MR Elastography – Pearls and Pitfalls

Given that liver fibrosis is often spatially heterogeneous, the volume of liver sampled is considered one of the key advantages of MR Elastography compared with liver biopsy and ultrasound elastography. GRE type sequences appear to be the best choice in patients with normal iron concentrations in the liver, while SE-EPI appears to be superior for patients with iron overload.