Magnetic resonance elastography SE-EPI vs GRE sequences at 3T in a pediatric population with liver disease.

TitleMagnetic resonance elastography SE-EPI vs GRE sequences at 3T in a pediatric population with liver disease.
Publication TypeJournal Article
Year of Publication2019
AuthorsCalle-Toro JS, Serai SD, Hartung EA, Goldberg DJ, Bolster BD, Darge K, Anupindi SA
JournalAbdom Radiol (NY)
Volume44
Issue3
Pagination894-902
Date Published2019 03
ISSN2366-0058
KeywordsAdolescent, Adult, Child, Echo-Planar Imaging, Elasticity Imaging Techniques, Female, Humans, Liver, Liver Diseases, Magnetic Resonance Imaging, Male, Reproducibility of Results, Retrospective Studies, Young Adult
Abstract

PURPOSE: The goal of our study is to compare hepatic stiffness measures using gradient-recalled echo (GRE) versus spin-echo echo planar imaging (SE-EPI)-based MR Elastography (MRE) at 3T used to measure hepatic stiffness in a patients with suspected liver diseases.

MATERIALS AND METHODS: This retrospective study included 52 patients with liver disease who underwent a 3T MRE exam including both an investigational SE-EPI-based technique and a product GRE-based technique. Regions of interest (ROI) were placed on the elastograms to measure elastography-derived liver stiffness as well as the area included within the ROIs. The mean liver stiffness values and area of ROIs were compared.

RESULTS: The mean liver stiffness was 3.72 kilopascal (kPa) ± 1.29 using GRE MRE and 3.78 kPa ± 1.13 using SE-EPI MRE. Measurement of liver stiffness showed excellent agreement between the two pulse sequences with a mean bias of - 0.1 kPa (range - 1.8 to 1.7 kPa) between sequences. The mean measurable ROI area was higher with SE-EPI (313.8 cm ± 213.8) than with the GRE technique (208.6 cm ± 114.8), and the difference was statistically significant (P < 0.05).

CONCLUSIONS: Our data shows excellent agreement of measured liver stiffness between GRE and SE-EPI-based sequences at 3T. Our results show the advantage of a SE-EPI MRE sequence in terms of image quality, ROI size and acquisition time with equivalent liver stiffness measurements as compared to GRE-MRE sequence.

DOI10.1007/s00261-018-1884-6
Alternate JournalAbdom Radiol (NY)
PubMed ID30600386
PubMed Central IDPMC6484437
Grant ListK23 DK109203 / DK / NIDDK NIH HHS / United States