Magnetic resonance elastography of the liver: everything you need to know to get started

Kay M. Pepin, Christopher L. Welle, Flavius F. Guglielmo, Jonathan R. Dillman, Sudhakar K. Venkatesh

Research output: Contribution to journalReview articlepeer-review


Magnetic resonance elastography (MRE) of the liver has emerged as the non-invasive standard for the evaluation of liver fibrosis in chronic liver diseases (CLDs). The utility of MRE in the evaluation of different CLD in both adults and children has been demonstrated in several studies, and MRE has been recommended by several clinical societies. Consequently, the clinical indications for evaluation of CLD with MRE have increased, and MRE is currently used as an add-on test during routine liver MRI studies or as a standalone test. To meet the increasing clinical demand, MRE is being installed in many academic and private practice imaging centers. There is a need for a comprehensive practical guide to help these practices to deliver high-quality liver MRE studies as well as troubleshoot the common issues with MRE to ensure smooth running of the service. This comprehensive clinical practice review summarizes the indications and provides an overview on why to use MRE, technical requirements, system set-up, patient preparation, acquiring the data, and interpretation. Graphic abstract: [Figure not available: see fulltext.]

Original languageEnglish (US)
Pages (from-to)94-114
Number of pages21
JournalAbdominal Radiology
Issue number1
StatePublished - Jan 2022


  • Acquisition
  • Interpretation
  • Magnetic resonance elastography
  • Preparation
  • Set-up

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology
  • Urology


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