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Abstract #4641

Quantification of Hepatic Iron Overload: Usefulness of Echo-Planar Imaging Based Diffusion-Weighted Magnetic Resonance Imaging

Tatsuyuki Tonan1, Kiminori Fujimoto1, Aliya Qayyum2, Takumi Kawaguchi3, Atsushi Kawaguchi4, Koji Okuda5, Shuji Nagata1, Michio Sata3, Naofumi Hayabuchi1

1Radiology, Kurume University School of Medicine, Kurume, Fukuoka, Japan; 2Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States; 3Internal Medicine, Kurume University School of Medicine, Kurume, Fukuoka, Japan; 4Biostatistics Center, Kurume University School of Medicine, Kurume, Fukuoka, Japan; 5Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan


MRI is sensitive to tissue iron overload because iron leads to a decline of magnetic resonance signal due to T2-shortening effect related to the paramagnetic properties, and recently has become suitable technique for quantifying hepatic iron overload noninvasively. The aim of this study is to assess the usefulness of echo-planar image based diffusion- weighted image (EPI-DWI) for quantifying subtle hepatic iron stores. We found a good correlation between EPI-DWI and hepatic iron concentration in patients with viral hepatitis, and demonstrated that EPI-DWI was more sensitive sequence for quantifying hepatic iron overload than gradient-recalled echo sequence.

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