Evaluated the Correlation Between Serum Ferritin and Iron Overload of Liver, Spleen and Heart in β-Thalassemia Major Patients by MRI T2* Method:: Science Publishing Group

Evaluated the Correlation Between Serum Ferritin and Iron Overload of Liver, Spleen and Heart in β-Thalassemia Major Patients by MRI T2^* Method

Nga Thi Ho Nguyen¹, Phuoc Van Le¹, Phuoc Thanh Bui², Dung Van Le¹, Lam Hoang Nguyen¹, Van Bich Thi Le¹, Pham Van Bui¹

¹Department of Radiology, Cho Ray Hospital, Ho Chi Minh City, Vietnam

²Department of Surgery, Pham Ngoc Thach Medical University, Ho Chi Minh City, Vietnam

International Journal of Medical Imaging, Volume 11, Issue 1, March 2023

Pages: 21-24

Received: Mar. 17, 2023

Accepted: Apr. 01, 2023

Published: Apr. 18, 2023

DOI: 10.11648/j.ijmi.20231101.14

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Abstract

β-Thalassemia major often results in an excess of iron in the body due to frequent blood transfusions and enhanced absorption of iron in the gastrointestinal tract. Early detection of this condition and administering sufficient iron chelator therapy can significantly decrease the risk of complications and fatalities resulting from iron overload. MRI (Magnetic Resonance Imaging) T2^* is an accurate non-invasive method for assessing organ iron overload in β-Thalassaemia major patients. This study evaluated the correlation between serum ferritin and iron overload of liver, spleen, and heart in β -Thalassaemia major patients by MRI T2^* method. The design was a cross-section, descriptive study. We used MRI-T2^* to evaluate the correlation between serum ferritin and iron overload of liver, spleen, and heart in 24 Thalassaemia major patients admitted in Cho Ray hospital from 10/2013 to 1/2014, using a 1.5T MRI system (Siemens) with a body coil. T2^* measurements were taken in the liver, spleen, and myocardium using different gradient echo pulse sequences. T2^* values were calculated within homogeneous regions of interest (ROI) in the liver avoiding major blood vessels, spleen, and the entire thickness of the interventricular septum in the myocardium. Pearson correlation coefficient was used to evaluate correlations in the study with a significance threshold of p < 0.05 using SPSS 16.0 software. As results, moderate negative correlation between serum ferritin and liver, spleen MRI T2^* relaxation time (r = 0.57 and 0.755) and a weak negative correlation between serum ferritin and heart MRI T2^* relaxation time (r = 0.303). Liver and heart MRI T2^* readings were poorly correlated (r = 0.28). In conclusion, MRI T2^* is useful to evaluate the iron overload status in β thalassemia patients.

Keywords

Serum Ferritin, MRI T2^*, β -Thalassemia Major

To cite this article

Nga Thi Ho Nguyen, Phuoc Van Le, Phuoc Thanh Bui, Dung Van Le, Lam Hoang Nguyen, et al. (2023). Evaluated the Correlation Between Serum Ferritin and Iron Overload of Liver, Spleen and Heart in β-Thalassemia Major Patients by MRI T2* Method. International Journal of Medical Imaging, 11(1), 21-24. https://doi.org/10.11648/j.ijmi.20231101.14

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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