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Assessment of liver function by gadoxetic acid avidity in MRI in a model of rapid liver regeneration in rats

Authors: Heil, Jan; Augath, Mark; Kurtcuoglu, Vartan; Hohmann, Joachim; Bechstein, Wolf O; Olthof, Pim; Schnitzbauer, Andreas A; +5 Authors

Assessment of liver function by gadoxetic acid avidity in MRI in a model of rapid liver regeneration in rats

Abstract

This animal study investigates the hypothesis of an immature liver growth following ALPPS (associating liver partition and portal vein ligation for staged hepatectomy) by measuring liver volume and function using gadoxetic acid avidity in magnetic resonance imaging (MRI) in models of ALPPS, major liver resection (LR) and portal vein ligation (PVL).Wistar rats were randomly allocated to ALPPS, LR or PVL. In contrast-enhanced MRI scans with gadoxetic acid (Primovist®), liver volume and function of the right median lobe (=future liver remnant, FLR) and the deportalized lobes (DPL) were assessed until post-operative day (POD) 5. Liver functionFLR/DPL was defined as the inverse value of time from injection of gadoxetic acid to the blood pool-corrected maximum signal intensityFLR/DPL multiplied by the volumeFLR/DPL.In ALPPS (n = 6), LR (n = 6) and PVL (n = 6), volumeFLR and functionFLR increased proportionally, except on POD 1. Thereafter, functionFLR exceeded volumeFLR increase in LR and ALPPS, but not in PVL. Total liver function was significantly reduced after LR until POD 3, but never undercuts 60% of its pre-operative value following ALPPS and PVL.This study shows for the first time that functional increase is proportional to volume increase in ALPPS using gadoxetic acid avidity in MRI.

Keywords

Gadolinium DTPA, Hepatology, 10216 Institute of Anesthesiology, Portal Vein, Liver Neoplasms, Gastroenterology, 610 Medicine & health, Magnetic Resonance Imaging, 10052 Institute of Physiology, Rats, Liver Regeneration, Liver, 570 Life sciences; biology, Animals, Hepatectomy, 2721 Hepatology, 2715 Gastroenterology, Rats, Wistar, Ligation

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green
hybrid