Proton-density fat-fraction (PDFF) is typically measured by calculating the mean PDFF value within a region of interest (ROI). However, the mean estimator has been shown to result in bias when signal-to-noise ratio (SNR) is low. This work characterizes the accuracy of median and maximum likelihood estimator (MLE) as alternative estimators for the measurement of liver PDFF. Our results demonstrate that at low-SNR, the mean estimator has a larger error than either the median or MLE values obtained from the same ROIs, when compared to the PDFF value obtained from spectroscopy, and had a bias of approximately -1%.
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