Hepatobiliary MRI: Signal intensity based assessment of liver function correlated to C-13-Methacetin breath test

Haimerl, Michael and Probst, Ute and Poelsterl, Stefanie and Beyer, Lukas and Fellner, Claudia and Selgrad, Michael and Hornung, Matthias and Stroszczynski, Christian and Wiggermann, Philipp (2018) Hepatobiliary MRI: Signal intensity based assessment of liver function correlated to C-13-Methacetin breath test. SCIENTIFIC REPORTS, 8: 9078. ISSN 2045-2322,

Full text not available from this repository. (Request a copy)

Abstract

Gadoxetic acid (Gd-EOB-DTPA) is a paramagnetic MRI contrast agent with raising popularity and has been used for evaluation of imaging-based liver function in recent years. In order to verify whether liver function as determined by real-time breath analysis using the intravenous administration of C-13-methacetin can be estimated quantitatively from Gd-EOB-DTPA-enhanced MRI using signal intensity (SI) values. 110 patients underwent Gd-EOB-DTPA-enhanced 3-T MRI and, for the evaluation of liver function, a C-13-methacetin breath test (C-13-MBT). SI values from before (SIpre) and 20 min after (SIpost) contrast media injection were acquired by T1-weighted volume-interpolated breath-hold examination (VIBE) sequences with fat suppression. The relative enhancement (RE) between the plain and contrast-enhanced SI values was calculated and evaluated in a correlation analysis of C-13-MBT values to SIpost and RE to obtain a SI-based estimation of C-13-MBT values. The simple regression model showed a log-linear correlation of C-13-MBT values with SIpost and RE (p < 0.001). Stratified by 3 different categories of C-13-MBT readouts, there was a constant significant decrease in both SIpost (p <= 0.002) and RE (p <= 0.033) with increasing liver disease progression as assessed by the C-13-MBT. Liver function as determined using real-time C-13-methacetin breath analysis can be estimated quantitatively from GdEOB- DTPA-enhanced MRI using SI-based indices.

Item Type: Article
Uncontrolled Keywords: GD-EOB-DTPA; LIMAX TEST; ENHANCED MRI; HEPATIC-FUNCTION; CONTRAST AGENT; PARENCHYMAL ENHANCEMENT; CLINICAL-EVALUATION; FUNCTION CAPACITY; CIRRHOSIS; PHASE;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Chirurgie
Medicine > Lehrstuhl für Innere Medizin I
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 09 Mar 2020 10:08
Last Modified: 09 Mar 2020 10:08
URI: https://pred.uni-regensburg.de/id/eprint/14406

Actions (login required)

View Item View Item