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Fig. 6 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 6

From: Hepatic magnetic resonance elastography: can it be an alternative to invasive biopsy preceding living donor liver transplantation?

Fig. 6

ad Demonstrates MRE sequence images of a 45-year-old apparently normal LLD candidate with hepatic fibrosis of F2 stage, according to METAVIR score of fibrosis, and the estimated mean stiffness of the liver was 2.58 kPa. The obtained MRE sequence images include the conventional anatomical reference image of MRE single slice (a) and the corresponding shear wave images (b), as well as the color-coded confidence map images with 0–8 kPa and 0–20 kPa (c and d, respectively). The conventional anatomical reference image (a) reveals apparently normal hepatic tissue, while the analysis of the corresponding colour-coded shear wave image (b) show very thick, wide, and irregular, and longer wave length throughout the liver, particularly in the right hepatic lobe (the arrows in image b). Moreover, the valid area for hepatic stiffness estimation in color-coded confidence map with 0–8 kPa (c), mainly stained with yellow colour on a light greenish-blue background (d), while it displays light green color on a light blue background on confidence map with 20 kPa (e). According to the corresponding color bars, these colors represent increased tissue stiffness with the mean estimated stiffness values of the liver in the ROIs, on confidence maps (red and yellow rings on c and d images, respectively) was 2.58 kPa (stiffness of F2 stage of fibrosis). Moreover, the liver biopsy confirmed these findings

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