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Abstract #0840

R2* Mapping of Extreme Hepatic Iron Overload Using Free-Breathing UTE Sequence

Fei Peng1, Chaotian Luo1, Wei Cui2, Cheng Tang1, and Peng Peng1
1Department of Radiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China, 2GE Healthcare, MR Research China, Beijing, China

Synopsis

Keywords: Liver, Quantitative Imaging, free-breathing liver R2∗ mapping;hepatic iron overload

Motivation: Existing liver iron quantification methods are inadequate for extreme iron deposition, hindering effective guidance for iron chelation therapy.

Goal(s): Evaluate the practicality of a free-breathing, single-echo UTE sequence with varying echo times for multiple acquisitions in assessing severe hepatic iron overload.

Approach: A 3.0T UTE sequence with rigid-based motion correction was used to assess hepatic R2* in nine thalassemia patients, and compared with LIC from Ferriscan and R2* from a 1.5T GRE sequence.

Results: UTE-R2* correlated well with GRE-R2* and Ferriscan-LIC, and could differ hepatic iron content in patients whose Ferriscan-LIC or GRE-R2* reach to upper limit.

Impact: An imaging strategy utilizing a free-breathing, single-echo UTE sequence with variable echo times for multiple acquisitions, combined with rigid-based motion correction, could be employed to evaluate extreme hepatic iron deposition.

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