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Table 4 Radiological-pathological comparisons and expected outcomes

From: 7-T MRI of explanted liver and ex-vivo pancreatic specimens: prospective study protocol of radiological-pathological correlation feasibility (the EXLIPSE project)

Analysis

Imaging investigated

Pathological reference

Expected outcomes

Qualitative analyses

 1. Image consistency

CUBE

IDEAL T1w

IDEAL T2w

IDEAL Fat-water

2D MRCP

3D MRCP

MP2RAGE

MSE

3D MRF

2D MRF

Histological confirmation of the presence and type of lesion/tissue alteration identified by imaging

Diagnostic reliability using morphological sequences

Quantitative analyses

 1. T1 relaxation time values of cirrhotic liver parenchyma

 2. T1 relaxation time value of hepatic lesions

 3. T1 relaxation time value of pancreatic lesion

MP2RAGE

3D MRF (T1-map)

2D MRF (T1-map)

1. Fibrotic/regenerative characteristics of the liver tissue

2. Focal lesions affecting the cirrhotic liver

3. Pancreatic lesion characteristics

1. Correlation between the fibrotic degree and the T1-value

2. Differential diagnosis of the focal hepatic lesions based on T1-value

3. Pancreatic lesion stroma related to T1-value

 1. T2 relaxation time values of hepatic lesions

 2. T2 relaxation time value of pancreatic lesion

MSE

3D MRF (T2-map)

1. Focal lesions affecting the cirrhotic liver

2. Pancreatic lesion characteristics

1. Differential diagnosis of the focal hepatic lesions based on T2-value

2. Pancreatic lesion aggressiveness related to T2-value

Fat-fraction values of steatotic liver parenchyma

IDEAL Fat-water

2D MRF (fat-fraction and water-fraction)

3D MRF (fat-fraction and water-fraction)

Well-established histological classification of the steatosis distribution

Good radiological-pathological correlation about the degree of steatosis