Quantitative assessment of liver fat with magnetic resonance imaging and spectroscopy.

Hepatic steatosis is characterized by abnormal and excessive accumulation of lipids within hepatocytes. It is an important feature of diffuse liver disease, and the histological hallmark of nonalcoholic fatty liver disease (NAFLD). Other conditions associated with steatosis include alcoholic liver d...

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Publicado en:Journal of Magnetic Resonance Imaging Vol. 34; no. 4; pp. 729 - 750
Autores principales: Reeder SB, Cruite I, Hamilton G, Sirlin CB, Reeder, Scott B, Cruite, Irene, Hamilton, Gavin, Sirlin, Claude B
Formato: research Journal Article
Publicado: Wiley-Blackwell Oct2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2011
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      pub: Wiley-Blackwell
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        atl: Quantitative assessment of liver fat with magnetic resonance imaging and spectroscopy.
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          Reeder SB
          Cruite I
          Hamilton G
          Sirlin CB
          Reeder, Scott B
          Cruite, Irene
          Hamilton, Gavin
          Sirlin, Claude B
        affil: Liver Imaging Research Program, Department of Radiology, University of Wisconsin, Madison, Wisconsin, USA
      sug:
        subj:
          Fatty Liver Diagnosis
          Liver Pathology
          Magnetic Resonance Imaging Methods
          Magnetic Resonance Spectroscopy Methods
          Diagnostic Imaging Methods
          Fatty Liver Pathology
          Female
          Liver Radiography
          Liver Ultrasonography
          Male
          Sensitivity and Specificity
          Severity of Illness Indices
          Tomography, X-Ray Computed Methods
          Ultrasonography, Doppler Methods
          Female
          Male
      ab: Hepatic steatosis is characterized by abnormal and excessive accumulation of lipids within hepatocytes. It is an important feature of diffuse liver disease, and the histological hallmark of nonalcoholic fatty liver disease (NAFLD). Other conditions associated with steatosis include alcoholic liver disease, viral hepatitis, human immunodeficiency virus (HIV) and genetic lipodystrophies, cystic fibrosis liver disease, and hepatotoxicity from various therapeutic agents. Liver biopsy, the current clinical gold standard for assessment of liver fat, is invasive and has sampling errors, and is not optimal for screening, monitoring, clinical decision-making, or well suited for many types of research studies. Noninvasive methods that accurately and objectively quantify liver fat are needed. Ultrasound (US) and computed tomography (CT) can be used to assess liver fat but have limited accuracy as well as other limitations. Magnetic resonance (MR) techniques can decompose the liver signal into its fat and water signal components and therefore assess liver fat more directly than CT or US. Most MR techniques measure the signal fat-fraction (the fraction of the liver MR signal attributable to liver fat), which may be confounded by numerous technical and biological factors and may not reliably reflect fat content. By addressing the factors that confound the signal fat-fraction, advanced MR techniques measure the proton density fat-fraction (the fraction of the liver proton density attributable to liver fat), which is a fundamental tissue property and a direct measure of liver fat content. These advanced techniques show promise for accurate fat quantification and are likely to be commercially available soon.
      pubtype: Academic Journal
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        Journal Article
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    language: English
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