PMID- 27776652 OWN - NLM STAT- MEDLINE DCOM- 20170126 LR - 20181202 IS - 1872-7727 (Electronic) IS - 0720-048X (Linking) VI - 85 IP - 11 DP - 2016 Nov TI - Biliary tract enhancement in gadoxetic acid-enhanced MRI correlates with liver function biomarkers. PG - 2001-2007 LID - S0720-048X(16)30272-8 [pii] LID - 10.1016/j.ejrad.2016.09.003 [doi] AB - PURPOSE: To evaluate the association between gadoxetic-acid-enhanced magnetic resonance (MR) imaging measurements and laboratory and clinical biomarkers of liver function and fibrosis. MATERIALS AND METHODS: One hundred thirty nine consecutive patients with suspected liver disease or liver tumor underwent gadoxetic-acid-enhanced MR imaging. MR imaging measurements during the hepatobiliary phase included biliary tract structure-to-muscle signal intensity ratio (SIR). These measurements were compared with Child-Pugh classification, end-stage liver disease (MELD) score, and aspartate aminotransferase-to-platelet ratio index (APRI). RESULTS: The SIRs of cystic duct and common bile duct were significantly correlated with Child-Pugh classification (P=0.012 for cystic duct and P<0.0001 for common bile duct), MELD score (P=0.0016 and P=0.0033), and APRI (P=0.0022 and P=0.0015). The sensitivity, specificity, and area under the receiver-operating-characteristic curve were: (74%, 88%, 0.86) with the SIR of common bile duct for the detection of patients with Child-Pugh class B or C; (100%, 87%, 0.94) with the SIR of cystic duct for MELD score (>10); (65%, 76%, 0.70) with the SIR of common bile duct for APRI (>1.5). CONCLUSION: Gadoxetic-acid contrast enhancement of cystic duct and common bile duct could be used as biomarkers to assess liver function. CI - Copyright (c) 2016 Elsevier Ireland Ltd. All rights reserved. FAU - Noda, Yoshifumi AU - Noda Y AD - Department of Radiology, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194, Japan. FAU - Goshima, Satoshi AU - Goshima S AD - Department of Radiology, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194, Japan. Electronic address: gossy@par.odn.ne.jp. FAU - Kajita, Kimihiro AU - Kajita K AD - Radiology Services, Gifu University Hospital, 1-1 Yanagido, Gifu 501-1194, Japan. FAU - Kawada, Hiroshi AU - Kawada H AD - Department of Radiology, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194, Japan. FAU - Kawai, Nobuyuki AU - Kawai N AD - Department of Radiology, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194, Japan. FAU - Koyasu, Hiromi AU - Koyasu H AD - Department of Radiology, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194, Japan. FAU - Matsuo, Masayuki AU - Matsuo M AD - Department of Radiology, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194, Japan. FAU - Bae, Kyongtae T AU - Bae KT AD - Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. LA - eng PT - Journal Article DEP - 20160909 PL - Ireland TA - Eur J Radiol JT - European journal of radiology JID - 8106411 RN - 0 (Biomarkers) RN - 0 (Contrast Media) RN - 0 (gadolinium ethoxybenzyl DTPA) RN - EC 2.6.1.1 (Aspartate Aminotransferases) RN - K2I13DR72L (Gadolinium DTPA) SB - IM MH - Adult MH - Aged MH - Aspartate Aminotransferases/metabolism MH - Biliary Tract/*diagnostic imaging/metabolism/physiopathology MH - Biomarkers/*metabolism MH - *Contrast Media MH - Female MH - *Gadolinium DTPA MH - Humans MH - Liver/*diagnostic imaging/metabolism/*physiopathology MH - Liver Cirrhosis/*diagnostic imaging/metabolism/*physiopathology MH - Magnetic Resonance Imaging/*methods MH - Male MH - Middle Aged MH - ROC Curve MH - Reproducibility of Results MH - Retrospective Studies MH - Sensitivity and Specificity OTO - NOTNLM OT - Common bile duct OT - Cystic duct OT - Gadoxetic acid OT - Liver function OT - Magnetic resonance imaging EDAT- 2016/10/26 06:00 MHDA- 2017/01/27 06:00 CRDT- 2016/10/26 06:00 PHST- 2016/07/20 00:00 [received] PHST- 2016/08/30 00:00 [revised] PHST- 2016/09/07 00:00 [accepted] PHST- 2016/10/26 06:00 [pubmed] PHST- 2017/01/27 06:00 [medline] PHST- 2016/10/26 06:00 [entrez] AID - S0720-048X(16)30272-8 [pii] AID - 10.1016/j.ejrad.2016.09.003 [doi] PST - ppublish SO - Eur J Radiol. 2016 Nov;85(11):2001-2007. doi: 10.1016/j.ejrad.2016.09.003. Epub 2016 Sep 9.