Simultaneous measurement of hepatic and splenic stiffness using MR elastography: preliminary experience

Verfasser / Beitragende:
[Hadrien Dyvorne, Guido Jajamovich, Cecilia Besa, Nancy Cooper, Bachir Taouli]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/4(2015-04-01), 803-809
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-014-0255-1  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-014-0255-1 
245 0 0 |a Simultaneous measurement of hepatic and splenic stiffness using MR elastography: preliminary experience  |h [Elektronische Daten]  |c [Hadrien Dyvorne, Guido Jajamovich, Cecilia Besa, Nancy Cooper, Bachir Taouli] 
520 3 |a Purpose: To compare MR elastography (MRE) using a single and a dual driver excitation for the quantification of hepatic and splenic stiffness (HS and SS), and to investigate the performance of HS and SS measured with single or dual driver excitation for the detection of liver cirrhosis in subjects with liver disease. Patients and methods: This prospective HIPAA compliant and IRB approved study involved 49 subjects who underwent MRE at 3.0T, comparing three different acquisition methods (single driver on the liver, single driver on the spleen and dual driver acoustic excitation). A Mann-Whitney test was used to assess changes in stiffness values. Bland-Altman analysis was used to compare single and dual driver configurations for each organ. Performance for detection of liver cirrhosis was assessed using ROC analysis. Pearson correlation was used to estimate the dependence of HS and SS on spleen size. Results: There were 40 noncirrhotic and 9 cirrhotic patients. There was good agreement between stiffness values measured with a single or a dual driver (Bland-Altman limits of agreement −14.3% to 18.9% and −18.1% to 29.7%, CV 6.4% and 9.4%, for HS and SS. respectively). HS and SS were higher in subjects with liver cirrhosis (p<0.001), with excellent detection performance (AUROC range 0.87-0.93). SS correlated strongly with spleen size (r=0.69, p<0.001), while HS showed weak correlation (r=0.38, p=0.006). Conclusion: Using a dual acoustic driver configuration, hepatic and splenic stiffness can be simultaneously estimated with good concordance with single driver measurement. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Portal hypertension  |2 nationallicence 
690 7 |a Hepatic stiffness  |2 nationallicence 
690 7 |a Splenic stiffness  |2 nationallicence 
690 7 |a MR elastography  |2 nationallicence 
690 7 |a HS : Hepatic stiffness  |2 nationallicence 
690 7 |a MR elastography : Magnetic resonance elastography  |2 nationallicence 
690 7 |a PH : Portal hypertension  |2 nationallicence 
690 7 |a SS : Splenic stiffness  |2 nationallicence 
700 1 |a Dyvorne  |D Hadrien  |u Department of Radiology/Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1234, 10029, New York, NY, USA  |4 aut 
700 1 |a Jajamovich  |D Guido  |u Department of Radiology/Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1234, 10029, New York, NY, USA  |4 aut 
700 1 |a Besa  |D Cecilia  |u Department of Radiology/Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1234, 10029, New York, NY, USA  |4 aut 
700 1 |a Cooper  |D Nancy  |u Department of Radiology/Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1234, 10029, New York, NY, USA  |4 aut 
700 1 |a Taouli  |D Bachir  |u Department of Radiology/Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1234, 10029, New York, NY, USA  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/4(2015-04-01), 803-809  |x 0942-8925  |q 40:4<803  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-014-0255-1  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a review-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-014-0255-1  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dyvorne  |D Hadrien  |u Department of Radiology/Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1234, 10029, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jajamovich  |D Guido  |u Department of Radiology/Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1234, 10029, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Besa  |D Cecilia  |u Department of Radiology/Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1234, 10029, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cooper  |D Nancy  |u Department of Radiology/Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1234, 10029, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Taouli  |D Bachir  |u Department of Radiology/Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1234, 10029, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/4(2015-04-01), 803-809  |x 0942-8925  |q 40:4<803  |1 2015  |2 40  |o 261