Assessment of hepatic extraction fraction and input relative blood flow using dynamic hepatocyte-specific contrast-enhanced MRI.
OBJECTIVE
To assess the feasibility to use dynamic hepatocyte-specific contrast-enhanced MRI (DHCE-MRI) as an imaging-based liver function test, and to compare two methods for deconvolutional analysis (DA) in healthy human subjects.


METHODS
T(1)-weighted DHCE-MRI with the hepatocyte-specific contrast medium Gd-EOB-DTPA was performed in 20 healthy volunteers. DA was performed using truncated singular value decomposition (TSVD) and Fourier analysis with an appended tail (FA+Tail). Hepatic extraction fraction (HEF) and input relative blood flow (irBF) were calculated for each liver segment. A computer simulation comparing the standard deviation (SD) of TSVD and FA+tail at different levels of signal-to-noise (SNR) ratio was performed. The results obtained were compared using descriptive statistics, the Wilcoxon matched pairs test and the variance ratio test.


RESULTS
Median HEF was 0.201 and 0.205 using TSVD and FA+tail, respectively (P = 0.086). The corresponding results for irBF was 0.240 and 0.239 (P = 0.51). TSVD yielded a smaller SD, although the difference was not significant (P = 0.068 for HEF and P = 0.84 for irBF). The computer simulation showed that TSVD is more stable than FA+tail at most levels of SNR.


CONCLUSIONS
DHCE-MRI with Gd-EOB-DTPA enables the calculation of HEF and irBF. We regard these parameters as being markers of hepatic parenchymal function.
Nilsson
Henrik
H
Karolinska Institutet, Sweden. henrik.nilsson@ki.se
Nordell
Anders
A
Vargas
Roberto
R
Douglas
Lena
L
Jonas
Eduard
E
Blomqvist
Lennart
L
D000328:Adult; D003287:Contrast Media / Q000493:pharmacokinetics; D005240:Feasibility Studies; D005583:Fourier Analysis; D019786:Gadolinium DTPA / Q000493:pharmacokinetics; D022781:Hepatocytes / Q000378:metabolism*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008099:Liver / Q000098:blood supply*; D008111:Liver Function Tests; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008875:Middle Aged; D018709:Statistics, Nonparametric
D003287:Contrast Media; C073590:gadolinium ethoxybenzyl DTPA; D019786:Gadolinium DTPA