PMID- 32668273 OWN - NLM STAT- MEDLINE DCOM- 20210128 LR - 20211002 IS - 1873-5894 (Electronic) IS - 0730-725X (Print) IS - 0730-725X (Linking) VI - 72 DP - 2020 Oct TI - Noninvasive assessment of abdominal adipose tissues and quantification of hepatic and pancreatic fat fractions in type 2 diabetes mellitus. PG - 95-102 LID - S0730-725X(20)30326-X [pii] LID - 10.1016/j.mri.2020.07.001 [doi] AB - The purpose of this study was to evaluate adipose tissue distributions and hepatic and pancreatic fat contents using a 6-point Dixon MRI technique in type 2 diabetes mellitus (T2DM), and to assess associations between fat distributions and biochemical markers of insulin resistance. Intra-abdominal MRI was investigated in 14 T2DM patients, 13 age- and sex-matched healthy controls (HC) and 11 young HC using a 3 T Prisma MRI scanner. All T2DM subjects completed a fasting comprehensive metabolic panel, and demographic measurements were taken according to standardized methodologies. We observed excellent correlation (R(2) = 0.94) between hepatic fat fraction quantified using 6-point Dixon MRI and gold standard MRS, establishing the accuracy and reliability of the Dixon technique. Significantly increased visceral adipose tissue (VAT) volumes were found in T2DM patients compared to age-matched HC (1569.81 +/- 670.62 cm(3) vs. 1106.60 +/- 566.85 cm(3), p = .04). We also observed a trend of increasing subcutaneous adipose tissues (SAT), and total abdominal fat (TAT) volumes in T2DM compared to age-matched HC. Hepatic fat fraction percentage (HFF%) was 44.6% higher in T2DM compared to age-matched HC and 64.4% higher compared to young HC. Pancreatic fat fractions in the head and body/tail were higher in T2DM patients compared to both healthy cohorts. We also observed correlations between fat contents of the liver and pancreas in T2DM patients, and association between biochemical markers of T2DM with HFF, indicating a risk for non-alcoholic fatty liver disease among T2DM. In summary, this study provides evidence of T2DM patients having increased liver and pancreatic fat, as well as increased adipose tissues. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Sarma, Manoj Kumar AU - Sarma MK AD - Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States of America. Electronic address: msarma@mednet.ucla.edu. FAU - Saucedo, Andres AU - Saucedo A AD - Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States of America. Electronic address: asaucedo@mednet.ucla.edu. FAU - Darwin, Christine Hema AU - Darwin CH AD - Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States of America. Electronic address: cdarwin@mednet.ucla.edu. FAU - Felker, Ely Richard AU - Felker ER AD - Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States of America. Electronic address: efelker@mednet.ucla.edu. FAU - Umachandran, Kavya AU - Umachandran K AD - Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States of America. Electronic address: kavyauma@ucla.edu. FAU - Kohanghadosh, Daniel AU - Kohanghadosh D AD - Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States of America. FAU - Xu, Edward AU - Xu E AD - Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States of America. FAU - Raman, Steve AU - Raman S AD - Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States of America. Electronic address: sraman@mednet.ucla.edu. FAU - Thomas, Michael Albert AU - Thomas MA AD - Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States of America. Electronic address: athomas@mednet.ucla.edu. LA - eng GR - R21 EB020883/EB/NIBIB NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20200712 PL - Netherlands TA - Magn Reson Imaging JT - Magnetic resonance imaging JID - 8214883 SB - IM MH - Abdominal Fat/diagnostic imaging/*pathology MH - Adult MH - Diabetes Mellitus, Type 2/diagnostic imaging/*pathology MH - Female MH - Humans MH - Insulin Resistance MH - Liver/*pathology MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Pancreas/*pathology MH - Reproducibility of Results PMC - PMC7442732 MID - NIHMS1613312 OTO - NOTNLM OT - Abdominal fat OT - Adipose tissue OT - Dixon OT - Hepatic fat fraction OT - MRI OT - T2DM EDAT- 2020/07/16 06:00 MHDA- 2021/01/29 06:00 PMCR- 2021/10/01 CRDT- 2020/07/16 06:00 PHST- 2020/05/13 00:00 [received] PHST- 2020/07/01 00:00 [revised] PHST- 2020/07/01 00:00 [accepted] PHST- 2020/07/16 06:00 [pubmed] PHST- 2021/01/29 06:00 [medline] PHST- 2020/07/16 06:00 [entrez] PHST- 2021/10/01 00:00 [pmc-release] AID - S0730-725X(20)30326-X [pii] AID - 10.1016/j.mri.2020.07.001 [doi] PST - ppublish SO - Magn Reson Imaging. 2020 Oct;72:95-102. doi: 10.1016/j.mri.2020.07.001. Epub 2020 Jul 12.