MR relaxometry of the liver: significant elevation of T1 relaxation time in patients with liver cirrhosis.

Objectives: To evaluate hepatic relaxation times T1, T2 and T2* in healthy subjects and patients with liver cirrhosis stratified by the Child-Pugh classification (CPC).Methods: Sixty-one consecutive patients were stratified by CPC (class A026; B020; C015) and compared with age-matched controls (n =...

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Publicado en:European Radiology Vol. 22; no. 6; pp. 1224 - 1233
Autores principales: Heye T, Yang SR, Bock M, Brost S, Weigand K, Longerich T, Kauczor HU, Hosch W, Heye, Tobias, Yang, Schu-Ren, Bock, Michael, Brost, Sylvia, Weigand, Kilian, Longerich, Thomas, Kauczor, Hans-Ulrich, Hosch, Waldemar
Formato: research Journal Article
Publicado: Springer Nature Jun2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2012
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      pub: Springer Nature
      place: New York, New York
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        atl: MR relaxometry of the liver: significant elevation of T1 relaxation time in patients with liver cirrhosis.
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          Heye T
          Yang SR
          Bock M
          Brost S
          Weigand K
          Longerich T
          Kauczor HU
          Hosch W
          Heye, Tobias
          Yang, Schu-Ren
          Bock, Michael
          Brost, Sylvia
          Weigand, Kilian
          Longerich, Thomas
          Kauczor, Hans-Ulrich
          Hosch, Waldemar
        affil: Department of Diagnostic and Interventional Radiology, University Hospital, Heidelberg, Germany
      sug:
        subj:
          Algorithms
          Image Interpretation, Computer Assisted Methods
          Liver Cirrhosis Pathology
          Magnetic Resonance Imaging Methods
          Female
          Human
          Image Enhancement Methods
          Male
          Middle Age
          Reproducibility of Results
          Sensitivity and Specificity
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objectives: To evaluate hepatic relaxation times T1, T2 and T2* in healthy subjects and patients with liver cirrhosis stratified by the Child-Pugh classification (CPC).Methods: Sixty-one consecutive patients were stratified by CPC (class A026; B020; C015) and compared with age-matched controls (n = 31). Relaxometry measurements were performed at 1.5 T using six saturation recovery times (200-3,000 ms) to determine liver T1, six echo times (TE 14-113 ms) for T2 and eight TE (4.8-38 ms) for T2* assessment. Signal intensities in selected regions of interest in the liver parenchyma were fitted to theoretical models with least squares minimisation algorithms to determine T1, T2 and T2*.Results: The most significant difference was the higher T1 values (852 ± 132 ms) in cirrhotic livers compared with controls (678 ± 45 ms, P < 0.0001). A less significant difference was seen for T2* (23 ± 5 vs. 26 ± 7 ms). Subdifferentiation showed a statistically significant difference between control group and individual CPC classes as well as between class C and classes A or B for T1 relaxation times.Conclusion: Measurement of T1 relaxation time can differentiate healthy subjects from patients with liver cirrhosis, and can distinguish between mild/moderate disease (CPC A/B) and advanced disease (CPC C).Key Points: • Significantly elevated magnetic resonance T1 relaxation times are found in liver cirrhosis. • T1 relaxation times can distinguish healthy subjects from patients with liver cirrhosis. • T1 relaxation times can distinguish Child-Pugh classes Aand B from C.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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