Objective. Hyperferritinemia is frequent in chronic liver diseases of any cause, but the extent to which ferritin truly reflects iron stores is variable. In these patients, both liver iron and fat are found in variable amount and association. Liver biopsy is often required to quantify liver fat and iron, but sampling variability and invasiveness limit its use. We aimed to assess single breath-hold multiecho magnetic resonance imaging (MRI) for the simultaneous lipid and iron quantification in patients with hyperferritinemia. Material and methods. We compared MRI results for both iron and fat with their respective gold standards - liver iron concentration and computer-assisted image analysis for steatosis on biopsy. We prospectively studied 67 patients with hyperferritinemia and other 10 consecutive patients were used for validation. We estimated two linear calibration equations for the prediction of iron and fat based on MRI. The agreement between MRI and biopsy was evaluated. Results. MRI showed good performances in both the training and validation samples. MRI information was almost completely in line with that obtained from liver biopsy. Conclusion. Single breath-hold multiecho MRI is an accurate method to obtain a valuable measure of both liver iron and steatosis in patients with hyperferritinemia.

Galimberti, S., Trombini, P., Bernasconi, D., Redaelli, I., Pelucchi, S., Bovo, G., et al. (2015). Simultaneous liver iron and fat measures by magnetic resonance imaging in patients with hyperferritinemia. SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 50(4), 429-438 [10.3109/00365521.2014.940380].

Simultaneous liver iron and fat measures by magnetic resonance imaging in patients with hyperferritinemia

GALIMBERTI, STEFANIA
Primo
;
TROMBINI, PAOLA
Secondo
;
BERNASCONI, DAVIDE PAOLO;PELUCCHI, SARA;PIPERNO, ALBERTO
Ultimo
2015

Abstract

Objective. Hyperferritinemia is frequent in chronic liver diseases of any cause, but the extent to which ferritin truly reflects iron stores is variable. In these patients, both liver iron and fat are found in variable amount and association. Liver biopsy is often required to quantify liver fat and iron, but sampling variability and invasiveness limit its use. We aimed to assess single breath-hold multiecho magnetic resonance imaging (MRI) for the simultaneous lipid and iron quantification in patients with hyperferritinemia. Material and methods. We compared MRI results for both iron and fat with their respective gold standards - liver iron concentration and computer-assisted image analysis for steatosis on biopsy. We prospectively studied 67 patients with hyperferritinemia and other 10 consecutive patients were used for validation. We estimated two linear calibration equations for the prediction of iron and fat based on MRI. The agreement between MRI and biopsy was evaluated. Results. MRI showed good performances in both the training and validation samples. MRI information was almost completely in line with that obtained from liver biopsy. Conclusion. Single breath-hold multiecho MRI is an accurate method to obtain a valuable measure of both liver iron and steatosis in patients with hyperferritinemia.
Articolo in rivista - Articolo scientifico
Ferritin; Iron; liver; magnetic resonance imaging; steatosis
English
429
438
10
Galimberti, S., Trombini, P., Bernasconi, D., Redaelli, I., Pelucchi, S., Bovo, G., et al. (2015). Simultaneous liver iron and fat measures by magnetic resonance imaging in patients with hyperferritinemia. SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 50(4), 429-438 [10.3109/00365521.2014.940380].
Galimberti, S; Trombini, P; Bernasconi, D; Redaelli, I; Pelucchi, S; Bovo, G; Di Gennaro, F; Zucchini, N; Paruccini, N; Piperno, A
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/145917
Citazioni
  • Scopus 19
  • ???jsp.display-item.citation.isi??? 18
Social impact