Table 2. Changes in Brain MRI values (only significant changes on DTI are shown).
MR spectroscopic values | Cirrhosis without prior HE (n = 62) | Cirrhosis with prior HE (n = 85) |
---|---|---|
Parietal White Choline | 0.28 ± 0.07 | 0.25 ± 0.05* |
Parietal White Glx | 2.12 ± 0.64 | 2.79 ± 0.81*** |
Parietal White mI | 0.61 ± 0.36 | 0.31 ± 0.25*** |
Posterior Gray Choline | 0.19 ± 0.03 | 0.18 ± 0.05 |
Posterior Gray Glx | 2.29 ± 0.64 | 2.80 ± 0.73*** |
Posterior Gray mI | 0.62 ± 0.27 | 0.39 ± 0.20*** |
Anterior Cingulate Choline | 0.26 ± 0.04 | 0.23 ± 0.04* |
Anterior Cingulate Glx | 2.57 ± 0.64 | 3.23 ± 0.88*** |
Anterior Cingulate mI | 0.61 ± 0.27 | 0.37 ± 0.22*** |
Diffusion tensor imaging (DTI) | Cirrhosis without prior HE (n = 31) | Cirrhosis with prior HE (n=42) |
Spherical Isotropy | ||
L Anterior Internal Capsule | 0.48 ± 0.04 | 0.51 ± 0.02* |
R Anterior Internal Capsule | 0.47 ± 0.03 | 0.49 ± 0.03* |
Corpus callosum genu | 0.46 ± 0.05 | 0.48 ± 0.04* |
Corpus callosum body | 0.42 ± 0.05 | 0.45 ± 0.05* |
Corpus callosum splenium | 0.32 ± 0.04 | 0.34 ± 0.03* |
R External Capsule | 0.60 ± 0.03 | 0.62 ± 0.01* |
L Frontal White | 0.59 ± 0.03 | 0.61 ± 0.03* |
R Posterior Internal Capsule | 0.38 ± 0.2 | 0.40 ± 0.03* |
R Superior Longitudinal Fasciculus | 0.54 ± 0.03 | 0.58 ± 0.02* |
Fractional Anisotropy | ||
L Anterior Internal Capsule | 0.58 ± 0.03 | 0.56 ± 0.02* |
R Anterior Internal Capsule | 0.60 ± 0.03 | 0.58 ± 0.03* |
Corpus callosum genu | 0.66 ± 0.03 | 0.64 ± 0.04* |
Corpus callosum body | 0.69 ± 0.04 | 0.66 ± 0.04* |
Corpus callosum splenium | 0.76 ± 0.02 | 0.74 ± 0.05* |
R Cingulum | 0.53 ± 0.03 | 0.50 ± 0.03* |
L External Capsule | 0.43 ± 0.03 | 0.41 ± 0.02* |
R External Capsule | 0.42 ± 0.03 | 0.31 ± 0.02* |
L Frontal White | 0.47 ± 0.03 | 0.44 ± 0.03* |
R Frontal White | 0.48 ± 0.03 | 0.46 ± 0.03* |
L Posterior Internal Capsule | 0.68 ± 0.02 | 0.66 ± 0.03* |
R Posterior Internal Capsule | 0.68 ± 0.02 | 0.66 ± 0.02* |
*p < 0.05, ***p < 0.0001, All spectroscopic values are ratios of creatine, Glx: glutamate + glutamine, mI: myoinositol, R: right, L: left, HE: hepatic encephalopathy. No changes on mean diffusivity were seen between groups.