Bibliographic Details
Title: |
Assessment of clinical signs of liver cirrhosis using T1 mapping on Gd-EOB-DTPA-enhanced 3T MRI. |
Authors: |
Michael Haimerl, Niklas Verloh, Florian Zeman, Claudia Fellner, René Müller-Wille, Andreas G Schreyer, Christian Stroszczynski, Philipp Wiggermann |
Source: |
PLoS ONE, Vol 8, Iss 12, p e85658 (2013) |
Publisher Information: |
Public Library of Science (PLoS), 2013. |
Publication Year: |
2013 |
Collection: |
LCC:Medicine LCC:Science |
Subject Terms: |
Medicine, Science |
More Details: |
OBJECTIVES: To assess the differences between normal and cirrhotic livers by means of T1 mapping of liver parenchyma on gadoxetic acid (Gd-EOB-DTPA)-enhanced 3 Tesla (3T) MR imaging (MRI). METHODS: 162 patients with normal (n = 96) and cirrhotic livers (n = 66; Child-Pugh class A, n = 30; B, n = 28; C, n = 8) underwent Gd-EOB-DTPA-enhanced 3T MRI. To obtain T1 maps, two TurboFLASH sequences (TI = 400 ms and 1000 ms) before and 20 min after Gd-EOB-DTPA administration were acquired. T1 relaxation times of the liver and the reduction rate between pre- and post-contrast enhancement images were measured. RESULTS: The T1 relaxation times for Gd-EOB-DTPA-enhanced MRI showed significant differences between patients with normal liver function and patients with Child-Pugh class A, B, and C (p < 0.001). The T1 relaxation times showed a constant significant increase from Child-Pugh class A up to class C (Child-Pugh class A, 335 ms ± 80 ms; B, 431 ms ± 75 ms; C, 557 ms ± 99 ms; Child-Pugh A to B, p < 0.001; Child-Pugh A to C, p < 0.001; Child-Pugh B to C, p < 0.001) and a constant decrease of the reduction rate of T1 relaxation times (Child-Pugh class A, 57.1% ± 8.8%; B, 44.3% ± 10.2%, C, 29.9% ± 6.9%; Child-Pugh A to B, p < 0.001; Child-Pugh A to C,p < 0.001; Child-Pugh B to C, p < 0.001). CONCLUSION: Gd-EOB-DTPA-enhanced T1 mapping of the liver parenchyma may present a useful method for determining severity of liver cirrhosis. |
Document Type: |
article |
File Description: |
electronic resource |
Language: |
English |
ISSN: |
1932-6203 |
Relation: |
http://europepmc.org/articles/PMC3877368?pdf=render; https://doaj.org/toc/1932-6203 |
DOI: |
10.1371/journal.pone.0085658 |
Access URL: |
https://doaj.org/article/b1b288d4f55b49ee88941177d59b0516 |
Accession Number: |
edsdoj.b1b288d4f55b49ee88941177d59b0516 |
Database: |
Directory of Open Access Journals |