Evidence map›Paper›PMID 42848196›Full record

ArticleAbdominal radiology (New York)2026

Water-T1, PDFF, and T2* mapping of the liver using chemical shift-encoded MOLLI.

Amol Pednekar, Joshua S Greer, Pradipta Debnath, Andrew T Trout, Jonathan R Dillman, Mary Kate Manhard

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Article in Abdominal radiology (New York), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Amol PednekarRadiology, Cincinnati Children's Hospital Medical Center, Cincinnati, USA. Amol.Pednekar@cchmc.org.
Joshua S GreerMR Clinical Science, Philips (United States), Cincinnati, USA.
Pradipta DebnathRadiology, Cincinnati Children's Hospital Medical Center, Cincinnati, USA.
Andrew T TroutRadiology, Cincinnati Children's Hospital Medical Center, Cincinnati, USA.ORCID https://orcid.org/0000-0003-1431-4054
Jonathan R DillmanRadiology, Cincinnati Children's Hospital Medical Center, Cincinnati, USA.ORCID https://orcid.org/0000-0003-0124-0164
Mary Kate ManhardRadiology, Cincinnati Children's Hospital Medical Center, Cincinnati, USA. MaryKate.Manhard@cchmc.org.ORCID https://orcid.org/0000-0001-5374-9988

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHepatic MRI T1 relaxation time is a putative measure of fibrosis and inflammation but may be confounded by hepatic fat. This study evaluated a chemical shift-encoded Modified Look-Locker Inversion Recovery (CSE-MOLLI) technique for simultaneous water-specific T1 (water-T1), proton density fat fraction (PDFF), and T2* mapping within a single breath-hold.

methodsNumerical simulations, reference standard phantoms, and in vivo imaging were used to assess CSE-MOLLI performance. Twenty participants, including healthy/asymptomatic controls, individuals with steatotic liver disease, and individuals with non-steatotic chronic liver disease, underwent CSE-MOLLI and comparator quantitative MRI sequences. All quantitative maps were generated in real-time on the scanner. Water-T1, PDFF, and T2* were measured from regions of interest (ROIs) by two readers and compared with reference standard methods using simple and intraclass correlation and Bland-Altman analysis. Scan-rescan repeatability was assessed for CSE-MOLLI.

resultsPhantom experiments demonstrated strong agreement between CSE-MOLLI and reference measurements for water-T1 (r = 0.98), PDFF (r = 1.00), and T2* (r = 0.99) estimates. In vivo, inter-reader agreement was excellent for water-T1, PDFF, and T2* (ICC > 0.97). CSE-MOLLI showed very strong correlation and excellent agreement with comparator PDFF (r = 1.00; ICC = 0.98) and water-T1 (r = 0.95; ICC = 0.89), while T2* demonstrated strong correlation and moderate agreement with comparator values (r = 0.67; ICC = 0.65). Water-T1 remained relatively consistent across PDFF values from 1% to 43%, suggesting reduced sensitivity of CSE-MOLLI to fat-related deviation. Water-T1 exhibited good scan-rescan repeatability (bias = 2.0 ms, ICC = 0.95).

conclusionCSE-MOLLI enables simultaneous water-T1, PDFF, and T2* mapping of the liver within a single breath-hold. Phantom validation, repeatability assessment, and preliminary in vivo results in healthy, steatotic, and non-steatotic liver disease participants suggest that hepatic water-T1 measurements are less sensitive to fat-related deviations than conventional MOLLI-based T1 estimates. Further studies are needed to determine clinical utility in diffuse liver disease.

Indexed as

Chemical-shift encoded MRIFat fractionMultiparametric MRIQuantitative liver MRISteatotic liver diseaseT1 mappingWater-specific T1

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.