Evaluation of the Pattern of Liver Fat Distribution Using Magnetic Resonance Imaging (MRI) Technique in Patients with Nonalcoholic Fatty Liver Disease

Background: The aim of this study was to evaluate the spatial distribution of the liver fat with in-phase and out-of-phase gradient echo imaging technique in patients with nonalcoholic fatty liver disease (NAFLD). Methods: This cross-sectional prospective study was conducted on 38 volunteers after...

Full description

Bibliographic Details
Main Authors: Mansour Zabihzadeh, Zahra Farzanegan, Mohamad Momen gharibvand, Azim Motamedfar, Mozafar Naserpour
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2019-01-01
Series:مجله دانشکده پزشکی اصفهان
Subjects:
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/10617
_version_ 1797717310681645056
author Mansour Zabihzadeh
Zahra Farzanegan
Mohamad Momen gharibvand
Azim Motamedfar
Mozafar Naserpour
author_facet Mansour Zabihzadeh
Zahra Farzanegan
Mohamad Momen gharibvand
Azim Motamedfar
Mozafar Naserpour
author_sort Mansour Zabihzadeh
collection DOAJ
description Background: The aim of this study was to evaluate the spatial distribution of the liver fat with in-phase and out-of-phase gradient echo imaging technique in patients with nonalcoholic fatty liver disease (NAFLD). Methods: This cross-sectional prospective study was conducted on 38 volunteers after approval by the Ethics Committee and obtaining informed consent, in the period of more than two years. Inclusion criteria were as being adult with confirmed NAFLD in biopsy findings, and exclusion criteria included pregnancy, alcohol consumption, claustrophobia, history of liver disease, and using lipid control drugs between biopsy and magnetic resonance imaging (MRI). The in-phase and out-of-phase sequences was performed with a 1.5 Tesla scanner. Fat fractions were calculated for different parts of the liver, and compared with each other. Descriptive statistics, linear regression, and a set of Spearman, Kruskul-Wallis, and Mann-Whitney tests were used with a significance level of P < 0.050 in SPSS software. Findings: 38 patients (22 men and 16 women) with mean age of 42.4 ± 10.6 years were investigated. The fat content for segments 1 to 3 (11.63 ± 10.22 percent), superficial (19.00 ± 11.67 percent) and deep (23.01 ± 12.59 percent) regions of segments 4 to 8, superficial region of segment 5 (19.00 ± 11.67 percent), and the whole liver (18.44 ± 11.57 percent) was measured. A direct linear relationship was found between the fat content of the surface region of segment 5 and biopsy findings (R2 = 0.86, P = 0.001). The average fat content of segments 1 to 3 was lower than other anatomical regions (P < 0.050), and the difference in fat content of other groups was not significant (P > 0.050). Conclusion: The spatial distribution of liver fat is heterogeneous in patients with NAFLD.
first_indexed 2024-03-12T08:35:27Z
format Article
id doaj.art-0d5aed66127d493384e04536802d90f2
institution Directory Open Access Journal
issn 1027-7595
1735-854X
language fas
last_indexed 2024-03-12T08:35:27Z
publishDate 2019-01-01
publisher Isfahan University of Medical Sciences
record_format Article
series مجله دانشکده پزشکی اصفهان
spelling doaj.art-0d5aed66127d493384e04536802d90f22023-09-02T17:18:04ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2019-01-01365021314132010.22122/jims.v36i502.106173246Evaluation of the Pattern of Liver Fat Distribution Using Magnetic Resonance Imaging (MRI) Technique in Patients with Nonalcoholic Fatty Liver DiseaseMansour Zabihzadeh0Zahra Farzanegan1Mohamad Momen gharibvand2Azim Motamedfar3Mozafar Naserpour4Associate Professor, Department of Medical Physics, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranMSc Student, Department of Medical Physics, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssistant Professor, Department of Radiology, School of Medicine, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssistant Professor, Department of Radiology, School of Medicine, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssistant Professor, Department of Radiology, Behbahan School of Medical Sciences, Behbahan, IranBackground: The aim of this study was to evaluate the spatial distribution of the liver fat with in-phase and out-of-phase gradient echo imaging technique in patients with nonalcoholic fatty liver disease (NAFLD). Methods: This cross-sectional prospective study was conducted on 38 volunteers after approval by the Ethics Committee and obtaining informed consent, in the period of more than two years. Inclusion criteria were as being adult with confirmed NAFLD in biopsy findings, and exclusion criteria included pregnancy, alcohol consumption, claustrophobia, history of liver disease, and using lipid control drugs between biopsy and magnetic resonance imaging (MRI). The in-phase and out-of-phase sequences was performed with a 1.5 Tesla scanner. Fat fractions were calculated for different parts of the liver, and compared with each other. Descriptive statistics, linear regression, and a set of Spearman, Kruskul-Wallis, and Mann-Whitney tests were used with a significance level of P < 0.050 in SPSS software. Findings: 38 patients (22 men and 16 women) with mean age of 42.4 ± 10.6 years were investigated. The fat content for segments 1 to 3 (11.63 ± 10.22 percent), superficial (19.00 ± 11.67 percent) and deep (23.01 ± 12.59 percent) regions of segments 4 to 8, superficial region of segment 5 (19.00 ± 11.67 percent), and the whole liver (18.44 ± 11.57 percent) was measured. A direct linear relationship was found between the fat content of the surface region of segment 5 and biopsy findings (R2 = 0.86, P = 0.001). The average fat content of segments 1 to 3 was lower than other anatomical regions (P < 0.050), and the difference in fat content of other groups was not significant (P > 0.050). Conclusion: The spatial distribution of liver fat is heterogeneous in patients with NAFLD.http://jims.mui.ac.ir/index.php/jims/article/view/10617Magnetic resonance imagingNonalcoholic fatty liver diseaseBody fat distribution
spellingShingle Mansour Zabihzadeh
Zahra Farzanegan
Mohamad Momen gharibvand
Azim Motamedfar
Mozafar Naserpour
Evaluation of the Pattern of Liver Fat Distribution Using Magnetic Resonance Imaging (MRI) Technique in Patients with Nonalcoholic Fatty Liver Disease
مجله دانشکده پزشکی اصفهان
Magnetic resonance imaging
Nonalcoholic fatty liver disease
Body fat distribution
title Evaluation of the Pattern of Liver Fat Distribution Using Magnetic Resonance Imaging (MRI) Technique in Patients with Nonalcoholic Fatty Liver Disease
title_full Evaluation of the Pattern of Liver Fat Distribution Using Magnetic Resonance Imaging (MRI) Technique in Patients with Nonalcoholic Fatty Liver Disease
title_fullStr Evaluation of the Pattern of Liver Fat Distribution Using Magnetic Resonance Imaging (MRI) Technique in Patients with Nonalcoholic Fatty Liver Disease
title_full_unstemmed Evaluation of the Pattern of Liver Fat Distribution Using Magnetic Resonance Imaging (MRI) Technique in Patients with Nonalcoholic Fatty Liver Disease
title_short Evaluation of the Pattern of Liver Fat Distribution Using Magnetic Resonance Imaging (MRI) Technique in Patients with Nonalcoholic Fatty Liver Disease
title_sort evaluation of the pattern of liver fat distribution using magnetic resonance imaging mri technique in patients with nonalcoholic fatty liver disease
topic Magnetic resonance imaging
Nonalcoholic fatty liver disease
Body fat distribution
url http://jims.mui.ac.ir/index.php/jims/article/view/10617
work_keys_str_mv AT mansourzabihzadeh evaluationofthepatternofliverfatdistributionusingmagneticresonanceimagingmritechniqueinpatientswithnonalcoholicfattyliverdisease
AT zahrafarzanegan evaluationofthepatternofliverfatdistributionusingmagneticresonanceimagingmritechniqueinpatientswithnonalcoholicfattyliverdisease
AT mohamadmomengharibvand evaluationofthepatternofliverfatdistributionusingmagneticresonanceimagingmritechniqueinpatientswithnonalcoholicfattyliverdisease
AT azimmotamedfar evaluationofthepatternofliverfatdistributionusingmagneticresonanceimagingmritechniqueinpatientswithnonalcoholicfattyliverdisease
AT mozafarnaserpour evaluationofthepatternofliverfatdistributionusingmagneticresonanceimagingmritechniqueinpatientswithnonalcoholicfattyliverdisease