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Volume 150, Issue 3, Pages 553-556 (March 2016) Magnetic Resonance Imaging/Elastography Is Superior to Transient Elastography for Detection of Liver Fibrosis and Fat in Nonalcoholic Fatty Liver Disease Bachir Taouli Gastroenterology Volume 150, Issue 3, Pages 553-556 (March 2016) DOI: 10.1053/j.gastro.2016.01.017 Copyright © 2016 AGA Institute Terms and Conditions

Figure 1 (A) Top: Benefits and limitations of US elastography and MRI/MR elastography (MRE) for detection of liver fibrosis and fat. Bottom: A 52-year-old female patient with nonalcoholic steatohepatitis assessed with shear-wave ultrasound elastography and MRI/MRE. (B) Axial T2-weighted image demonstrates normal liver morphology. (C) T2* corrected proton density fat fraction (PDFF) image obtained with multiecho Dixon sequence demonstrates mild steatosis (PDFF 13.5%). (D) Stiffness map obtained with MRE demonstrates increased liver stiffness (5.43 kPa) indicating advanced liver fibrosis, while liver stiffness measured with shear wave acoustic force radiation force imaging ultrasound (E) was not increased (2.79 kPa). Liver biopsy demonstrated hepatocyte ballooning, inflammation grade 3, fibrosis stage 3 and steatosis. Gastroenterology 2016 150, 553-556DOI: (10.1053/j.gastro.2016.01.017) Copyright © 2016 AGA Institute Terms and Conditions