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ELECTRONIC POSTER - ismrm

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14:00 4655. Utilizing Magnetic Resonance Elastography in the Evaluation of Liver Donors<br />

Tilina Hu 1 , Alvin Silva 1 , Leland Hu 1 , Richard Ehman 2<br />

1 Radiology, Mayo Clinic, Scottsdale, AZ, United States; 2 Radiology, Mayo Clinic, Rochester, MN, United<br />

States<br />

To determine accurate biopsy-validated Magnetic Resonance Elastography threshold values that distinguish normal from abnormal<br />

liver (due to fibrosis and/or inflammation). We focus specifically on pre-operative evaluation of liver donors prior to transplant.<br />

14:30 4656. DTI and 2D MR Spectroscopy of Hepatitis C in 3T<br />

Rajakumar Nagarajan 1 , Manoj K. Sarma 1 , Charles Hinkin 2 , Steven Castellon 2 , Jason P.<br />

Smith 3 , Homayoon Khanlou 4 , Laveeza Bhatti 4 , Jonathan Truong 5 , Ann B. Ragin 6 , Elyse<br />

Singer 7 , M Albert Thomas 1<br />

1 Radiological Sciences, University of California Los Angeles, Los Angeles, CA, United States; 2 Department of<br />

Psychiatry & Biobehavioral Sciences, UCLA School of Medicine and VA Greater Los Angeles Healthcare<br />

System, Los Angeles, CA, United States; 3 Veteran's Affairs Greater Los Angeles Healthcare Center; 4 AIDS<br />

Healthcare Foundation, Westside Clinic, Los Angeles; 5 Kaiser Permanente, Lancaster CA; 6 Northwestern<br />

University, Chicago, Illinois, USA; 7 Neurology, UCLA School of Medicine, Los Angeles, California, United<br />

States<br />

Hepatitis C is a liver disease caused by the hepatitis C virus (HCV). HCV infection sometimes results in an acute illness, but most<br />

often becomes a chronic condition that can lead to cirrhosis of the liver and liver cancer. Hepatitis C may be detectable with MR<br />

diffusion tensor imaging (DTI), which is exquisitely sensitive to water diffusion and is used to quantify the magnitude of diffusivity<br />

and the orientation and linearity (that is, anisotropy) of water motility in microstructural level in brain. Combining two-dimensional<br />

(2D) localized correlated spectroscopic (L-COSY) technique with DTI provides more information about the cerebral metabolites,<br />

mean diffusivity and fractional anisotropy changes in patients with hepatitis C.<br />

15:00 4657. Estimation of Liver Iron Content with Different MRI Methods<br />

Arthur Peter Wunderlich 1 , Holger Cario 2 , Mathias Schmid 3 , Markus Juchems 1<br />

1 Dept. for Diagnostic and Interventional Radiology, Univ.-Clinic Ulm, Ulm, Baden-Württemberg, Germany;<br />

2 Pediatrics, Univ.-Clinic Ulm, Ulm, Germany; 3 Hematology, Univ.-Clinic Ulm, Ulm, Germany<br />

To compare the liver iron content (LIC) determined by different MR methods, we investigated 93 patients with protocols according to<br />

three published methods, two using gradient echo (GRE) sequences and one working with spin echo (SE). The methods correlate<br />

moderately with r=0.82. Weakpoints are the bad performance of one GRE method near its upper limit and the sensitivity to liver<br />

steatosis of the GRE method addressing high LIC. The latter leads to reduced correlation of SE vs. GRE in the high LIC range.<br />

Although GRE generally tends to overestimate LIC, both methods are suitable for decisions concerning patient management.<br />

Thursday 13:30-15:30 Computer 97<br />

13:30 4658. Is Shear Viscosity a Sign for Malignancy in Liver Tumours?<br />

Jean Luc Daire 1 , Ralph Sinkus 2 , Mathilde Wagner 1 , Nathalie Haddad 1 , Valerie Vilgrain 1 ,<br />

Bernard van Beers 1<br />

1 INSERM U773, CRB3 Centre de Recherches Biomédicales Bichat-Beaujon, Paris, France; 2 Institut Langevin,<br />

ESPCI, Paris, France<br />

Liver tumours are very frequent. They include benign lesions and malignant primary or secondary tumours (metastases). Currently,<br />

there is no established non-invasive imaging Goldstandard available in order to characterize malignancy for liver tumours. Very often,<br />

the enhancement characteristics of a bolus are used in order to differentiate benign from malignant tumours. Here, we intend to<br />

prospectively evaluate the complex shear modulus as measured via MR-elastography in the assessment of malignancy or benignity of<br />

liver lesions and compare its performance to those of three enhancement characteristics of the bolus passage.<br />

14:00 4659. Evaluation of Nonalcoholic Liver Disease Using 23 Na MRI and Shift Reagent-Aided<br />

23 Na and 31 P MRS<br />

Paige Nicole Hopewell 1,2 , Navin Bansal 1,2<br />

1 Radiology, Indiana University School of Medicine, Indianapolis, IN, United States; 2 Weldon School of<br />

Biomedical Engineering, Purdue University, West Lafayette, IN, United States<br />

Changes in signal intensity with disease progression in single quantum (SQ) and triple quantum-filtered (TQF) 23 Na MRI are validated<br />

with shift reagent-aided SQ and TQF 23 Na and 31 P MRS studies in a nonalcoholic fatty liver disease model. Changes in intracellular<br />

Na + concentration and fibrosis-associated macromolecule deposition in the extracellular space both contribute to an increased TQF<br />

23 Na MRI signal with advanced disease progression.<br />

14:30 4660. Liver Fibrosis Grading Based on MR Elastography and 31P Spectroscopy<br />

Edmund Mark Godfrey 1 , Anant S. Krishnan 1 , Susan E. Davies 2 , Nyree M. Griffin 3 ,<br />

Graeme J. Alexander 4 , Mike E. Allison 4 , Alexander E. Gimson 4 , William H. Griffiths 4 ,<br />

David J. Lomas 1<br />

1 Department of Radiology, Addenbrooke's Hospital, Cambridge, Cambridgeshire, United Kingdom;<br />

2 Department of Histopathology, Addenbrooke's Hospital, Cambridge, Cambridgeshire, United Kingdom;

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