General review of magnetic resonance elastography

• 作者: David J Lomas Gavin Low Scott A Kruse
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: Magnetic RESONANCE ELASTOGRAPHY ELASTICITY IMAGING techniques Liver disease FIBROSIS EMERGING applications
• 年，卷（期）: 2016,（1）
• 页码范围: 59-72
• 页数: 14页
• 分类号: R445.2

摘要

Magnetic resonance elastography(MRE) is an innovative imaging technique for the non-invasive quantification of the biomechanical properties of soft tissues via the direct visualization of propagating shear waves in vivo using a modified phase-contrast magnetic resonance imaging(MRI) sequence. Fundamentally,MRE employs the same physical property that physicians utilize when performing manual palpation- that healthy and diseased tissues can be differentiated on the basis of widely differing mechanical stiffness. By performing 'virtual palpation ',MRE is able to provide information that is beyond the capabilities of conventional morphologic imaging modalities. In an era of increasing adoption of multi-parametric imaging approaches for solving complex problems,MRE can be seamlessly incorporated into a standard MRI examination to provide a rapid,reliable and comprehensive imaging evaluation at a single patient appointment. Originally described by the Mayo Clinic in 1995,the technique represents the most accurate non-invasive method for the detection and staging of liver fibrosis and is currently performed in more than 100 centers worldwide. In this general review,the mechanical properties of soft tissues,principles of MRE,clinical applications of MRE in the liver and beyond,and limitations and future directions of this discipline-are discussed. Selected diagrams and images are provided for illustration.