A robust method for assessment of iron overload in liver by magnetic resonance imaging

Annu Int Conf IEEE Eng Med Biol Soc. 2007:2007:2895-8. doi: 10.1109/IEMBS.2007.4352934.

Abstract

Assessment of iron overload in liver by T2* magnetic resonance imaging (MRI) is a widely used clinical procedure. In the common clinical practice, measurement is performed locally by manually drawing a small region of interest in liver. This procedure may be affected by a noticeable intra- and inter-observer variability. In this study, a new approach is proposed that performs a global semiautomatic measurement of T2* involving the whole liver extension. Parenchyma is automatically segmented by an adaptive fuzzy-clustering algorithm. The liver T2* global value is evaluated using a pixel-wise approach by introducing an appropriate signal decay model. The proposed method was tested on a synthetic software model and on MR images acquired from 30 thalassemia major patients. The methods was demonstrated to increase the measure precision in T2* assessment and to significantly reduce the intra- and inter-observer variability.

MeSH terms

  • Humans
  • Iron / metabolism
  • Iron Overload / diagnosis*
  • Liver / metabolism*
  • Magnetic Resonance Imaging
  • Phantoms, Imaging
  • Software*
  • Thalassemia / diagnosis
  • Thalassemia / metabolism

Substances

  • Iron