Apparent diffusion coefficient measurements with diffusion-weighted magnetic resonance imaging for evaluation of hepatic fibrosis
Article first published online: 21 JUN 2005
Copyright © 2005 Wiley-Liss, Inc.
Journal of Magnetic Resonance Imaging
Volume 22, Issue 1, pages 80–85, July 2005
How to Cite
Koinuma, M., Ohashi, I., Hanafusa, K. and Shibuya, H. (2005), Apparent diffusion coefficient measurements with diffusion-weighted magnetic resonance imaging for evaluation of hepatic fibrosis. J. Magn. Reson. Imaging, 22: 80–85. doi: 10.1002/jmri.20344
- Issue published online: 21 JUN 2005
- Article first published online: 21 JUN 2005
- Manuscript Accepted: 3 MAR 2005
- Manuscript Received: 23 AUG 2004
- magnetic resonance imaging;
- diffusion-weighted MRI;
- ADC measurements;
- hepatic fibrosis;
- histology activity index (HAI) score
To evaluate the use of apparent diffusion coefficient (ADC) measurements based on diffusion-weighted MRI (DWI) to assess stage of liver disease.
Materials and Methods
A total of 31 patients who underwent both a liver biopsy and DWI and 132 patients who only underwent DWI were enrolled. Biopsy specimens were scored for fibrosis and necroinflammation according to the Knodell histology activity index (HAI). The 31 patients consisted of 21 patients with chronic hepatitis and 10 with cirrhosis (Child-Pugh stage A in nine and stage B in one), and the 132 patients consisted of 56 patients with cirrhosis (Child-Pugh stage A in 41, stage B in 10, and stage C in five), 42 with chronic hepatitis, and 34 with normal liver function. The ADCs in the liver parenchyma were measured using DWI with relatively low b factors (b = 0.01 and 128.01 seconds/mm2) and were compared among the HAI scores and among patients with cirrhosis, chronic hepatitis, and normal liver function.
The ADCs decreased as the fibrosis score in the HAI increased, and the correlation was statistically significant (P < 0.0001). No relationship between the ADCs and the necroinflammation scores in the HAI was found. The ADCs decreased as the stage of liver disease progressed or as the Child-Pugh stage progressed, and these relationships were statistically significant (P < 0.0001).
ADC measurements are potentially useful for the evaluation of fibrosis staging in the liver. J. Magn. Reson. Imaging 2005;22:80–85. © 2005 Wiley-Liss, Inc.