Diagnostic Performance of a Rapid Magnetic Resonance Imaging Method of Measuring Hepatic Steatosis

作者: Michael J. House , Eng K. Gan , Leon A. Adams , Oyekoya T. Ayonrinde , Sander J. Bangma

DOI: 10.1371/JOURNAL.PONE.0059287

关键词:

摘要: Objectives: Hepatic steatosis is associated with an increased risk of developing serious liver disease and other clinical sequelae the metabolic syndrome. However, visual estimates from histological sections biopsy samples are subjective reliant on invasive procedure risks. The aim this study was to test ability a rapid, routinely available, magnetic resonance imaging (MRI) method diagnose clinically relevant grades hepatic in cohort patients diverse diseases. Materials Methods: Fifty-nine range diseases underwent MRI. quantified firstly using opposed-phase, in-phase gradient echo, single breath-hold MRI methodology secondly, estimation by histopathologist computer-assisted morphometric image analysis. area under receiver operating characteristic (ROC) curve used assess diagnostic performance against observations. Results: approach had high sensitivity specificity at all thresholds. Areas ROC curves were 0.962, 0.993, 0.972 thresholds 5%, 33%, 66% fat, respectively. measurements strongly (r2 = 0.83) 0.84) specimens. Conclusions: This approach, conventional, echo method, has for diagnosing fat

参考文章(39)
Frank Pilleul, Géraldine Chave, Jérome Dumortier, Jean-Yves Scoazec, Pierre-Jean Valette, Fatty infiltration of the liver Gastroentérologie Clinique et Biologique. ,vol. 29, pp. 1143- 1147 ,(2005) , 10.1016/S0399-8320(05)82179-7
Tim G. St Pierre, Amal El‐Beshlawy, Mohsen Elalfy, Abdullah Al Jefri, Kusai Al Zir, Shahina Daar, Dany Habr, Ulrike Kriemler‐Krahn, Ali Taher, Multicenter validation of spin-density projection-assisted R2-MRI for the noninvasive measurement of liver iron concentration. Magnetic Resonance in Medicine. ,vol. 71, pp. 2215- 2223 ,(2014) , 10.1002/MRM.24854
Nicolas Mennesson, Jérôme Dumortier, Valérie Hervieu, Laurent Milot, Olivier Guillaud, Jean-Yves Scoazec, Frank Pilleul, Liver steatosis quantification using magnetic resonance imaging: a prospective comparative study with liver biopsy. Journal of Computer Assisted Tomography. ,vol. 33, pp. 672- 677 ,(2009) , 10.1097/RCT.0B013E318199D883
C. A Siegel, A. M Silas, A. A Suriawinata, D. J van Leeuwen, Liver biopsy 2005: when and how? Cleveland Clinic Journal of Medicine. ,vol. 72, pp. 199- 224 ,(2005) , 10.3949/CCJM.72.3.199
Benjamin M. Yeh, Raphael B. Merriman, Fergus V. Coakley, Aliya Qayyum, Jeffrey S. Goh, Sanjay Kakar, Accuracy of liver fat quantification at MR imaging: Comparison of out-of-phase gradient-echo and fat-saturated fast spin-echo techniques - Initial experience Radiology. ,vol. 237, pp. 507- 511 ,(2005) , 10.1148/RADIOL.2372040539
Jens-Peter Kühn, Matthias Evert, Nele Friedrich, Stephan Kannengiesser, Julia Mayerle, Robert Thiel, Markus M. Lerch, Frank Dombrowski, Birger Mensel, Norbert Hosten, Ralf Puls, Noninvasive quantification of hepatic fat content using three-echo dixon magnetic resonance imaging with correction for T2* relaxation effects. Investigative Radiology. ,vol. 46, pp. 783- 789 ,(2011) , 10.1097/RLI.0B013E31822B124C
Clifford S. Cho, Sean Curran, Lawrence H. Schwartz, David A. Kooby, David S. Klimstra, Jinru Shia, Alejandro Munoz, Yuman Fong, William R. Jarnagin, Ronald P. DeMatteo, Leslie H. Blumgart, Michael I. D’Angelica, Preoperative Radiographic Assessment of Hepatic Steatosis with Histologic Correlation Journal of the American College of Surgeons. ,vol. 206, pp. 480- 488 ,(2008) , 10.1016/J.JAMCOLLSURG.2007.08.020
Ashraf Mohammad El-Badry, Stefan Breitenstein, Wolfram Jochum, Kay Washington, Valérie Paradis, Laura Rubbia-Brandt, Milo A. Puhan, Ksenija Slankamenac, Rolf Graf, Pierre-Alain Clavien, Assessment of hepatic steatosis by expert pathologists: the end of a gold standard. Annals of Surgery. ,vol. 250, pp. 691- 697 ,(2009) , 10.1097/SLA.0B013E3181BCD6DD
Mark Fishbein, Fernando Castro, Sailaja Cheruku, Shaily Jain, Brian Webb, Theodore Gleason, W Ross Stevens, Hepatic MRI for fat quantitation: its relationship to fat morphology, diagnosis, and ultrasound. Journal of Clinical Gastroenterology. ,vol. 39, pp. 619- 625 ,(2005) , 10.1097/00004836-200508000-00012
Timothy G. St Pierre, Paul R. Clark, Wanida Chua-anusorn, Single spin-echo proton transverse relaxometry of iron-loaded liver NMR in Biomedicine. ,vol. 17, pp. 446- 458 ,(2004) , 10.1002/NBM.905