T2 Iron Liver Calculator

Estimate LIC from liver MRI readings with careful units. Compare average R2 star values fast. Export results, notes, and follow up trends for review.

Calculator

Example Data Table

Example Input type Values Field Model Approximate result
Follow up liver MRI T2 star ms 6.5, 6.2, 6.8 1.5 T Wood linear About 4.1 mg/g
Single map review R2 star s^-1 210 1.5 T Wood linear About 5.5 mg/g
High iron screen T2 star ms 2.1, 2.4, 2.2 1.5 T T2 star power Severe range

Formula Used

R2 star from T2 star: R2* = 1000 / T2*, where T2* is entered in milliseconds.

Wood linear model: LIC = 0.0254 × R2* + 0.202. The result is mg Fe/g dry weight.

T2 star power model: LIC = 31.94 × T2*-1.014. The result is mg Fe/g dry weight.

Optional 3 T comparison: R2* 1.5 T equivalent = 2 × R2* 3 T + 11.

Unit conversion: micromol/g dry weight = mg/g dry weight × 17.9.

Range labels use these guides: under 1.8 normal, 1.8 to 3.2 mild, 3.2 to 7 moderate, 7 to 15 severe, and above 15 very severe.

How to Use This Calculator

  1. Select whether your values are T2 star milliseconds or R2 star per second.
  2. Choose the scanner field strength and calibration model.
  3. Enter one to six liver ROI values from the MRI report or map.
  4. Add uncertainty, target LIC, previous LIC, and dates if known.
  5. Press calculate. The result appears above the form.
  6. Download CSV or PDF for a simple record.

Overview

A T2 iron liver calculator helps review MRI relaxometry numbers. It does not replace a radiology report. It turns T2 star or R2 star data into estimated liver iron concentration. The result is shown in milligrams of iron per gram of dry liver. This unit is often called mg Fe/g dry weight. The tool also shows micromoles per gram for teams that prefer that unit.

Why T2 Star Matters

Iron shortens the MRI signal decay time. A lower T2 star value usually means higher iron. R2 star is the inverse rate. It rises as iron rises. Because scanners, field strength, fitting methods, and regions of interest can change results, calibration choice matters. Always compare results from similar methods when tracking a patient.

Main Calculation Method

The calculator can use a linear Wood style equation. It can also use a T2 star power model. A custom linear option is included for local protocols. For 3 tesla studies, the page can estimate a 1.5 tesla equivalent R2 star before applying selected calibration. This is only a practical comparison aid. Your imaging center’s validated method should control final reporting.

Reading the Result

The final LIC estimate is grouped into normal, mild, moderate, severe, or very severe ranges. These ranges are guides only. They are not treatment orders. The uncertainty setting adds a simple lower and upper range. It helps show how small fitting errors can change the estimate.

Safe Use

Use measured liver values from a proper multi echo MRI sequence. Avoid vessels, bile ducts, artifacts, and edge pixels when drawing regions. Enter several regions when available. The average will be more stable than one small area. Keep the same scanner protocol for follow up whenever possible.

Practical Notes

Export the table after each calculation. The CSV works for spreadsheets. The PDF gives a compact record. Keep patient identifiers minimal when storing files. Discuss high or changing values with a qualified clinician. Treatment decisions depend on symptoms, diagnosis, ferritin trends, transfusion history, and the full MRI report. This calculator supports review. It should not direct care. When reports disagree, prefer the value from the interpreting radiologist. Local validation and consistent technique matter more than calculator convenience for long term monitoring.

FAQs

What does T2 star mean?

T2 star is an MRI decay time. Liver iron usually shortens this value. Lower T2 star often points to higher iron, but scanner method and calibration still matter.

What does R2 star mean?

R2 star is the inverse of T2 star. This calculator uses R2* = 1000 / T2* when T2 star is entered in milliseconds.

Is this calculator a diagnosis?

No. It is only a review aid. A radiologist, hematologist, or liver specialist should interpret the official MRI report and clinical context.

Which calibration should I choose?

Use the calibration validated by your imaging center. If no local model is stated, the Wood linear model is a common R2 star option.

Can I enter more than one ROI?

Yes. Enter up to six regions. The calculator averages R2 star values, which helps reduce the effect of one unusual region.

Why is field strength included?

R2 star can change with field strength. The 3 T option can estimate a practical 1.5 T equivalent for comparison only.

What is LIC?

LIC means liver iron concentration. It is commonly reported as milligrams of iron per gram of dry liver weight.

Why export CSV or PDF?

Exports help record inputs, dates, calibration choice, and calculated results. They are useful for internal review and follow up tracking.

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