European Radiology

, Volume 25, Issue 5, pp 1384–1391 | Cite as

Imaging-based evaluation of liver function: comparison of 99mTc-mebrofenin hepatobiliary scintigraphy and Gd-EOB-DTPA-enhanced MRI

  • Dominik Geisel
  • Lutz Lüdemann
  • Vera Fröling
  • Maciej Malinowski
  • Martin Stockmann
  • Annekathrin Baron
  • Bernhard Gebauer
  • Daniel Seehofer
  • Vikas Prasad
  • Timm Denecke
Hepatobiliary-Pancreas

Abstract

Objectives

To compare Gd-EOB-enhanced MRI and 99mTc-mebrofenin hepatobiliary scintigraphy (HBS) as imaging-based liver function tests for separate evaluation of right (RLL) and left liver lobe (LLL) function.

Methods

Fourteen patients underwent Gd-EOB-enhanced MRI and 99mTc-mebrofenin HBS after portal vein embolization within 24 h. Relative enhancement (RE) and hepatic uptake index (HUI) were determined from MRI; and T max, T 1/2 and mebrofenin uptake were determined from HBS, all values separately for RLL and LLL.

Results

Mebrofenin uptake correlated significantly with HUI and RE for both liver lobes. There was strong correlation of mebrofenin uptake with HUI for RLL (r 2 = 0.802, p = 0.001) and RE for LLL (r 2 = 0.704, p = 0.005) and moderate correlation with HUI for LLL (r 2 = 0.560, p = 0.037) and RE for RLL (r 2 = 0.620, p = 0.018). Correlating the percentage share of RLL function derived from MRI (with HUI) with the percentage of RLL function derived from mebrofenin uptake revealed a strong correlation (r 2 = 0.775, p = 0.002).

Conclusions

Both RE and HUI correlate with mebrofenin uptake in HBS. The results suggest that Gd-EOB-enhanced MRI and 99mTc-mebrofenin HBS may equally be used to separately determine right and left liver lobe function.

Key points

Information about liver function can be acquired with routine Gd-EOB-MRI.

Gd-EOB-MRI and 99m Tc-mebrofenin HBS show elevated function of non-embolized lobe.

Gd-EOB-MRI and 99m Tc-mebrofenin HBS can determine lobar liver function.

Keywords

MRI Liver function Mebrofenin scintigraphy EOB Gadoxetic acid 

Abbreviations

FRL

future remnant liver

Gd-EOB-DTPA

gadolinium ethoxybenzyl diethylenetriaminepentaacetic acid

HBS

hepatobiliary scintigraphy

HUI

hepatic uptake index

ICG

indocyanine green

LLL

left liver lobe

PVE

portal vein embolization

RE

relative enhancement

RLL

right liver lobe

ROI

region of interest

SI

signal intensity

VIBE

volume interpolated breath-hold examination

Notes

Acknowledgments

The scientific guarantor of this publication is Dominik Geisel. The authors of this manuscript declare relationships with the following companies: Bayer AG. The authors state that this work has not received any funding. One of the authors has significant statistical expertise. Institutional review board approval was obtained. Written informed consent was waived by the institutional review board. Methodology: retrospective, diagnostic or prognostic study, performed at one institution.

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Copyright information

© European Society of Radiology 2014

Authors and Affiliations

  • Dominik Geisel
    • 1
  • Lutz Lüdemann
    • 3
  • Vera Fröling
    • 1
    • 2
  • Maciej Malinowski
    • 4
  • Martin Stockmann
    • 4
  • Annekathrin Baron
    • 4
  • Bernhard Gebauer
    • 1
  • Daniel Seehofer
    • 4
  • Vikas Prasad
    • 2
  • Timm Denecke
    • 1
    • 2
  1. 1.Department of Diagnostic and Interventional RadiologyCharité Campus Virchow-KlinikumBerlinGermany
  2. 2.Department of Nuclear MedicineCharité Campus Virchow-KlinikumBerlinGermany
  3. 3.Department of Medical PhysicsEssen University HospitalEssenGermany
  4. 4.Department of General, Visceral and Thoracic SurgeryCharité Campus Virchow-KlinikumBerlinGermany

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