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Abstract #0441

Performance of Proton Density Fat Fraction, MRE-based Liver Stiffness, and T1 in Identifying NASH Patients at High Risk of Disease Progression

Jiahui Li1, Xin Lu1, Zheng Zhu1, Kyle J. Kalutkiewicz1, Taofic Mounajjed2, Yi Sui1, Kevin J. Glaser1, Safa Hoodeshenas1, Sudhakar K. Venkatesh1, Armando Manduca1, Vijay H. Shah3, Richard L. Ehman1, Alina M Allen3, and Meng Yin1
1Radiology, Mayo Clinic, Rochester, MN, United States, 2Anatomic Pathology, Mayo Clinic, Rochester, MN, United States, 3Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, United States

Synopsis

Multiparametric MRI/MRE and liver biopsy were performed in 104 patients at risk for NASH. We correlated measurements of proton density fat fraction (PDFF), 3D vector MRE-assessed liver stiffness (LS), and T1 relaxation time across histological features of NASH. We found that PDFF showed superior diagnostic performance in identifying patients with NASH (AUC: 0.84 [0.76, 0.92]), while LS showed superior diagnostic performance in stratifying NASH patients at high risk (0.85 [0.75, 0.94]). The results showed that T1 measurement, either alone or in combination with other biomarkers, did not perform as well as PDFF and LS in diagnosing NASH or stratifying high-risk NASH.

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