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Open AccessJournal ArticleDOI

Nonalcoholic Fatty Liver Disease: MR Imaging of Liver Proton Density Fat Fraction to Assess Hepatic Steatosis

TLDR
MR imaging-PDFF showed promise for assessment of hepatic steatosis grade in patients with NAFLD, and was significantly correlated with histologic steatotic grade.
Abstract
MR imaging with proton density fat fraction (PDFF) permitted high overall accuracy with moderate sensitivity and high specificity for classification of dichotomized steatosis grade, and these results support the conduct of further studies to help validate MR imaging–PDFF as a biomarker of hepatic steatosis in nonalcoholic fatty liver disease.

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Citations
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Journal ArticleDOI

Emerging quantitative magnetic resonance imaging biomarkers of hepatic steatosis.

TL;DR: Results demonstrate the utility of quantitative MRI methods for treatment monitoring using a novel, noninvasive imaging-based biomarker of hepatic steatosis, and determine that longitudinal changes in MRI-derived PDFF was more sensitive to detection of changes in liver fat than biopsy.
Journal ArticleDOI

Fat fraction mapping using magnetic resonance imaging: insight into pathophysiology.

TL;DR: Methods for fat quantification are reviewed and their strengths and weaknesses are considered, before considering how they can be tailored to specific applications, particularly in the gastrointestinal and musculoskeletal systems.
Journal ArticleDOI

Fat and iron quantification in the liver: past, present, and future.

TL;DR: Standardized radiological metrics of fat and iron are introduced for numerical reporting of overload severity, which can be used toward objective diagnosis, grading, and longitudinal disease monitoring and serve an alternative or complimentary role to invasive liver biopsy.
Journal ArticleDOI

Assessment of Hepatic Steatosis in Nonalcoholic Fatty Liver Disease by Using Quantitative US

TL;DR: A multivariable quantitative US approach yielded excellent correlation with MRI proton density fat fraction for hepatic steatosis assessment in nonalcoholic fatty liver disease.
References
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Journal ArticleDOI

Nonalcoholic steatohepatitis: a proposal for grading and staging the histological lesions

TL;DR: There are no systems for grading necroinflammatory activity or for staging fibrosis as exist for various other forms of chronic liver disease and this study proposes a grading and staging system that reflects the unique histological features of nonalcoholic steatohepatitis.
Journal ArticleDOI

Sampling variability of liver fibrosis in chronic hepatitis C.

TL;DR: It is suggested that a length of at least 25 mm is necessary to evaluate fibrosis accurately with a semiquantitative score, because variability in the distribution of fibrosis within the liver is a major limitation when using more accurate methods such as automated image analysis.
Journal ArticleDOI

Sampling variability of liver biopsy in nonalcoholic fatty liver disease.

TL;DR: Histologic lesions of NASH are unevenly distributed throughout the liver parenchyma; therefore, sampling error of liver biopsy can result in substantial misdiagnosis and staging inaccuracies.
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