Fat is a confounding factor in the use of T1 measurements as a non-invasive method of assessing non-alcoholic fatty liver disease. A Dixon-based water/fat separation was used to produce T1 maps based on the separated water signal in MPRAGE and MP2RAGE sequences. A correlation inconsistent with biophysical processes was observed between uncorrected MP2RAGE T1 values and fibrosis stage, but using the fat compensated T1 values corrects the correlation. The same effect was seen to a lesser extent with MPRAGE T1 values. Further investigation and validation with a larger cohort may provide a more reliable biomarker of liver fibrosis within NAFLD.
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