The purpose of this study was to evaluate whether disodium gadoxetate (Gd-EOB-DTPA) affects proton density fat fractions (PDFFs) during use of the multiecho Dixon (meDixon) method in phantom and simulation magnetic resonance imaging (MRI) studies at 3 T. Fat–water phantoms comprising vegetable fat–water emulsions with varying fat volume percentages (0, 5, 10, 15, 20, 30, 40, and 50) and Gd-EOB-DTPA concentrations (0 and 0.4 mM) were prepared. Phantoms without Gd-EOB-DTPA were defined as precontrast, and those with Gd-EOB-DTPA were defined as postcontrast. All phantoms were scanned with a 3 T MRI system using the meDixon method, and precontrast and postcontrast PDFFs were calculated. Simulated pre and postcontrast PDFFs in the liver were calculated using a theoretical formula. The relationship between PDFFs measured in the pre and postcontrast phantoms was evaluated using linear regression and Bland–Altman analysis. The regression analysis comparing the pre and postcontrast PDFFs yielded a slope of 0.77 (P < 0.001). The PDFFs on the postcontrast phantom were smaller than those on the precontrast phantom. The mean difference between the PDFFs on the pre and postcontrast phantoms was 6.12% (95% confidence interval 3.13 to 9.10%; limits of agreement −0.88 to 13.11%). The simulated PDFF on the postcontrast phantom was smaller than that on the precontrast phantom. We demonstrated that the PDFF measured using the meDixon was smaller on postcontrast than on precontrast at 3 T, if a low flip angle was used. This tendency was also seen in the simulation study results.
Fat Liver Phantom Magnetic resonance imaging Quantification Gd-EOB-DTPA
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We thank Editage (www.editage.jp) for English language editing services. This manuscript was partly supported by Akiyoshi Ohtsuka Fellowship of the Japanese Society of Radiological Technology for improvement in English expression of a draft version of the manuscript.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflicts of interest.
Research involving human participants and animals
This article does not contain any studies with human participants performed by any of the authors. This article does not contain any studies with animals performed by any of the authors.
Informed consent for this study was not required, because no research involving human participants was undertaken by any of the authors.
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