Evidence map›Paper›PMID 41796338›Full record

ArticleBMC gastroenterology2026

Correlation between liver fat fraction measured by MRI IDEAL-IQ sequence and ALT, GGT, and AST in colorectal cancer patients after chemotherapy.

Zerui Wang, Zengkun Wang, Shuyi Han, Enguo Wang, Peiji Song

Abstract read
In one paragraph

Article in BMC gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Zerui Wang *Graduate School, Shandong First Medical University, Jinan, Shandong, 250117, China.
Zengkun Wang *Department of Medical Imaging, Yantai Mountain Hospital, Yantai , Shandong, 264003, China.
Shuyi HanDepartment of Laboratory Medicine, , Affiliated Central Hospital of Shandong First Medical University, Jinan, Shandong, 250013, China.
Enguo WangDepartment of Medical Imaging, Affiliated Central Hospital of Shandong First Medical University, 105 Jie Fang Road, Jinan, Shandong, 250013, China.
Peiji SongDepartment of Medical Imaging, Affiliated Central Hospital of Shandong First Medical University, 105 Jie Fang Road, Jinan, Shandong, 250013, China. 1597292215@qq.com.

Funding

2025 Jinan Clinical Medical Science and Technology Innovation Plan 20251208Project of Shandong Medical and Health Science and Technology Development Plan 202209010494
6 · The paper itself

Abstract

objectiveThe aim of our study was to evaluate the correlation between hepatic fat fraction (HFF) and ALT, GGT, and AST in patients with colorectal cancer after FOLFOX4 chemotherapy.

methodsThis retrospective study included 56 colorectal cancer patients who received FOLFOX4 chemotherapy and 60 non-chemotherapy patients as controls. HFF was quantified from MRI-PDFF images by placing regions of interest in eight Couinaud liver segments. Liver enzyme levels (ALT, GGT, AST) were measured from fasting blood samples. Interobserver consistency for HFF measurements was evaluated using intra-class correlation coefficient (ICC). The normality of data was assessed using the D’Agostino–Pearson test. Spearman correlation and multiple linear regression (adjusted for age, BMI, diabetes, and hypertension) were used to analyze associations between HFF and liver enzymes. Diagnostic performance of HFF was evaluated using receiver operating characteristic (ROC) curve analysis.

resultsInterobserver agreement for HFF measurements was excellent (ICC = 0.892). In the chemotherapy group, HFF showed a strong positive correlation with GGT (r = 0.838, p < 0.001) and AST (r = 0.518, p < 0.001). After adjustment for confounders, HFF remained independently associated with ALT (β = 1.026, p = 0.029), GGT (β = 13.078, p < 0.001), and AST (β = 1.227, p = 0.007). ROC analysis indicated that HFF effectively predicted elevated liver enzymes: for GGT, AUC = 0.942 (cut-off: 12.275%, sensitivity 92.3%, specificity 83.3%); for AST, AUC = 0.817 (cut-off: 13.15%, sensitivity 90.0%, specificity 67.4%); for ALT, AUC = 0.789 (cut-off: 12.95%, sensitivity 90.9%, specificity 64.4%).

conclusionOur results suggest that HFF is correlated with ALT / GGT and AST levels in colorectal cancer patients treated with FOLFOX4 chemotherapy.

Indexed as

Alanine TransaminaseAntineoplastic Combined Chemotherapy ProtocolsAspartate AminotransferasesColorectal NeoplasmsFatty Livergamma-GlutamyltransferaseLiverMagnetic Resonance ImagingAdultAgedFemaleFluorouracilHumansLeucovorinMaleMiddle AgedAlanine TransaminaseAspartate AminotransferasesFluorouracilgamma-GlutamyltransferaseLeucovorinOrganoplatinum CompoundsColorectal cancerDixon techniqueLiver functionMagnetic resonance imagingQuantitative analysis

Identifiers

PMID41796338
PMCPMC13085435

What Socratic holds

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.