We determined the utility of fast gradient echo techniques (modified D
ixon method) in the assessment of hepatic fat content, Fast spoiled gr
adient echo was performed on bovine liver/corn oil homogenates with kn
own fat fractions (FFE) to assess the accuracy of fat quantitation (FF
MRI). The pulse sequence was manipulated via alterations in TE (echo t
ime), TR (repetition time), and alpha (flip angle), In vivo studies we
re then performed using breath-holding maneuvers on normal adult volun
teers and subjects at risk to develop hepatic steatosis, with cystic f
ibrosis or morbid obesity, At out-of-phase, TE, TR, and alpha were 2.1
ms, 7.3 ms, and 30-50 degrees and in-phase TE, TR, and Lu were 4.2 ms
, 9.3 ms, and 30-50 degrees; FFMRI correlated well with FFE. An elevat
ed fat fraction was observed in a high percentage of subjects with cys
tic fibrosis and morbid obesity. Past gradient echo techniques were us
ed successfully in the assessment of hepatic steatosis, The reduced ac
quisition times permitted in vivo analysis on adults and children usin
g breath hold maneuvers. (C) 1997 Elsevier Science Inc.