DIAGNOSIS OF FATTY LIVER WITH MR IMAGING

被引:45
作者
KREFT, BP [1 ]
TANIMOTO, A [1 ]
BABA, Y [1 ]
ZHAO, LH [1 ]
CHEN, J [1 ]
MIDDLETON, MS [1 ]
COMPTON, CC [1 ]
FINN, JP [1 ]
STARK, DD [1 ]
机构
[1] MASSACHUSETTS GEN HOSP,DEPT RADIOL,BOSTON,MA 02114
来源
JMRI-JOURNAL OF MAGNETIC RESONANCE IMAGING | 1992年 / 2卷 / 04期
关键词
CONTRAST ENHANCEMENT; GADOLINIUM; IRON; LIVER; DISEASES; CIRRHOSIS; FATTY; MANGANESE;
D O I
10.1002/jmri.1880020416
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The diagnosis of fatty liver with magnetic resonance (MR) imaging was evaluated in experimental rat models of simple fatty infiltration and fatty liver with hepatocellular injury. T1 and T2 were measured ex vivo and correlated with the histologic degree of fatty infiltration. Enhancement of fatty liver with four different cell-specific contrast agents was studied with ex vivo relaxometry and in vivo MR imaging. Quantitative analysis of conventional and chemical shift MR images was correlated with biochemically determined fat content of the liver. Diet-induced simple fatty infiltration of the liver caused a decrease in T1 of 15%. whereas the T1 of L-ethionine-induced fatty liver with hepatocellular injury increased by 12%. T2 showed a positive correlation with the degree of fatty infiltration in both models. Cell-specific hepatobiliary contrast agents showed the same liver uptake and relaxation enhancement in fatty livers as in normal livers. Conventional T1-weighted images and chemical shift images showed good correlation (r = .83 and .80, respectively) between signal intensity and the degree of fatty infiltration. However, only chemical shift imaging was reliable in the diagnosis of fatty liver.
引用
收藏
页码:463 / 471
页数:9
相关论文
共 49 条
[41]  
Jacobs DO, Trerotola SO, Settle RG, Et al., In vitro detection of fatty liver infiltration in protein‐depleted rats using proton nuclear magnetic resonance, J Surg Res, 39, pp. 25-30, (1985)
[42]  
Bottomley PA, Foster TH, Argersinger RE, Et al., A review of normal tissue hydrogen NMR relaxation times and mechanism from 1–100 MHz: dependence on tissue type. NMR frequency, temperature, species, excision, and age, Med Phys, 11, pp. 425-448, (1984)
[43]  
Young IR, Special pulse sequences and techniques, Magnetic resonance imaging, pp. 84-107, (1988)
[44]  
Wenker JC, Baker MK, Ellis JH, Et al., Focal fatty infiltration of the liver: demonstration by magnetic resonance imaging, AJR, 143, pp. 573-574, (1984)
[45]  
Pope C, Gore CJ, Sostman D, Et al., Diffuse fatty infiltration of the liver by magnetic resonance, Magn Reson Imaging, 4, pp. 267-270, (1986)
[46]  
Schertz LD, Lee JKT, Heiken JP, Et al., Proton spectroscopic imaging (Dixon method) of the liver: clinical utility, Radiology, 173, pp. 401-405, (1989)
[47]  
Stark DD, Wittenberg J, Middleton MS, Et al., Liver me‐tastases: detection by phase‐contrast MR imaging, Radiology, 158, pp. 327-332, (1986)
[48]  
Keller PJ, Hunter WW, Schmalbrock P, Multisection fat‐water imaging with chemical shift selective presatura‐tion, Radiology, 164, pp. 539-541, (1987)
[49]  
Thoeni RF, Gorczyca DP, de Marco R, Fat saturation versus spin echo imaging for focal liver disease (abstr), Book of abstracts: Society of Magnetic Resonance in Medicine 1991, (1991)