MRI Estimation of Liver Iron Concentration in Patients with Hemoglobinopathy in Relation to Serum Ferritin in Basrah
Abstract
Background: liver iron overload in hemoglobinopathy population with repeated blood transfusion is an important morbidity warranting the evaluation of a non-invasive method of liver iron quantification. MR T2* / R2* relaxometry technique has shown promising results in this domain.
Aim of Study: this prospective cross sectional study aim to show the value of MR T2*/R2* relaxometry technique, in assessment of hepatic iron overload in a sample of hemoglobinopathy population at our hospital on repeated blood transfusion therapy in South of Iraq (Basra city).
Patients and Methods: a total of 70 anaemic patients, mean age 21 years ( range : 1055 years old) patients with hemoglobinopathy who had received repeated blood transfusions and on chelation therapy at time of examination, underwent MRI T2* / R2* relaxometry study. The corresponding iron overload was calculated for each patient, then correlation between MRI relaxometry study and serum ferritin level using correlation coefficient was done.
Results: at the time of the study, serum ferritin levels ranged between 297 and 7324 ng/l ( mean 1958 ng/l).based on the calculated liver iron concentration (LIC) values show that 37.1% of the patients had moderate level of LIC, the highest prevalence of severe LIC was seen significantly in patients using DFO drug(25%) and in those diagnosed with thalassemia major (16.2%), no significant association between LIC and splenectomy. Strong negative correlation was detected between LIC and T2*, Perfect positive correlation between LIC and R2* and moderate positive correlation between LIC and S. ferritin. No significant correlation between LIC and age. In conclusion, MRI R2*/T2* provides a non-invasive, precise, and repeatable method for measuring tissue iron content. The treatment of tissue iron excess should be improved by the widespread use of this approach, enabling early chelation intensification & monitoring of iron level & response to treatment
Conclusion: In conclusion, MRI R2* provides a non-invasive, precise, and repeatable method for measuring hepatic tissue iron content
Recommendation: that. MRI is effective in management of hemoglobinopathy so,repeat liver MRI for all patients who have LIC > 7mg/g DW liver (every 6 months,or 1year depending on guidelines and Cardiac MRI is required for all patient to exclude cardiac iron deposition.
How to Cite This Article
Huda Riyadh Abdul Ameer, Husham Jubran Mousa, Fouad Hamid Badr, Basim A Alhijaj (2026). MRI Estimation of Liver Iron Concentration in Patients with Hemoglobinopathy in Relation to Serum Ferritin in Basrah . International Journal of Medical and All Body Health Research (IJMABHR), 7(2), 192-205. DOI: https://doi.org/10.54660/IJMBHR.2026.7.2.192-205