211711

Multi-parametric magnetic resonance imaging as a diagnostic tool of hepatic steatosis for non-alcoholic fatty liver disease in Egyptian patients.

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Last updated: 03 Jan 2025

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Abstract

Background and Aim: Non-invasive assessment of non-alcoholic fatty liver disease (NAFLD) is increasing in desirability due to the invasive nature and costs associated with the current form of assessment by liver biopsy. Quantitative multi-parametric magnetic resonance imaging (mpMRI) to measure liver fat (proton density fat fraction) is an emerging alternative which could be utilized as safe surrogate to liver biopsy. The aim of this study is to evaluate the diagnostic utility of multi-parametric MRI for hepatic steatosis in patients having NAFLD. Materials and Methods: Sixty patients with NAFLD were recruited into this cross-sectional study and were screened using non-invasive imaging technique; mpMRI. Patients were biopsied, and samples were scored by one expert hepato-pathologist. The diagnostic performance of mpMRI was assessed using area under receiver operating characteristic curve (AUC) with the median of the histology scores as the gold standard diagnoses. Results: AUROC for Magnetic resonance spectroscopy proton density fat fraction (MRS-PDFF ) was 1.000 (p =0.0001; 95% CI = 1.000–1.000), a cut-off value of 32.5 had the best sensitivity (97.5%) and specificity (100%).The AUROC for fat fraction (FF) index was 0.995 (p =0.0001; 95% CI = 1.000–0.985), a cut-off value of 22.5 had the best sensitivity (97.2%) and optimal specificity (84%). The AUROC for water fraction index (WF) was 0.998 (p =0.0001; 95% CI = 1.000–0.991), a cut-off value of 22.5 had the best sensitivity (97.2%) and optimal specificity (92%). Conclusions:Quantitative mpMRI is an effective alternative to liver biopsy for diagnosing non-alcoholic fatty liver, and thus may offer clinical utility in patient management.

DOI

10.21608/mjvh.2021.211711

Keywords

Non-alcoholic fatty liver disease, Quantitative multi-parametric magnetic resonance imaging, non-invasive substitute to liver biopsy

Authors

First Name

Amany

Last Name

Hasson

MiddleName

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Affiliation

Tropical medicine Department, Mansoura university, Egypt.

Email

amanyhasson@yahoo.com

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Orcid

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First Name

Tarek

Last Name

Besheer

MiddleName

-

Affiliation

Tropical medicine Department, Mansoura university, Egypt.

Email

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City

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Orcid

-

First Name

Ahmed

Last Name

Abdel khalek

MiddleName

-

Affiliation

Diagnostic radiology, Mansoura university, Egypt.

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Orcid

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First Name

Doaa

Last Name

khedr

MiddleName

-

Affiliation

Diagnostic radiology, Mansoura university, Egypt.

Email

-

City

-

Orcid

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First Name

Mona

Last Name

Arafa

MiddleName

-

Affiliation

Tropical medicine Department, Mansoura university, Egypt.

Email

-

City

-

Orcid

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Volume

6.1

Article Issue

1

Related Issue

29775

Issue Date

2021-12-01

Receive Date

2021-10-26

Publish Date

2021-12-01

Page Start

32

Page End

37

Print ISSN

2314-8748

Online ISSN

2314-8756

Link

https://mjvh.journals.ekb.eg/article_211711.html

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https://mjvh.journals.ekb.eg/service?article_code=211711

Order

6

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Original article

Type Code

477

Publication Type

Journal

Publication Title

Medical Journal of Viral Hepatitis

Publication Link

https://mjvh.journals.ekb.eg/

MainTitle

Multi-parametric magnetic resonance imaging as a diagnostic tool of hepatic steatosis for non-alcoholic fatty liver disease in Egyptian patients.

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Article

Created At

22 Jan 2023