Literature DB >> 22777877

Assessment of the liver strain among cirrhotic and normal livers using tagged MRI.

Lorenzo Mannelli1, Gregory J Wilson, Theodore J Dubinsky, Christopher A Potter, Puneet Bhargava, Carlos Cuevas, Ken F Linnau, Orpheus Kolokythas, Martin L Gunn, Jeffrey H Maki.   

Abstract

PURPOSE: To use magnetization tagged magnetic resonance imaging (MRI) (tag-MRI) to quantify cardiac induced liver strain and compare strain of cirrhotic and normal livers.
MATERIALS AND METHODS: Tag-MRI was performed at 1.5T on eight subjects with no history of liver disease and 10 patients with liver cirrhosis. A breath-hold peripheral pulse-gated (PPG) conventional tag-MRI cine sequence was performed with planes to include the left lobe of the liver and the inferior wall of the heart. Commercially available software HARP (Diagnosoft, Palo Alto, CA) was used for image analysis and strain calculation. Three regions-of-interest (ROIs) were selected: segment II of the liver near the heart (A), right liver lobe far from the heart (B), and the left ventricular wall (C). The average and maximal (max) strain were measured in A, B, and C. The maximum strains were used to generate a cardiac-corrected strain gradient: (maxA-maxB)/maxC. Results were compared with Student's t-test (SPSS, Chicago, IL).
RESULTS: In subjects with no history of liver disease vs. cirrhotic patients, the average strain was 22% ± 7% vs. 4% ± 3% (P < 0.001), the max strain was 63% ± 15% vs. 17% ± 5% (P < 0.001), and the corrected strain gradient was 0.52 ± 0.16 vs. 0.11% ± 0.08%.
CONCLUSION: There is a significant difference in liver strain measured with tag-MRI between subjects with no history of liver disease and patients with cirrhosis.
Copyright © 2012 Wiley Periodicals, Inc.

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Year:  2012        PMID: 22777877     DOI: 10.1002/jmri.23743

Source DB:  PubMed          Journal:  J Magn Reson Imaging        ISSN: 1053-1807            Impact factor:   4.813


  19 in total

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10.  Prognostic Role of Liver Stiffness Measurements Using Magnetic Resonance Elastography in Patients with Compensated Chronic Liver Disease.

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