Hepatic steatosis is a common affliction with important prognostic implications. Conventionally, liver biopsy has been required for the diagnosis of steatosis although this may result in inadequate spatial sampling and significant associated complications. The non-interventional imaging methods of ultrasound and computed tomography may be used but are limited in accuracy. MRI offers an ideal method to globally and accurately interrogate for liver fat. Multiple MRI techniques including spectroscopy, in-phase/out-phase, conventional fat suppression, complex and magnitude-based CSE-MRI methods have been used in the evaluation of hepatic steatosis. These techniques possess unique advantages and disadvantages which must be understood to optimize patient care.
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