Evaluation of Spin-Echo EPI MR Elastography for Rapid Free-Breathing Quantification of Liver Stiffness

Motivation: Hepatic stiffness (HS), detected by MR elastography (MRE), is a biomarker for hepatic fibrosis. Liver MRE requires breath-holding (BH), which is challenging in children or people with liver disease. Spin-echo echo-planar-imaging (SE-EPI) MRE can quantify HS rapidly(~10 s), even with iron overload. Goal(s): To evaluate free-breathing (FB) SE-EPI MRE without respiratory triggering or motion compensation in terms of agreement, repeatability, and measurable liver area [%] with respect to BH SE-EPI MRE. Approach: BH and FB SE-EPI MRE were acquired in 23 children and 2 adults with liver biopsy. Results: FB SE-EPI MRE provided fast, accurate, and repeatable HS with high measurable liver area. Impact: The free-breathing (FB) MR elastography (MRE) of the liver based on spin-echo echo-planar-imaging (SE-EPI) produced accurate and repeatable hepatic stiffness with respect to standard breath-held SE-EPI MRE. FB SE-EPI MRE can be useful for populations who cannot hold their breath.

Authors

Publication Details

Journal
Proceedings on CD-ROM - International Society for Magnetic Resonance in Medicine. Scientific Meeting and Exhibition/Proceedings of the International Society for Magnetic Resonance in Medicine, Scientific Meeting and Exhibition
Published
2024-11-26
DOI
https://doi.org/10.58530/2024/4796
Primary Topic
Advanced MRI Techniques and Applications
Type
article
Field-Weighted Citation Impact
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article

Evaluation of Spin-Echo EPI MR Elastography for Rapid Free-Breathing Quantification of Liver Stiffness

Shahnaz Ghahremani, Bradley D. Bolster, Timothy Adamos, Kara L. Calkins et al.
Proceedings on CD-ROM - International Society for Magnetic Resonance in Medicine. Scientific Meeting and Exhibition/Proceedings of the International Society for Magnetic Resonance in Medicine, Scientific Meeting and Exhibition
Advanced MRI Techniques and Applications
article

Evaluation of Spin-Echo EPI MR Elastography for Rapid Free-Breathing Quantification of Liver Stiffness

Shahnaz Ghahremani, Bradley D. Bolster, Timothy Adamos, Kara L. Calkins, Shu‐Fu Shih, Sevgi Gökçe Kafalı, Timoteo Delgado, Holden H. Wu, María I. Altbach, Vibhas Deshpande, David Lu, Seungheon Han, Kevin Johnson, Pedro Itriago Leon
article en

Abstract

Motivation: Hepatic stiffness (HS), detected by MR elastography (MRE), is a biomarker for hepatic fibrosis. Liver MRE requires breath-holding (BH), which is challenging in children or people with liver disease. Spin-echo echo-planar-imaging (SE-EPI) MRE can quantify HS rapidly(~10 s), even with iron overload. Goal(s): To evaluate free-breathing (FB) SE-EPI MRE without respiratory triggering or motion compensation in terms of agreement, repeatability, and measurable liver area [%] with respect to BH SE-EPI MRE. Approach: BH and FB SE-EPI MRE were acquired in 23 children and 2 adults with liver biopsy. Results: FB SE-EPI MRE provided fast, accurate, and repeatable HS with high measurable liver area. Impact: The free-breathing (FB) MR elastography (MRE) of the liver based on spin-echo echo-planar-imaging (SE-EPI) produced accurate and repeatable hepatic stiffness with respect to standard breath-held SE-EPI MRE. FB SE-EPI MRE can be useful for populations who cannot hold their breath.

Proceedings on CD-ROM - International Society for Magnetic Resonance in Medicine. Scientific Meeting and Exhibition/Proceedings of the International Society for Magnetic Resonance in Medicine, Scientific Meeting and Exhibition
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Advanced MRI Techniques and Applications
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