Automated liver volumetry and hepatic steatosis quantification with magnetic resonance imaging proton density fat fraction

Preoperative imaging evaluation of liver volume and hepatic steatosis for the donor affects transplantation outcomes. However, computed tomography (CT) for liver volumetry and magnetic resonance spectroscopy (MRS) for hepatic steatosis are time consuming. Therefore, we investigated the correlation o...

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Veröffentlicht in:Journal of the Formosan Medical Association 2024-04
Hauptverfasser: Chang, Yuan-Chen, Yen, Kuang-Chen, Liang, Po-Chin, Ho, Ming-Chih, Ho, Cheng-Maw, Hsiao, Chih-Yang, Hsiao, Chiu-Han, Lu, Chia-Hsun, Wu, Chih-Horng
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container_title Journal of the Formosan Medical Association
container_volume
creator Chang, Yuan-Chen
Yen, Kuang-Chen
Liang, Po-Chin
Ho, Ming-Chih
Ho, Cheng-Maw
Hsiao, Chih-Yang
Hsiao, Chiu-Han
Lu, Chia-Hsun
Wu, Chih-Horng
description Preoperative imaging evaluation of liver volume and hepatic steatosis for the donor affects transplantation outcomes. However, computed tomography (CT) for liver volumetry and magnetic resonance spectroscopy (MRS) for hepatic steatosis are time consuming. Therefore, we investigated the correlation of automated 3D-multi-echo-Dixon sequence magnetic resonance imaging (ME-Dixon MRI) and its derived proton density fat fraction (MRI-PDFF) with CT liver volumetry and MRS hepatic steatosis measurements in living liver donors. This retrospective cross-sectional study was conducted from December 2017 to November 2022. We enrolled donors who received a dynamic CT scan and an MRI exam within 2 days. First, the CT volumetry was processed semiautomatically using commercial software, and ME-Dixon MRI volumetry was automatically measured using an embedded sequence. Next, the signal intensity of MRI-PDFF volumetric data was correlated with MRS as the gold standard. We included the 165 living donors. The total liver volume of ME-Dixon MRI was significantly correlated with CT (r = 0.913, p 
doi_str_mv 10.1016/j.jfma.2024.04.012
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However, computed tomography (CT) for liver volumetry and magnetic resonance spectroscopy (MRS) for hepatic steatosis are time consuming. Therefore, we investigated the correlation of automated 3D-multi-echo-Dixon sequence magnetic resonance imaging (ME-Dixon MRI) and its derived proton density fat fraction (MRI-PDFF) with CT liver volumetry and MRS hepatic steatosis measurements in living liver donors. This retrospective cross-sectional study was conducted from December 2017 to November 2022. We enrolled donors who received a dynamic CT scan and an MRI exam within 2 days. First, the CT volumetry was processed semiautomatically using commercial software, and ME-Dixon MRI volumetry was automatically measured using an embedded sequence. Next, the signal intensity of MRI-PDFF volumetric data was correlated with MRS as the gold standard. We included the 165 living donors. The total liver volume of ME-Dixon MRI was significantly correlated with CT (r = 0.913, p &lt; 0.001). The fat percentage measured using MRI-PDFF revealed a strong correlation between automatic segmental volume and MRS (r = 0.705, p &lt; 0.001). Furthermore, the hepatic steatosis group (MRS ≥5%) had a strong correlation than the non–hepatic steatosis group (MRS &lt;5%) in both volumetric (r = 0.906 vs. r = 0.887) and fat fraction analysis (r = 0.779 vs. r = 0.338). Automated ME-Dixon MRI liver volumetry and MRI-PDFF were strongly correlated with CT liver volumetry and MRS hepatic steatosis measurements, especially in donors with hepatic steatosis.</description><identifier>ISSN: 0929-6646</identifier><identifier>EISSN: 1876-0821</identifier><identifier>DOI: 10.1016/j.jfma.2024.04.012</identifier><identifier>PMID: 38643056</identifier><language>eng</language><publisher>Singapore: Elsevier B.V</publisher><subject>Hepatic steatosis ; Liver transplantation ; Magnetic resonance imaging ; Volumetry</subject><ispartof>Journal of the Formosan Medical Association, 2024-04</ispartof><rights>2024 Formosan Medical Association</rights><rights>Copyright © 2024 Formosan Medical Association. Published by Elsevier B.V. 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However, computed tomography (CT) for liver volumetry and magnetic resonance spectroscopy (MRS) for hepatic steatosis are time consuming. Therefore, we investigated the correlation of automated 3D-multi-echo-Dixon sequence magnetic resonance imaging (ME-Dixon MRI) and its derived proton density fat fraction (MRI-PDFF) with CT liver volumetry and MRS hepatic steatosis measurements in living liver donors. This retrospective cross-sectional study was conducted from December 2017 to November 2022. We enrolled donors who received a dynamic CT scan and an MRI exam within 2 days. First, the CT volumetry was processed semiautomatically using commercial software, and ME-Dixon MRI volumetry was automatically measured using an embedded sequence. Next, the signal intensity of MRI-PDFF volumetric data was correlated with MRS as the gold standard. We included the 165 living donors. The total liver volume of ME-Dixon MRI was significantly correlated with CT (r = 0.913, p &lt; 0.001). The fat percentage measured using MRI-PDFF revealed a strong correlation between automatic segmental volume and MRS (r = 0.705, p &lt; 0.001). Furthermore, the hepatic steatosis group (MRS ≥5%) had a strong correlation than the non–hepatic steatosis group (MRS &lt;5%) in both volumetric (r = 0.906 vs. r = 0.887) and fat fraction analysis (r = 0.779 vs. r = 0.338). 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The fat percentage measured using MRI-PDFF revealed a strong correlation between automatic segmental volume and MRS (r = 0.705, p &lt; 0.001). Furthermore, the hepatic steatosis group (MRS ≥5%) had a strong correlation than the non–hepatic steatosis group (MRS &lt;5%) in both volumetric (r = 0.906 vs. r = 0.887) and fat fraction analysis (r = 0.779 vs. r = 0.338). 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source Elsevier ScienceDirect Journals Complete; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek
subjects Hepatic steatosis
Liver transplantation
Magnetic resonance imaging
Volumetry
title Automated liver volumetry and hepatic steatosis quantification with magnetic resonance imaging proton density fat fraction
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