Hepatic iron overload identified by magnetic resonance imaging-based T2* is a predictor of non-diagnostic elastography

Quantitative Imaging in Medicine and Surgery
Hassan M GhozWilliam C Palmer

Abstract

Magnetic resonance elastography (MRE) is a non-invasive test used to assess liver stiffness and fibrosis in chronic liver disease, which includes systemic iron overload. However, iron deposition by itself is associated with technical failure of MRE of the liver which necessitates the use of invasive liver biopsy as an alternative monitoring method for these patients. T2*-weighted magnetic resonance imaging (T2*) is a reliable modality to asses for hepatic as well as total body iron overload. Therefore, we aimed to determine a cutoff value on the T2* reading at which MRE would no longer provide accurate stiffness measurements in patients with iron overload. Ninety-five patients with iron overload who underwent MRE at our institution, between 2010 and 2017 were reviewed retrospectively. We compared T2* values between patients with adequate elastography (N=63) versus those with non-diagnostic elastography (N=32). We additionally examined the ability of T2* to predict the likelihood of non-diagnostic elastography by estimating area under the ROC curve (AUC). T2* was significantly different between patients with and without an adequate elastography (P<0.0001) and predicted occurrence of non-diagnostic elastography with an AUC of 0.9...Continue Reading

Citations

Jun 26, 2020·Abdominal Radiology·Bachir Taouli, Filipe Caseiro Alves
Jun 13, 2020·The American Journal of Gastroenterology·William C PalmerHassan M Ghoz
Aug 8, 2020·Abdominal Radiology·Helena B Thomaides-BrearsCarlos Duncker
Jul 1, 2021·SA Journal of Radiology·Anagha JoshiHarshal Badgujar
Nov 3, 2021·Abdominal Radiology·Kay M PepinSudhakar K Venkatesh

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