University of California San Diego, San Diego, CA 92103-8226, USA.
Magn Reson Imaging. 2010 Jul;28(6):767-76. doi: 10.1016/j.mri.2010.03.017. Epub 2010 Apr 21.
This study assesses the stability of magnetic resonance liver fat measurements against changes in T2* due to the presence of iron, which is a confound for accurate quantification. The liver T2* was experimentally shortened by intravenous infusion of a super paramagnetic iron oxide contrast agent. Low flip angle multiecho gradient echo sequences were performed before, during and after infusion. The liver fat fraction (FF) was calculated in co-localized regions-of-interest using T2* models that assumed no decay, monoexponential decay and biexponential decay. Results show that, when T2* was neglected, there was a strong underestimation of FF and with monoexponential decay there was a weak overestimation of FF. Curve-fitting using the biexponential decay was found to be problematic. The overestimation of FF may be due to remaining deficiencies in the model, although is unlikely to be important for clinical diagnosis of steatosis.
本研究评估了磁共振肝脏脂肪测量值在铁存在下因 T2变化而产生的稳定性,因为铁是准确量化的混杂因素。通过静脉内输注超顺磁氧化铁对比剂,实验性地缩短了肝脏 T2。在输注前后进行了低翻转角多回波梯度回波序列。使用假设无衰减、单指数衰减和双指数衰减的 T2模型,在共定位的感兴趣区域中计算肝脏脂肪分数(FF)。结果表明,当忽略 T2时,FF 会被严重低估,而使用单指数衰减时,FF 会被轻微高估。使用双指数衰减进行曲线拟合被发现存在问题。FF 的高估可能是由于模型仍然存在缺陷,但对于脂肪肝的临床诊断来说不太可能很重要。