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Abstract #0393

Quantitative MR Imaging of Hepatic Steatosis: Validation in Ex Vivo Human Livers

Peter Bannas 1,2 , Harald Kramer 3 , Diego Hernando 1 , Ashley M Cunningham 4 , Rakesh Mandal 4 , Rashmi Agni 4 , Utaroh Motosugi 1 , Samir D Sharma 1 , Alejandro Munoz del Rio 1 , Luis Fernandez 5 , and Scott B Reeder 1,6

1 Radiology, University of Wisconsin-Madison, Madison, WI, United States, 2 Radiology, University Medical Center Hamburg-Eppendorf, Hamburg, Hamburg, Germany, 3 Radiology, Ludwig-Maximilians-University Hospital, Munich, Bavaria, Germany, 4 Pathology, University of Wisconsin-Madison, Madison, WI, United States, 5 Surgery, University of Wisconsin-Madison, Madison, WI, United States, 6 Medical Physics, University of Wisconsin-Madison, Madison, WI, United States

The aim of our study was to validate MRI based estimation of proton density fat-fraction (PDFF) as an imaging biomarker of hepatic steatosis. Previous in vivo studies have compared MRI-PDFF with the current reference standard histology. However, in these studies the underlying triglyceride content remained unknown. In this work, we used ex vivo human livers to compare MRI-PDFF with histology, MR spectroscopy (MRS) and biochemical triglyceride extraction as three independent reference standards. Our results reveal a good correlation of MRI-PDFF with hepatic triglyceride concentration, MRS and histological analysis, validating that MRI-based PDFF is an accurate biomarker of hepatic steatosis.

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