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Shumbayawonda E, Beyer C, de Celis Alonso B, Hidalgo-Tobon S, López-Martínez B, Klunder-Klunder M, Miranda-Lora AL, Thomas EL, Bell JD, Breen DJ, Janowski K, Pronicki M, Grajkowska W, Wozniak M, Jurkiewicz E, Banerjee R, Socha P, So PW. Reference Range of Quantitative MRI Metrics Corrected T1 and Liver Fat Content in Children and Young Adults: Pooled Participant Analysis. CHILDREN (BASEL, SWITZERLAND) 2024; 11:1230. [PMID: 39457195 PMCID: PMC11506660 DOI: 10.3390/children11101230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2024] [Revised: 10/08/2024] [Accepted: 10/08/2024] [Indexed: 10/28/2024]
Abstract
BACKGROUND Multiparametric MRI markers of liver health corrected T1 (cT1) and proton density fat fraction (PDFF) have shown utility in the management of various chronic liver diseases. We assessed the normal population reference range of both cT1 and PDFF in healthy child and adult volunteers without any known liver disease. METHODS A retrospective multi-centre pooled analysis of 102 child and young adult (9.1 years (6-18)) volunteers from three centres: Children's Memorial Health Institute (N = 21), University Hospital Southampton (N = 28) and Hospital Infantil de Mexico (N = 53). Sex and ethnic differences were investigated for both cT1 and PDFF. Age effects were investigated with comparison to a pooled adult cohort from the UK Biobank (N = 500) and CoverScan (N = 71), covering an age range of 21 to 81 years. RESULTS cT1 values were normally distributed with a median of 748 ms (IQR: 725-768 ms; 2.5-97.5 percentiles: 683-820 ms). PDFF values followed a normal distribution with a median of 1.7% (IQR: 1.3-1.9%; 2.5-97.5 percentiles: 1-4.4%). There were no significant age and sex differences in cT1 and PDFF between children and young adults. No differences in cT1 and PDFF were found between ethnicities. Age comparisons showed statistically significant, but clinically negligible, cT1 (748 ms vs. 732 ms) and PDFF (2.4% vs. 1.9%) differences between paediatric and adult groups, respectively. CONCLUSIONS Median healthy cT1 and PDFF reference ranges in children and young adults fall within the reported limits for normal of 800 ms and 5%, respectively.
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Affiliation(s)
| | | | - Benito de Celis Alonso
- Faculty of Physical and Mathematical Sciences, Benemérita Universidad Autónoma de Puebla, Puebla 72000, Mexico
| | - Silvia Hidalgo-Tobon
- Imaging Department, Children’s Hospital of Mexico Federico Gómez, Mexico City 06720, Mexico
- Physics Department, Universidad Autónoma Metropolitana, Campus Iztapalapa, Mexico City 09340, Mexico
| | - Briceida López-Martínez
- Sub Direction of Research, Children’s Hospital of Mexico Federico Gómez, Mexico City 06720, Mexico
| | - Miguel Klunder-Klunder
- Research Committee, Latin American Society for Pediatric Gastroenterology, Hepatology and Nutrition (SLAGHNP/LASPGHAN), Mexico City 06720, Mexico
- Epidemiological Research Unit in Endocrinology and Nutrition, Children’s Hospital of Mexico Federico Gómez, Mexico City 06720, Mexico
| | - América Liliana Miranda-Lora
- Epidemiological Research Unit in Endocrinology and Nutrition, Children’s Hospital of Mexico Federico Gómez, Mexico City 06720, Mexico
| | - E. Louise Thomas
- Research Centre for Optimal Health, University of Westminster, London W1B 2HW, UK
| | - Jimmy D. Bell
- Research Centre for Optimal Health, University of Westminster, London W1B 2HW, UK
| | - David J. Breen
- Department of Radiology, University Hospital Southampton NHS Foundation Trust, Tremona Road, Southampton SO16 6YD, UK
| | - Kamil Janowski
- Department of Gastroenterology, Hepatology, Nutritional Disorders and Pediatrics, The Children’s Memorial Health Institute, 20 04-736 Warsaw, Poland
| | - Maciej Pronicki
- Department of Pathology, The Children’s Memorial Health Institute, 20 04-736 Warsaw, Poland
| | - Wieslawa Grajkowska
- Department of Pathology, The Children’s Memorial Health Institute, 20 04-736 Warsaw, Poland
| | - Malgorzata Wozniak
- Department of Gastroenterology, Hepatology, Nutritional Disorders and Pediatrics, The Children’s Memorial Health Institute, 20 04-736 Warsaw, Poland
| | - Elzbieta Jurkiewicz
- Department of Diagnostic Imaging, The Children’s Memorial Health Institute, 20 04-736 Warsaw, Poland
| | | | - Piotr Socha
- Department of Gastroenterology, Hepatology, Nutritional Disorders and Pediatrics, The Children’s Memorial Health Institute, 20 04-736 Warsaw, Poland
| | - Po-Wah So
- Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London SE5 8AF, UK
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