1. Diffusion-weighted MRI in liver fibrosis staging: Added value of normalized ADC using spleen and renal cortex as reference organs
- Author
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Tamer F. Taha Ali and Mona AbdelGhaffar El Hariri
- Subjects
DWI-MRI ,Liver fibrosis ,Normalized ADC ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Aim: To evaluate the potential value of the spleen and renal cortex as a reference organ to improve the performance of DWI in the assessment of liver fibrosis. Material and methods: 44 subjects were included: 30 patients with chronic viral hepatitis and 14 age matched volunteers. They were subjected to diffusion weighted MRI (DWI). Liver ADC, normalized ADC (ratio between ADC of liver to spleen (S-ADC) and renal cortex (R-ADC)) was calculated. Data was analyzed and ROC was used to evaluate the performance of ADC, S-ADC and R-ADC. Results: No significant difference between spleen ADC and renal ADC values between patient group and control group or in-betweens different fibrosis stages. The mean liver ADC was significantly lower in cirrhotic patients than control group (1.59 ± 0.024 versus 1.55 ± 0.036 × 10−3 mm2/s, P = 0.009) with some overlap in different fibrosis grades. With exception to stage 1 fibrosis, the mean S-ADC value was significantly lower in patients with different hepatic fibrosis stages in comparison to control group (P 0.02–
- Published
- 2017
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