In vivo characterization of the liver fat 1H MR spectrum

G Hamilton, T Yokoo, M Bydder, I Cruite… - NMR in …, 2011 - Wiley Online Library
G Hamilton, T Yokoo, M Bydder, I Cruite, ME Schroeder, CB Sirlin, MS Middleton
NMR in Biomedicine, 2011Wiley Online Library
A theoretical triglyceride model was developed for in vivo human liver fat 1H MRS
characterization, using the number of double bonds ( CH CH), number of methylene‐
interrupted double bonds ( CH CH CH2 CH CH) and average fatty acid chain
length. Five 3 T, single‐voxel, stimulated echo acquisition mode spectra (STEAM) were
acquired consecutively at progressively longer TEs in a fat–water emulsion phantom and in
121 human subjects with known or suspected nonalcoholic fatty liver disease. T2‐corrected …
Abstract
A theoretical triglyceride model was developed for in vivo human liver fat 1H MRS characterization, using the number of double bonds (CHCH), number of methylene‐interrupted double bonds (CHCHCH2CHCH) and average fatty acid chain length. Five 3 T, single‐voxel, stimulated echo acquisition mode spectra (STEAM) were acquired consecutively at progressively longer TEs in a fat–water emulsion phantom and in 121 human subjects with known or suspected nonalcoholic fatty liver disease. T2‐corrected peak areas were calculated. Phantom data were used to validate the model. Human data were used in the model to determine the complete liver fat spectrum. In the fat–water emulsion phantom, the spectrum predicted by the model (based on known fatty acid chain distribution) agreed closely with spectroscopic measurement. In human subjects, areas of CH2 peaks at 2.1 and 1.3 ppm were linearly correlated (slope, 0.172; r = 0.991), as were the 0.9 ppm CH3 and 1.3 ppm CH2 peaks (slope, 0.125; r = 0.989). The 2.75 ppm CH2 peak represented 0.6% of the total fat signal in high‐liver‐fat subjects. These values predict that 8.6% of the total fat signal overlies the water peak. The triglyceride model can characterize human liver fat spectra. This allows more accurate determination of liver fat fraction from MRI and MRS. Copyright © 2010 John Wiley & Sons, Ltd.
Wiley Online Library