal sparing of iron and fat in liver tissue in patients with hemosiderosis: diagnosis with combination of R2* relaxometry and proton density fat fraction calculation by MRI. Diagn Interv Radiol 17:323–327PubMed
19.
Zurück zum Zitat Tang A, Tan J, Sun M et al (2013) Nonalcoholic fatty liver disease: MR imaging of liver proton density fat fraction to assess hepatic steatosis. Radiology 267:422–431CrossRefPubMedPubMedCentral Tang A, Tan J, Sun M et al (2013) Nonalcoholic fatty liver disease: MR imaging of liver proton density fat fraction to assess hepatic steatosis. Radiology 267:422–431CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Hines CD, Frydrychowicz A, Hamilton G et al (2011) T1 independent, T2* corrected chemical shift based fat-water separation with multi-peak fat spectral modeling is an accurate and precise measure of hepatic steatosis. JMRI 33:873–881CrossRefPubMedPubMedCentral Hines CD, Frydrychowicz A, Hamilton G et al (2011) T1 independent, T2* corrected chemical shift based fat-water separation with multi-peak fat spectral modeling is an accurate and precise measure of hepatic steatosis. JMRI 33:873–881CrossRefPubMedPubMedCentral
21.
Zurück zum Zitat Kukuk GM, Hittatiya K, Sprinkart AM et al (2015) Comparison between modified Dixon MRI techniques, MR spectroscopic relaxometry, and different histologic quantification methods in the assessment of hepatic steatosis. Eur Radiol. doi:10.1007/s00330-015-3703-6 Kukuk GM, Hittatiya K, Sprinkart AM et al (2015) Comparison between modified Dixon MRI techniques, MR spectroscopic relaxometry, and different histologic quantification methods in the assessment of hepatic steatosis. Eur Radiol. doi:10.​1007/​s00330-015-3703-6
22.
Zurück zum Zitat Idilman IS, Aniktar H, Idilman R et al (2013) Hepatic steatosis: quantification by proton density fat fraction with MR imaging versus liver biopsy. Radiology 267:767–775CrossRefPubMed Idilman IS, Aniktar H, Idilman R et al (2013) Hepatic steatosis: quantification by proton density fat fraction with MR imaging versus liver biopsy. Radiology 267:767–775CrossRefPubMed
23.
Zurück zum Zitat Liau J, Shiehmorteza M, Girard OM, Sirlin CB, Bydder M (2013) Evaluation of MRI fat fraction in the liver and spine pre and post SPIO infusion. Magn Reson Imaging 31:1012–1016CrossRefPubMedPubMedCentral Liau J, Shiehmorteza M, Girard OM, Sirlin CB, Bydder M (2013) Evaluation of MRI fat fraction in the liver and spine pre and post SPIO infusion. Magn Reson Imaging 31:1012–1016CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Mashhood A, Railkar R, Yokoo T et al (2013) Reproducibility of hepatic fat fraction measurement by magnetic resonance imaging. J Magn Reson Imaging 37:1359–1370CrossRefPubMed Mashhood A, Railkar R, Yokoo T et al (2013) Reproducibility of hepatic fat fraction measurement by magnetic resonance imaging. J Magn Reson Imaging 37:1359–1370CrossRefPubMed
25.
Zurück zum Zitat Alla V, Bonkovsky HL (2005) Iron in nonhemochromatotic liver disorders. Semin Liver Dis 25:461–472CrossRefPubMed Alla V, Bonkovsky HL (2005) Iron in nonhemochromatotic liver disorders. Semin Liver Dis 25:461–472CrossRefPubMed
26.
Zurück zum Zitat George DK, Goldwurm S, MacDonald GA et al (1998) Increased hepatic iron concentration in nonalcoholic steatohepatitis is associated with increased fibrosis. Gastroenterology 114:311–318CrossRefPubMed George DK, Goldwurm S, MacDonald GA et al (1998) Increased hepatic iron concentration in nonalcoholic steatohepatitis is associated with increased fibrosis. Gastroenterology 114:311–318CrossRefPubMed
27.
Zurück zum Zitat Henninger B, Zoller H, Rauch S et al (2015) Automated two-point dixon screening for the evaluation of hepatic steatosis and siderosis: comparison with R2*-relaxometry and chemical shift-based sequences. Eur Radiol 25:1356–1365CrossRefPubMed Henninger B, Zoller H, Rauch S et al (2015) Automated two-point dixon screening for the evaluation of hepatic steatosis and siderosis: comparison with R2*-relaxometry and chemical shift-based sequences. Eur Radiol 25:1356–1365CrossRefPubMed
28.
Zurück zum Zitat Yokoo T, Bydder M, Hamilton G et al (2009) Nonalcoholic fatty liver disease: diagnostic and fat-grading accuracy of low-flip-angle multiecho gradient-recalled-echo MR imaging at 1.5 T. Radiology 251:67–76CrossRefPubMedPubMedCentral Yokoo T, Bydder M, Hamilton G et al (2009) Nonalcoholic fatty liver disease: diagnostic and fat-grading accuracy of low-flip-angle multiecho gradient-recalled-echo MR imaging at 1.5 T. Radiology 251:67–76CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Yokoo T, Shiehmorteza M, Hamilton G et al (2011) Estimation of hepatic proton-density fat fraction by using MR imaging at 3.0 T. Radiology 258:749–759CrossRefPubMedPubMedCentral Yokoo T, Shiehmorteza M, Hamilton G et al (2011) Estimation of hepatic proton-density fat fraction by using MR imaging at 3.0 T. Radiology 258:749–759CrossRefPubMedPubMedCentral
30.
Zurück zum Zitat Schieda N, Ramanathan S, Ryan J, Khanna M, Virmani V, Avruch L (2015) Diagnostic accuracy of dual-echo (in- and opposed-phase) T1-weighted gradient recalled echo for detection and grading of hepatic iron using quantitative and visual assessment. Eur Radiol 24:1437–1445CrossRef Schieda N, Ramanathan S, Ryan J, Khanna M, Virmani V, Avruch L (2015) Diagnostic accuracy of dual-echo (in- and opposed-phase) T1-weighted gradient recalled echo for detection and grading of hepatic iron using quantitative and visual assessment. Eur Radiol 24:1437–1445CrossRef
31.
Zurück zum Zitat Chiang HJ, Lin LH, Li CW et al (2014) Magnetic resonance fat quantification in living donor liver transplantation. Transplant Proc 46:666–668CrossRefPubMed Chiang HJ, Lin LH, Li CW et al (2014) Magnetic resonance fat quantification in living donor liver transplantation. Transplant Proc 46:666–668CrossRefPubMed
32.
Zurück zum Zitat Shuter B, Tofts PS, Wang SC, Pope JM (1996) The relaxivity of Gd-EOB-DTPA and Gd-DTPA in liver and kidney of the Wister rat. Magn Reson Imaging 14:243–253CrossRefPubMed Shuter B, Tofts PS, Wang SC, Pope JM (1996) The relaxivity of Gd-EOB-DTPA and Gd-DTPA in liver and kidney of the Wister rat. Magn Reson Imaging 14:243–253CrossRefPubMed
33.
Zurück zum Zitat Meisamy S, Hines CD, Hamilton G et al (2011) Quantification of hepatic steatosis with T1-independent, T2*-corrected MR imaging with spectral modeling of fat: blinded comparison with MR spectroscopy. Radiology 258:767–775CrossRefPubMedPubMedCentral Meisamy S, Hines CD, Hamilton G et al (2011) Quantification of hepatic steatosis with T1-independent, T2*-corrected MR imaging with spectral modeling of fat: blinded comparison with MR spectroscopy. Radiology 258:767–775CrossRefPubMedPubMedCentral
Metadaten
Titel
Effect of gadolinium on hepatic fat quantification using multi-echo reconstruction technique with T2* correction and estimation
verfasst von
Mingmei Ge
Jing Zhang
Bing Wu
Zhiqin Liu
Hai Song
Xiangfeng Meng
Xinhuai Wu
Publikationsdatum
17.09.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
European Radiology / Ausgabe 6/2016
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-015-3981-z

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