This study compares the diagnostic performance of multiparametric MRI including qualitative and quantitative assessment of MR-elastography (MRE), liver surface nodularity (LSN) software measurement, hepatic enhancement ratios on Gd-EOB-DTPA (EOB-ER), and serum markers (APRI and FIB4) for the detection of liver fibrosis and cirrhosis. When comparing different MRI methods and serum markers with histologic findings, liver stiffness measured with MRE showed better performance than other methods for detection of advanced liver fibrosis and cirrhosis, especially when combined with blood tests (FIB4).
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