Document Detail


Liver-vessel cancellation artifact on in-phase and out-of-phase MRI imaging: A sign of ultra-high liver fat content.
MedLine Citation:
PMID:  22170776     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: To describe a new MRI sign, the liver-vessel cancellation artifact, on In-Phase and Out-of-Phase gradient-echo sequences related to ultra-high liver fat content (>90%) by qualitative histology. MATERIALS AND METHODS: Institutional review board approval was obtained for this retrospective HIPAA-compliant study with waived informed consent. Patients with liver steatosis were searched in MRI (n = 195) and pathology (n = 116) databases between January 1, 2008, and June 20, 2010. Two readers blindly reviewed all MR images for the presence of the liver-vessel cancellation sign. Cross-reference of patients with biopsy-proven steatosis and MRI within one month was performed (n = 54; 25 males, 29 females; mean age 41.0 ± 18.9), with a population of 6 patients with ultra-high liver fat content (1 male, 5 females; mean age 15.5 ± 11.2). Performance diagnostic tests, including sensitivity and specificity, were performed. RESULTS: Liver-vessel cancellation sign was present in all patients with ultra-high liver fat content but in none of the remaining patients. Calculated sensitivity and specificity for the detection of ultra-high liver fat content with this sign were 100% (95% confidence interval [CI]: 69.1-100%) and 100% (95% CI: 98.4-100%), respectively. CONCLUSION: The presence of liver-vessel cancellation artifact around intra-hepatic vessels is a feature of ultra-high liver fat content. J. Magn. Reson. Imaging 2011;. © 2011 Wiley Periodicals, Inc.
Authors:
Vasco Herédia; Miguel Ramalho; Rafael O P de Campos; Brian Dale; Rafael Azevedo; John T Woosley; Richard C Semelka
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-14
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  -     ISSN:  1522-2586     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Wiley Periodicals, Inc.
Affiliation:
Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
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