Non-zero proton density fat fraction (PDFF) is commonly observed in the spleen on chemical-shift-encoded MRI. A prospective assessment in 42 research subjects with no visible fat peaks on MR spectroscopy demonstrated small amounts of splenic fat (PDFF up to 4%) using four different MRI-based fat fraction estimation techniques. These measurements were poorly correlated with each other, implying that fat measurements in spleen are likely artifactual rather than representing true splenic fat.
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