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Table 5 Overview of the 20-min MRI examination. The sequences are listed in the scan order and highlighted in bold text. The imaging markers stemming from the individual sequences are listed in the last row. The body-composition profiling sequences (BCP) differ depending on abdominal or thigh coverage; in the abdominal sequences visceral adipose tissue (VAT) and abdominal subcutaneous adipose tissue (BCP) volumes as well as spinal erectors fa-free muscle volume (FFMV) and muscle fat infiltration (MFI) are measured. In the thigh sequences thigh FFMV and MFI are measured. The liver proton density fat fraction (PDFF) is measured using the mDixon quant sequence. The T2* liver sequence can be used to measure liver iron content (LIC). The dynamic Dixon sequences taken at 0,45,70,180 after bolus injection of gadoterate meglumine (Dotarem®) can measure signal intensity (SI) contrast based hepatobiliary markers. Lastly the two MRE sequences can measure the liver stiffness (|G*|)

From: A rapid, non-invasive, clinical surveillance for CachExia, sarcopenia, portal hypertension, and hepatocellular carcinoma in end-stage liver disease: the ACCESS-ESLD study protocol

Sequence Name

BCP-Abdomen

BCP-Thigh

mDixon Quant

T2* Liver

mDixon Dynamic

MRESE

MREGRE

Mode

T1-weighted

T1-weighted

Quantitative Imaging

T2-weighted

Dynamic Imaging (0/45/70/180 s)

MR Elastography

MR Elastography

TR/TE (ms)

“shortest”/1 (3.4/0.98)

“shortest”/"shortest” (3.5/1.13)

“shortest”/"shortest” (6.9/0.96)

“shortest”/2.30 (8.2/2.3)

“shortest”/"shortest” (3.2/1.14)

1000/53.84

50/"shortest”

(50/20)

Echo-train length

2

2

6

N/A

2

1

1

Flip angle (°)

10

10

3

10

10

90

30

no. slices

37

71

77

37

131

4

4

FOV RL/AP/FH (mm)

530/371/222

540/368/284

400/350/231

530/371/222

380/312.14/229.25

370/314.5/43

450/403.1/43

ACQ voxel size RL/AP/FH (mm)

3.3 × 3.6 × 6

2 × 2.2 × 4

3 × 2.99 × 3

2.20 × 3.59 × 6

1.75 × 1.75 × 3.5

4.67 × 4.67

1.5 × 4.67

ACQ matrix size

160 × 104

264 × 167

132 × 118

240 × 102

216 × 178

80 × 66

300 × 86

Reconstruction matrix

160

288

192

240

448

320

384

NSA

 

1

1

1

1

1

1

Breath hold

“yes”

“no”

“yes”

“yes”

“yes”

“yes”

“yes”

Compressed SENSE

“no”

“no”

“no”

“no”

“yes” (4)

“no”

“no”

Imaging marker(s)

VAT, ASAT, liver volume, spleen volume, spinal erectors, FFMV and MFI

Thigh FFMV and MFI

PDFF

LIC

SI

(|G*|)

(|G*|)