Non-invasive estimation of liver iron concentration (LIC) by R2-MRI is often used for detection, grading and treatment monitoring in patients with suspected or known iron overload. The only current R2-MRI LIC estimation method with regulatory clearance is FerriScanĀ®, a proprietary analysis for biexponential R2-relaxometry. We implemented a nonproprietary biexponential R2-relaxometry using a "dictionary-search" algorithm, to reproduce the FerriScanĀ® results. In 38 patients with known or suspected iron overload, we demonstrated excellent reproducibility (by linearity and absolute agreement) in R2 and LIC between FerriScanĀ® and dictionary-search analyses, suggesting generalizability of the R2-MRI approach for LIC estimation.
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