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Abstract #4636

Diffusion-weighted MRI-based Virtual Elastography for the Assessment of Liver Fibrosis

Fengxian Fan1, YanLi Jiang1, Pin Yang1, Jie Zou1, Shaoyu Wang2, and Jing Zhang1
1Lanzhou University Second Hospital, Lanzhou, China, 2Siemens Healthcare, Shanghai, China

Synopsis

Keywords: Liver, Diffusion/other diffusion imaging techniques

Motivation: Liver biopsy is considered the reference standard for liver fibrosis quantification, however, noninvasive techniques are the emerging focus in this field. Elasticity values based on Diffusion-weighted (DW) MRI–based virtual elastography has been confirmed of a highly correlation with MR elastography.

Goal(s): Assess the usefulness of DW MRI-based virtual MR elastography in the evaluation of fibrosis.

Approach: We compared the diagnostic performance of elasticity values based on virtual MR elastography(μDiff), US elastography (Fibroscan) and serum markers for identifying significant liver fibrosis.

Results: μDiff were significantly different between non-significant and significant fibrosis, and slightly accurate than Fibroscan for depiction of significant fibrosis.

Impact: Diffusion-weighted MRI–based virtual elastography was confirmed with good agreement with shear modulus measured at MR elastography. Our study found that virtual modulus were significantly different between non-significant and significant liver fibrosis and appeared to preoperative prediction of liver fibrosis.

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