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KMID : 0858520130170030215
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Journal of the Korean Society of Magnetic Resonance in Medicine
2013 Volume.17 No. 3 p.215 ~ p.223
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The Effect of Gd-EOB-DPTA on the Stiffness Value of Magnetic Resonance Elastography in Evaluating Hepatic Fibrosis
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Lee Jeong-Eun
Lee Jeong-Min
Lee Ye-ji
Yoon Jeong-Hee
Lee Kyoung-Bun
Han Joon-Koo
Choi Byung-Ihn
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Abstract
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Purpose: To evaluate the effect of gadoxetic acid on the measurement of the stiffness value of MR elastography (MRE) used to evaluate hepatic fibrosis (HF).
Materials and Methods: MRE was obtained in 32 patients with clinically suspected chronic liver disease, both before and after injection of gadoxetic acid. Two independent reviewers measured the stiffness values of the liver parenchyma on elastograms. The mean liver stiffness values were compared in the pre- and post-contrast MREs using the paired t-test. Intra-rater and inter-rater correlation was assessed using the intraclass correlation coefficient (ICC). The accuracy, sensitivity, and specificity of both pre- and post-contrast MREs was evaluated for the diagnosis of significant HF (≥ F2) using cut off value of 3.1 kPa.
Results: There were no significant differences in the stiffness values of the liver parenchyma on pre- and post-contrast MREs (p = 0.15 and 0.38 for each reader, respectively). Regarding intra-rater correlation, excellent agreement was noted on rater 1(ICC = 0.998) and rater 2 (ICC = 0.996). Excellent correlation regarding the measured stiffness values was noted on both pre- and post-contrast MREs (ICC = 0.988 for pre-contrast, ICC = 0.993 for post-contrast). The accuracy, sensitivity, and specificity of the pre- and post-contrast MREs for differentiating significant HF (≥ F2) from ≤ F1 were same as 71%, 60%, and 100%, respectively.
Conclusion: As there was no significant difference in the stiffness measurements seen on MREs before and after administration of gadoxetic acids, it is therefore acceptable to perform MRE after contrast injection in order to evaluate HF.
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KEYWORD
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Chronic liver disease, Hepatic fibrosis, MR elastogaphy, Gadoxetic acid, Stiffness value
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