Online ISSN: 2515-8260

BalancedGradientEcho (FIESTA)- MRI Evaluation Of TheFattyLiverDisease

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Fatih Düzgün, GökhanPekindil

Abstract

FIESTA (FastImagingEmployingSteady-stateAcquisition) is commonlyacceptedthatbelongstotheclass of gradient-echosequence (1). FIESTA has provedto be useful in abdominalimagingformagneticresonansimaging (MRI) of gastrointestinalsystem, oncologicimagings, assessingvascularpatency. However, FIESTA MRI findings of fattyliver has not previouslybeenreported, although it describedthesignalreductionduetofat in previousarticles. Weobservedthatthepatientswithfattyliver had lowersignalintensity (SI) values at FIESTA sequencescomparedto normal patientswithoutfattyliver. Materialsandmethods: Thirtypatientswithliverfatandthirtypatientswithoutfattyliverwerethecontrolgroup.Thirtypatie ntswho had detectedfattyliver at T1W in-out of phase MRI (IOP-MRI) imageswereevaluatedwithcoronalFIESTA sequence at 1.5 Teslascanner. Allpatientswereobtained FIESTA sequenceusingthesame MRI acqusitionparameters. LiverandspleenSI’sweremeasured as usingsame ROI on coronal FIESTA sequencesandlivertospleen SI ratiowerecalculated. Allvalueswerecompared. Results: Decrease in SI of thefattyliver on FIESTA images is negativelycorrelatedwiththefattyfraction of theliver. Patientswithfattyliver had liver / spleen SI ratiofrom 0.15 to 0.71 (mean 0.39), and 0.41 to 0.96 in thecontrolgroup (mean 0.70). Therewas a statisticallysignificantdifference. Conclusion: Webelievesuggestthatbalancedgradientechosequencesuch as FIESTA, can detectfattyliverhoweverfurtherstudiesarerequiredforevaluatethecapability of thesequence in evaluation of fattyfraction of theliver.

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