Quantitative Evaluation of Liver Fibrosis on T1 Relaxometry in Comparison with Fibroscan
심병학, 허숙희, 신상수, 조성범, 정용연,
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심병학 ( Sim Byeong-Hak )
Chonnam National University Medical School Chonnam National University Hospital Departments of Radiology
허숙희 ( Heo Suk-Hee )
Chonnam National University Medical School Chonnam National University Hwasun Hospital Department of Radiology
신상수 ( Shin Sang-Soo )
Chonnam National University Medical School Chonnam National University Hospital Department of Radiology
조성범 ( Cho Seong-Beom )
Chonnam National University Medical School Chonnam National University Hwasun Hospital Department of Internal Medicine
정용연 ( Jeong Yong-Yeon )
Chonnam National University Medical School Chonnam National University Hwasun Hospital Department of Radiology
Abstract
Purpose: This study was performed to determine whether the T1 relaxation time of gadoxetic acid-enhanced liver MR imaging is useful for detecting and staging liver fibrosis in patients with chronic liver disease.
Materials and Methods: One hundred and three patients with suspected focal liver lesion underwent MR imaging and Fibroscan. Fibroscan was chosen as the reference standard for classifying liver fibrosis. T1 relaxation times were acquired before (preT1), 20 minutes after (postT1) contrast administration, and reduction rate of T1 relaxation time (rrT1) on transverse 3D VIBE (volumetric interpolated breath-hold examination) sequence using 3T MR imaging. The optimal cut-off values for the fibrosis staging were determined with ROC analysis.
Results: PreT1 and postT1 increased and rrT1 decreased constantly with increasing severity of liver fibrosis according to the METAVIR score (F0?F4). There were statistically significant differences between F2 and F3 in preT1 (F2, 836.0 ± 74.7 ms; F3, 888.6 ± 77.5 ms, p < 0.05) and between F3 and F4 in postT1 (F3, 309.0 ± 80.2 ms; F4, 406.6 ± 147.7 ms, p < 0.05) and rrT1 (F3, 65.4 ± 7.7%; F4, 57.3 ± 11.4%, p < 0.05). ROC analysis revealed that combination test (preT1 + postT1) was the best test for predicting liver fibrosis.
Conclusion: PreT1 and postT1 increased constantly with increasing severity of liver fibrosis. T1 mapping in gadoxetic acid-enhanced liver MR imaging could be a helpful complementary sequence to determine the liver fibrosis stage.
키워드
Liver; Liver Cirrhosis; Magnetic Resonance Imaging; Gadolinium DTPA; Humans
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