Characterisation of liver fat in the UK Biobank cohort

Autor: Paul M. Matthews, Michael L. Gyngell, Henry R. Wilman, E L Thomas, Steve Garratt, Jimmy D. Bell, Rajarshi Banerjee, Matteo Milanesi, Stefan Neubauer, Amy H. Herlihy, Matt Kelly
Přispěvatelé: Commission of the European Communities
Rok vydání: 2016
Předmět:
0301 basic medicine
Male
Steatosis
Cirrhosis
Cross-sectional study
Blood Pressure
Type 2 diabetes
Pathology and Laboratory Medicine
PROTON
Biochemistry
Vascular Medicine
Gastroenterology
DISEASE
Diagnostic Radiology
Body Mass Index
Fats
Cytopathology
Endocrinology
0302 clinical medicine
Non-alcoholic Fatty Liver Disease
Risk Factors
Medicine and Health Sciences
Image Processing
Computer-Assisted

HISTOLOGY
Prospective Studies
POPULATION
Biological Specimen Banks
education.field_of_study
Multidisciplinary
NONALCOHOLIC STEATOHEPATITIS
Radiology and Imaging
Liver Diseases
Fatty liver
Age Factors
Middle Aged
Lipids
Magnetic Resonance Imaging
Type 2 Diabetes
PREVALENCE
Multidisciplinary Sciences
Phenotype
Treatment Outcome
Adipose Tissue
Liver
Hypertension
Medicine
Science & Technology - Other Topics
ADIPOSITY
030211 gastroenterology & hepatology
Female
medicine.symptom
Research Article
medicine.medical_specialty
Endocrine Disorders
Imaging Techniques
General Science & Technology
Science
Population
Gastroenterology and Hepatology
Research and Analysis Methods
DIAGNOSIS
03 medical and health sciences
Diagnostic Medicine
Internal medicine
MD Multidisciplinary
Diabetes Mellitus
MAGNETIC-RESONANCE SPECTROSCOPY
medicine
Humans
HEPATIC STEATOSIS
education
Aged
Science & Technology
business.industry
Biology and Life Sciences
Correction
medicine.disease
United Kingdom
Fatty Liver
030104 developmental biology
Cross-Sectional Studies
Anatomical Pathology
Metabolic Disorders
Gastrointestinal Imaging
Steatohepatitis
business
Body mass index
Weight gain
Liver and Spleen Scan
Zdroj: PLoS ONE
PLoS ONE, Vol 12, Iss 2, p e0172921 (2017)
ISSN: 1932-6203
Popis: Non-alcoholic fatty liver disease and the risk of progression to steatohepati tis, cirrhosis and hepatocellular carcinoma have been identified as major public health concerns. We have demonstrated the feasibility and potential value of measuring liver fat content by magnetic resonance imaging (MRI) in a large population in this study of 4,949 participants (aged 45– 73 years) in the UK Biobank imaging enhancement . Despite requirements for only a single ( 3min) scan of each subject, liver fat was able to be measured as the MRI proton density fat fraction (PDFF) with an overall success rate of 96.4%. The overall hepatic fat distribution was centred between 1–2%, and was highly skewed towards higher fat content. The mean PDFF was 3.91%, and median 2.11%. Analysis of PDFF in conjunction with other data fields available from the UK Biobank Resource showed associations of increased liver fat with greater age, BMI, weight gain, high blood pressure and Type 2 diabetes. Subjects with BMI less than 25 kg/m 2 had a low risk (5%) of high liver fat (PDFF > 5.5%), whereas in the higher BMI population ( > 30 kg/m 2 ) the prevalence of high liver fat was approximately 1 in 3. These data suggest that population screening to identify people with high PDFF is possible and could be cost effective. MRI based PDFF is an effective method for this. Finally, although cross sectional, this study suggests the utility of the PDFF measuremen t within UK Biobank, particularly for applications to elucidating risk factors through associations with prospec- tively acquired data on clinical outcomes of liver diseases, including non-alcoholic fatty liver disease.
Databáze: OpenAIRE