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Abstract #2128

Free-breathing quantification of liver proton density fat-fraction

Utaroh Motosugi 1,2 , Diego Hernando 1 , Peter Bannas 1,3 , James H. Holmes 4 , Kang Wang 4 , Ann Shimakawa 5 , Yuji Iwadate 6 , Valentina Taviani 7 , and Scott B. Reeder 1,8

1 Radiology, University of Wisconsin, Madison, WI, United States, 2 Radiology, University of Yamanashi, Chuo-shi, Yamanashi, Japan, 3 Radiology, University Hospital Hamburg-Eppendorf, Hamburg, Germany, 4 Global MR Applications and Workflow, GE Healthcare, Madison, WI, United States, 5 Global MR Applications and Workflow, GE Healthcare, Menlo Park, CA, United States, 6 Global MR Applications and Workflow, GE Healthcare, Hino, Tokyo, Japan, 7 Radiology, Stanford University, Stanford, CA, United States, 8 Medical Physics, Biomedical Engineering and Medicine, University of Wisconsin, Madison, WI, United States

Proton density fat fraction (PDFF) is a promising biomarker for early detection and treatment monitoring of fatty liver disease. In order to obtain whole-liver coverage, current chemical shift-encoded MRI requires breath-holding for ~20s. In this study, we established two new free-breathing chemical shift-encoded MRI methods to acquire PDFF maps, and compared these methods to breath-hold MRI and MR spectroscopy. We found that the free-breathing methods (respiratory-gating with bellows or navigator echoes) were both equivalent to the breath-hold sequence for liver fat quantification. These novel sequences may be helpful for pediatric patients or patients who are unable to perform breath-holding.

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