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International reproducibility of single breathhold T2* MR for cardiac and liver iron assessment among five thalassemia centers
Authors:Paul Kirk MBBS  Taigang He MD  Lisa J. Anderson MD  Michael Roughton PhD  Mark A. Tanner MD  Wynnie W.M. Lam MD  Wing Y. Au MD  Winnie C.W. Chu MD  Godfrey Chan MD  Renzo Galanello MD  Gildo Matta MD  Mark Fogel MD  Alan R. Cohen MD  Ru San Tan MD  Kevin Chen MD  Ivy Ng MD  Angie Lai MD  Suthat Fucharoen MD  Jiraporn Laothamata MD  Suporn Chuncharunee MD  Sutipong Jongjirasiri MD  David N. Firmin MD  Gillian C. Smith MD  Dudley J. Pennell MD
Affiliation:1. Imperial College and Royal Brompton Hospital, London, United Kingdom;2. Chinese University of Hong Kong, Hong Kong;3. University of Hong Kong, Hong Kong;4. Ospedale Regionale Microcitemie, Cagliari, Italy;5. Azienda Ospedaliera G.Brotzu, Cagliari, Italy;6. Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA;7. National Heart Center, Singapore;8. Singapore General Hospital, Singapore;9. KK Women and Children's Hospital, Singapore;10. Mahidol University, Bangkok, Thailand;11. Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Abstract:

Purpose:

To examine the reproducibility of the single breathhold T2* technique from different scanners, after installation of standard methodology in five international centers.

Materials and Methods:

Up to 10 patients from each center were scanned twice locally for local interstudy reproducibility of heart and liver T2*, and then flown to a central MR facility to be rescanned on a reference scanner for intercenter reproducibility. Interobserver reproducibility for all scans was also assessed.

Results:

Of the 49 patients scanned, the intercenter reproducibility for T2* was 5.9% for the heart and 5.8% for the liver. Local interstudy reproducibility for T2* was 7.4% for the heart and 4.6% for the liver. Interobserver reproducibility for T2* was 5.4% for the heart and 4.4% for the liver.

Conclusion:

These data indicate that T2* MR may be developed into a widespread test for tissue siderosis providing that well‐defined and approved imaging and analysis techniques are used. J. Magn. Reson. Imaging 2010;32:315–319. © 2010 Wiley‐Liss, Inc.
Keywords:thalassemia  cardiac siderosis  cardiomyopathy  cardiovascular MR
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