MRI Extracellular Volume Fraction in Liver Fibrosis—A Comparison of Different Time Points and Blood Pool Measurements

Background Extracellular volume (ECV) correlates with the degree of liver fibrosis. Purpose To analyze the performance of liver MRI‐based ECV evaluations with different blood pool measurements at different time points. Study Type Prospective. Sample 73 consecutive patients (n = 31 females, mean age...

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Veröffentlicht in:Journal of magnetic resonance imaging 2024-10, Vol.60 (4), p.1678-1688
Hauptverfasser: Obmann, Verena Carola, Ardoino, Marie, Klaus, Jeremias, Catucci, Damiano, Berzigotti, Annalisa, Montani, Matteo, Peters, Alan, Todorski, Inga, Wagner, Benedikt, Zbinden, Lukas, Gräni, Christoph, Ebner, Lukas, Heverhagen, Johannes Thomas, Christe, Andreas, Huber, Adrian Thomas
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container_issue 4
container_start_page 1678
container_title Journal of magnetic resonance imaging
container_volume 60
creator Obmann, Verena Carola
Ardoino, Marie
Klaus, Jeremias
Catucci, Damiano
Berzigotti, Annalisa
Montani, Matteo
Peters, Alan
Todorski, Inga
Wagner, Benedikt
Zbinden, Lukas
Gräni, Christoph
Ebner, Lukas
Heverhagen, Johannes Thomas
Christe, Andreas
Huber, Adrian Thomas
description Background Extracellular volume (ECV) correlates with the degree of liver fibrosis. Purpose To analyze the performance of liver MRI‐based ECV evaluations with different blood pool measurements at different time points. Study Type Prospective. Sample 73 consecutive patients (n = 31 females, mean age 56 years) with histopathology‐proven liver fibrosis. Field Strength/Sequence 3T acquisition within 90 days of biopsy, including shortened modified look–locker inversion recovery T1 mapping. Assessment Polygonal regions of interest were manually drawn in the liver, aorta, vena cava, and in the main, left and right portal vein on four slices before and after Gd‐DOTA administration at 5/10/15 minutes. ECV was calculated 1) on one single slice on portal bifurcation level, and 2) averaged over all four slices. Statistical Tests Parameters were compared between patients with fibrosis grades F0‐2 and F3‐F4 with the Mann–Whitney U and fishers exact test. ROC analysis was used to assess the performance of the parameters to predict F3‐4 fibrosis. A P‐value
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Purpose To analyze the performance of liver MRI‐based ECV evaluations with different blood pool measurements at different time points. Study Type Prospective. Sample 73 consecutive patients (n = 31 females, mean age 56 years) with histopathology‐proven liver fibrosis. Field Strength/Sequence 3T acquisition within 90 days of biopsy, including shortened modified look–locker inversion recovery T1 mapping. Assessment Polygonal regions of interest were manually drawn in the liver, aorta, vena cava, and in the main, left and right portal vein on four slices before and after Gd‐DOTA administration at 5/10/15 minutes. ECV was calculated 1) on one single slice on portal bifurcation level, and 2) averaged over all four slices. Statistical Tests Parameters were compared between patients with fibrosis grades F0‐2 and F3‐F4 with the Mann–Whitney U and fishers exact test. ROC analysis was used to assess the performance of the parameters to predict F3‐4 fibrosis. A P‐value &lt;0.05 was considered statistically significant. Results ECV was significantly higher in F3‐4 fibrosis (35.4% [33.1%–37.6%], 36.1% [34.2%–37.5%], and 37.0% [34.8%–39.2%] at 5/10/15 minutes) than in patients with F0‐2 fibrosis (33.3% [30.8%–34.8%], 33.7% [31.6%–34.7%] and 34.9% [32.2%–36.0%]; AUC = 0.72–0.75). Blood pool T1 relaxation times in the aorta and vena cava were longer on the upper vs. lower slices at 5 minutes, but not at 10/15 minutes. AUC values were similar when measured on a single slice (AUC = 0.69–0.72) or based on blood pool measurements in the cava or portal vein (AUC = 0.63–0.67 and AUC = 0.65–0.70). Data Conclusion Liver ECV is significantly higher in F3‐4 fibrosis compared to F0‐2 fibrosis with blood pool measurements performed in the aorta, inferior vena cava, and portal vein at 5, 10, and 15 minutes. However, a smaller variability was observed for blood pool measurements between slices at 15 minutes. Level of Evidence 1 Technical Efficacy Stage 3</description><identifier>ISSN: 1053-1807</identifier><identifier>ISSN: 1522-2586</identifier><identifier>EISSN: 1522-2586</identifier><identifier>DOI: 10.1002/jmri.29259</identifier><identifier>PMID: 38553860</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Adult ; Aged ; Aorta ; Bifurcations ; Biopsy ; Blood ; Contrast Media ; Coronary vessels ; extracellular space ; Female ; Fibrosis ; Field strength ; Gadolinium ; Heterocyclic Compounds ; Histopathology ; Humans ; inflammation ; Liver ; Liver - diagnostic imaging ; Liver - pathology ; Liver cirrhosis ; Liver Cirrhosis - diagnostic imaging ; Liver Cirrhosis - pathology ; liver diseases ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Middle Aged ; Organometallic Compounds ; Parameters ; Performance assessment ; Performance evaluation ; Portal vein ; Prospective Studies ; Reproducibility of Results ; ROC Curve ; Statistical analysis ; Statistical tests ; Time Factors ; Time measurement ; Veins ; Veins &amp; arteries</subject><ispartof>Journal of magnetic resonance imaging, 2024-10, Vol.60 (4), p.1678-1688</ispartof><rights>2024 The Authors. published by Wiley Periodicals LLC on behalf of International Society for Magnetic Resonance in Medicine.</rights><rights>2024 The Authors. Journal of Magnetic Resonance Imaging published by Wiley Periodicals LLC on behalf of International Society for Magnetic Resonance in Medicine.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3939-4bc3b2b0ecfae15e77b1ae48407cbd4a7633689d3a9100e1ed5e910a4f26ad513</citedby><cites>FETCH-LOGICAL-c3939-4bc3b2b0ecfae15e77b1ae48407cbd4a7633689d3a9100e1ed5e910a4f26ad513</cites><orcidid>0000-0002-9864-6381 ; 0000-0001-6146-8238 ; 0000-0001-6572-9968</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmri.29259$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmri.29259$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38553860$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Obmann, Verena Carola</creatorcontrib><creatorcontrib>Ardoino, Marie</creatorcontrib><creatorcontrib>Klaus, Jeremias</creatorcontrib><creatorcontrib>Catucci, Damiano</creatorcontrib><creatorcontrib>Berzigotti, Annalisa</creatorcontrib><creatorcontrib>Montani, Matteo</creatorcontrib><creatorcontrib>Peters, Alan</creatorcontrib><creatorcontrib>Todorski, Inga</creatorcontrib><creatorcontrib>Wagner, Benedikt</creatorcontrib><creatorcontrib>Zbinden, Lukas</creatorcontrib><creatorcontrib>Gräni, Christoph</creatorcontrib><creatorcontrib>Ebner, Lukas</creatorcontrib><creatorcontrib>Heverhagen, Johannes Thomas</creatorcontrib><creatorcontrib>Christe, Andreas</creatorcontrib><creatorcontrib>Huber, Adrian Thomas</creatorcontrib><title>MRI Extracellular Volume Fraction in Liver Fibrosis—A Comparison of Different Time Points and Blood Pool Measurements</title><title>Journal of magnetic resonance imaging</title><addtitle>J Magn Reson Imaging</addtitle><description>Background Extracellular volume (ECV) correlates with the degree of liver fibrosis. Purpose To analyze the performance of liver MRI‐based ECV evaluations with different blood pool measurements at different time points. Study Type Prospective. Sample 73 consecutive patients (n = 31 females, mean age 56 years) with histopathology‐proven liver fibrosis. Field Strength/Sequence 3T acquisition within 90 days of biopsy, including shortened modified look–locker inversion recovery T1 mapping. Assessment Polygonal regions of interest were manually drawn in the liver, aorta, vena cava, and in the main, left and right portal vein on four slices before and after Gd‐DOTA administration at 5/10/15 minutes. ECV was calculated 1) on one single slice on portal bifurcation level, and 2) averaged over all four slices. Statistical Tests Parameters were compared between patients with fibrosis grades F0‐2 and F3‐F4 with the Mann–Whitney U and fishers exact test. ROC analysis was used to assess the performance of the parameters to predict F3‐4 fibrosis. A P‐value &lt;0.05 was considered statistically significant. Results ECV was significantly higher in F3‐4 fibrosis (35.4% [33.1%–37.6%], 36.1% [34.2%–37.5%], and 37.0% [34.8%–39.2%] at 5/10/15 minutes) than in patients with F0‐2 fibrosis (33.3% [30.8%–34.8%], 33.7% [31.6%–34.7%] and 34.9% [32.2%–36.0%]; AUC = 0.72–0.75). Blood pool T1 relaxation times in the aorta and vena cava were longer on the upper vs. lower slices at 5 minutes, but not at 10/15 minutes. AUC values were similar when measured on a single slice (AUC = 0.69–0.72) or based on blood pool measurements in the cava or portal vein (AUC = 0.63–0.67 and AUC = 0.65–0.70). Data Conclusion Liver ECV is significantly higher in F3‐4 fibrosis compared to F0‐2 fibrosis with blood pool measurements performed in the aorta, inferior vena cava, and portal vein at 5, 10, and 15 minutes. However, a smaller variability was observed for blood pool measurements between slices at 15 minutes. Level of Evidence 1 Technical Efficacy Stage 3</description><subject>Adult</subject><subject>Aged</subject><subject>Aorta</subject><subject>Bifurcations</subject><subject>Biopsy</subject><subject>Blood</subject><subject>Contrast Media</subject><subject>Coronary vessels</subject><subject>extracellular space</subject><subject>Female</subject><subject>Fibrosis</subject><subject>Field strength</subject><subject>Gadolinium</subject><subject>Heterocyclic Compounds</subject><subject>Histopathology</subject><subject>Humans</subject><subject>inflammation</subject><subject>Liver</subject><subject>Liver - diagnostic imaging</subject><subject>Liver - pathology</subject><subject>Liver cirrhosis</subject><subject>Liver Cirrhosis - diagnostic imaging</subject><subject>Liver Cirrhosis - pathology</subject><subject>liver diseases</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Organometallic Compounds</subject><subject>Parameters</subject><subject>Performance assessment</subject><subject>Performance evaluation</subject><subject>Portal vein</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>ROC Curve</subject><subject>Statistical analysis</subject><subject>Statistical tests</subject><subject>Time Factors</subject><subject>Time measurement</subject><subject>Veins</subject><subject>Veins &amp; 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Purpose To analyze the performance of liver MRI‐based ECV evaluations with different blood pool measurements at different time points. Study Type Prospective. Sample 73 consecutive patients (n = 31 females, mean age 56 years) with histopathology‐proven liver fibrosis. Field Strength/Sequence 3T acquisition within 90 days of biopsy, including shortened modified look–locker inversion recovery T1 mapping. Assessment Polygonal regions of interest were manually drawn in the liver, aorta, vena cava, and in the main, left and right portal vein on four slices before and after Gd‐DOTA administration at 5/10/15 minutes. ECV was calculated 1) on one single slice on portal bifurcation level, and 2) averaged over all four slices. Statistical Tests Parameters were compared between patients with fibrosis grades F0‐2 and F3‐F4 with the Mann–Whitney U and fishers exact test. ROC analysis was used to assess the performance of the parameters to predict F3‐4 fibrosis. A P‐value &lt;0.05 was considered statistically significant. Results ECV was significantly higher in F3‐4 fibrosis (35.4% [33.1%–37.6%], 36.1% [34.2%–37.5%], and 37.0% [34.8%–39.2%] at 5/10/15 minutes) than in patients with F0‐2 fibrosis (33.3% [30.8%–34.8%], 33.7% [31.6%–34.7%] and 34.9% [32.2%–36.0%]; AUC = 0.72–0.75). Blood pool T1 relaxation times in the aorta and vena cava were longer on the upper vs. lower slices at 5 minutes, but not at 10/15 minutes. AUC values were similar when measured on a single slice (AUC = 0.69–0.72) or based on blood pool measurements in the cava or portal vein (AUC = 0.63–0.67 and AUC = 0.65–0.70). Data Conclusion Liver ECV is significantly higher in F3‐4 fibrosis compared to F0‐2 fibrosis with blood pool measurements performed in the aorta, inferior vena cava, and portal vein at 5, 10, and 15 minutes. However, a smaller variability was observed for blood pool measurements between slices at 15 minutes. Level of Evidence 1 Technical Efficacy Stage 3</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>38553860</pmid><doi>10.1002/jmri.29259</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-9864-6381</orcidid><orcidid>https://orcid.org/0000-0001-6146-8238</orcidid><orcidid>https://orcid.org/0000-0001-6572-9968</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aorta
Bifurcations
Biopsy
Blood
Contrast Media
Coronary vessels
extracellular space
Female
Fibrosis
Field strength
Gadolinium
Heterocyclic Compounds
Histopathology
Humans
inflammation
Liver
Liver - diagnostic imaging
Liver - pathology
Liver cirrhosis
Liver Cirrhosis - diagnostic imaging
Liver Cirrhosis - pathology
liver diseases
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Middle Aged
Organometallic Compounds
Parameters
Performance assessment
Performance evaluation
Portal vein
Prospective Studies
Reproducibility of Results
ROC Curve
Statistical analysis
Statistical tests
Time Factors
Time measurement
Veins
Veins & arteries
title MRI Extracellular Volume Fraction in Liver Fibrosis—A Comparison of Different Time Points and Blood Pool Measurements
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