Browsing by Author "Andia, Marcelo E."
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- ItemAccelerating three-dimensional molecular cardiovascular MR imaging using compressed sensing(2012) Prieto Vásquez, Claudia; Andia, Marcelo E.; von Bary, Christian; Onthank, David C.; Schaeffter, Tobias; Botnar, René Michael
- ItemArterial spin labeling angiography using a triple inversion recovery prepulse(WILEY-BLACKWELL, 2012) Andia, Marcelo E.; Botnar, Rene M.Arterial spin labeling is a well-known noninvasive angiography technique, which does not necessitate the use of a contrast agent. arterial spin labeling is still clinically underused because of several challenges: (1) long scan times because of the need for two acquisitions (labeled and nonlabeled datasets), (2) sensitivity to spatial misregistration because of the need for image subtraction, and (3) the need for precise planning and choice of an optimal inversion delay for best blood-to-background contrast. In this work, we propose a new arterial spin labeling method based on a triple-inversion-recovery sequence-arterial spin labeling. This approach exploits the ability of two nonselective inversion recovery prepulses to null the background signal over a wide range of T1 values, while maintaining the signal of labeled blood using a third slab selective inversion pulse. This technique therefore allows the acquisition of angiograms with a flexible inversion delay, easier planning procedure and no need for subtraction. Magn Reson Med, 2012. (C) 2011 Wiley Periodicals, Inc.
- ItemAssessment of hepatic fatty acids during non-alcoholic steatohepatitis progression using magnetic resonance spectroscopy(2021) Xavier, Aline; Zacconi, Flavia C. M.; Santana Romo, Fabián Mauricio; Eykyn, Thomas R.; Lavin, Begona; Phinikaridou, Alkystis; Botnar, Rene; Uribe, Sergio; Esteban Oyarzun, Juan; Cabrera, Daniel; Arrese, Marco; Andia, Marcelo E.Abstract: Introduction and objectives: Non-alcoholic fatty liver disease (NAFLD) encompasses a spectrum of liver abnormalities including steatosis, steatohepatitis, fibrosis, and cirrhosis. Liver biopsy remains the gold standard method to determine the disease stage in NAFLD but is an invasive and risky procedure. Studies have previously reported that changes in intrahepatic fatty acids (FA) composition are related to the progression of NAFLD, mainly in its early stages. The aim of this study was to characterize the liver FA composition in mice fed a Choline-deficient L-amino-defined (CDAA) diet at different stages of NAFLD using magnetic resonance spectroscopy (MRS). Methods: We used in-vivo MRS to perform a longitudinal characterization of hepatic FA changes in NAFLD mice for 10 weeks. We validated our findings with ex-vivo MRS, gas chromatography-mass spectrometry and histology. Results: In-vivo and ex-vivo results showed that livers from CDAA-fed mice exhibit a significant increase in liver FA content as well as a change in FA composition compared with control mice. After 4 weeks of CDAA diet, a decrease in polyunsaturated and an increase in monounsaturated FA were observed. These changes were associated with the appearance of early stages of steatohepatitis, confirmed by histology (NAFLD Activity Score (NAS) = 4.5). After 10 weeks of CDAA-diet, the liver FA composition remained stable while the NAS increased further to 6 showing a combination of early and late stages of steatohepatitis. Conclusion: Our results suggest that monitoring lipid composition in addition to total water/fat with MRS may yield additional insights that can be translated for non-invasive stratification of high-risk NAFLD patients.
- ItemAutomatic quantification of fat infiltration in paraspinal muscles using T2-weighted images: An OsiriX application(ELSEVIER SCI LTD, 2020) Arrieta, Cristobal; Urrutia, Julio; Besa, Pablo; Montalba, Cristian; Lafont, Nelson; Andia, Marcelo E.; Uribe, SergioFat infiltration of paraspinal muscles has been related with low back pain and quantified using T2w MR images and manual segmentation techniques. This methodology is time consuming and has low reproducibility. Moreover, the accuracy of T2w images to quantify fat has not been validated. This paper presents the development and validation of an OsiriX application to semi-automatically segment infiltrated fat on T2w images. This software was also utilized to validate the quantification of muscle fat infiltration with T2w images, considering Dixon fat images assessments as a gold standard.
- ItemCan a smartphone be used for ‘tele-auscultation’?(2023) Godoy Sánchez, Eduardo Javier; Echenique, María Belén; Cádiz, Rodrigo F.; Andia, Marcelo E.Introduction: Telemedicine has become an important way to provide healthcare. However, it lacks a traditional physical examination. This study aims to validate the use of a smartphone as an auscultation device as compared to a digital stethoscope. Methods: Lung and heart sounds were obtained from 50 volunteers. Recordings were made with a smartphone and a commercial digital stethoscope simultaneously, capturing the same respiratory and heart cycles. Sounds were captured by the smartphone using an application of our own, then stored in the cloud and processed in the Julia Language. Clinical validation was performed by ten clinicians in an online survey by comparing the quality of 40 paired recordings against each other, using conventional headphones and without knowing the device used to capture the audios. The recordings included both normal and abnormal lung and heart sounds. Results: Overall, all subjects indicated that the quality of the samples recorded by a smartphone was of equal or superior quality to that of the stethoscope. In our sample of normal lung and heart sounds, the probability to obtain a favourable response for the smartphone was 66% (95%CI 58.9%–72.5%), while in our sample of abnormal sounds, that probability was 87% (95%CI 81.5%–91.3%). Discussion: Our findings suggest that a smartphone is capable of recording lung and heart sounds with enough quality to be interpreted by clinicians by using only its built-in microphone. This, and given their capability to access the internet, would allow for the use of smartphones as tele-auscultation devices.
- ItemDetermination of the Respiratory Compensation Point by Detecting Changes in Intercostal Muscles Oxygenation by Using Near-Infrared Spectroscopy(MDPI, 2022) Contreras Briceño, Felipe; Espinosa Ramírez, Maximiliano; Keim Bagnara, Vicente; Carreño Roman, Matías Ignacio; Rodríguez Villagra, Rafael Alejandro; Villegas Belmar, Fernanda; Viscor, Gines; Gabrielli Nervi, Luigi Arnaldo; Andia, Marcelo E.; Araneda, Oscar F.; Hurtado, Daniel E.This study aimed to evaluate if the changes in oxygen saturation levels at intercostal muscles (SmO2 m.intercostales) assessed by near-infrared spectroscopy (NIRS) using a wearable device could determine the respiratory compensation point (RCP) during exercise. Fifteen healthy competitive triathletes (eight males; 29 +/- 6 years; height 167.6 +/- 25.6 cm; weight 69.2 +/- 9.4 kg; (V) over dotO(2)-max 58.4 +/- 8.1 mL.kg(-1).min(-1)) were evaluated in a cycle ergometer during the maximal oxygen-uptake test ((V) over dotO(2)-max), while lung ventilation ((V) over dotE), power output (watts, W) and SmO2 mantercostales were measured. RCP was determined by visual method (RCPvisual : changes at ventilatory equivalents ((V) over dotE.CO2-1, (V) over dotE.(V) over dotO(2)(-1)) and end-tidal respiratory pressure (PetO(2), PetCO(2)) and NIRS method (RCP NIRS : breakpoint of fall in SmO2 m.intercostales). During exercise, SmO2 m.intercostales decreased continuously showing a higher decrease when (V) over dotE increased abruptly. A good agreement between methods used to determine RCP was found (visual vs NIRS) at %(V) over dotO(2)-max, (V) over dotO(2), (V) over dotE, and W (Bland-Altman test). Correlations were found to each parameters analyzed (r = 0.854; r = 0.865; r = 0.981; and r = 0,968; respectively. p < 0.001 in all variables, Pearson test), with no differences (p < 0.001 in all variables, Student's t-test) between methods used (RCPvisual and RCPNIRS). We concluded that changes at SmO2 m.intercostales measured by NIRS could adequately determine RCP in triathletes.
- ItemEnhancement of Visual Perception with Use of Dynamic Cues(RADIOLOGICAL SOC NORTH AMERICA, 2009) Andia, Marcelo E.; Plett, Johannes; Tejos, Cristian; Guarini, Marcelo W.; Navarro, Maria E.; Razmilic, Dravna; Meneses, Luis; Villalon, Manuel J.; Irarrazaval, PabloInstitutional review board approval and signed informed consent were not needed, as medical images included in public databases were used in this study. The purpose of this study was to improve the detection of microcalcifications on mammograms and lung nodules on chest radiographs by using the dynamic cues algorithm and the motion and flickering sensitivity of the human visual system (HVS). Different sets of mammograms from the Mammographic Image Analysis Society database and chest radiographs from the Japanese Society of Radiological Technology database were presented statically, as is standard, and in a video sequence generated with the dynamic cues algorithm. Nine observers were asked to rate the presence of abnormalities with a five-point scale (1, definitely not present; 5, definitely present). The data were analyzed with receiver operating characteristic (ROC) techniques and the Dorfman-Berbaum-Metz method. The video sequence generated with the dynamic cues algorithm increased the rate of detection of microcalcifications by 10.2% (P = .002) compared with that obtained with the standard static method, as measured by the area under the ROC curve. Similar results were obtained for lung nodules, with an increase of 12.3% (P = .0054). The increase in the rate of correct detection did not come just from the image contrast change produced by the algorithm but also from the fact that image frames generated with the dynamic cues algorithm were put together in a video sequence so that the motion sensitivity of the HVS could be used to facilitate the detection of low-contrast objects. (C) RSNA, 2009
- ItemExercise training reduces brainstem oxidative stress and restores normal breathing function in heart failure(2021) Diaz-Jara, Esteban; Diaz, Hugo S.; Rios-Gallardo, Angelica; Ortolani, Domiziana; Andrade, David C.; Toledo, Camilo; V. Pereyra, Katherin; Schwarz, Karla; Ramirez, Gigliola; Ortiz, Fernando C.; Andia, Marcelo E.; Del Rio, RodrigoEnhanced central chemoreflex drive and irregular breathing are both hallmarks in heart failure (HF) and closely related to disease progression. Central chemoreceptor neurons located within the retrotrapezoid nucleus (RTN) are known to play a role in breathing alterations in HF. It has been shown that exercise (EX) effectively reduced reactive oxygen species (ROS) in HF rats. However, the link between EX and ROS, particularly at the RTN, with breathing alterations in HF has not been previously addressed. Accordingly, we aimed to determine: i) ROS levels in the RTN in HF and its association with chemoreflex drive, ii) whether EX improves chemoreflex/breathing function by reducing ROS levels, and iii) determine molecular alterations associated with ROS generation within the RTN of HF rats and study EX effects on these pathways. Adult male Sprague-Dawley rats were allocated into 3 experimental groups: Sham (n = 5), volume overloaded HF (n = 6) and HF (n = 8) rats that underwent EX training for 6 weeks (60 min/day, 25 m/min, 10% inclination). At 8 weeks post-HF induction, breathing patterns and chemoreflex function were analyzed by unrestrained plethysmography. ROS levels and anti/pro-oxidant enzymes gene expression were analyzed in the RTN. Our results showed that HF rats have high ROS levels in the RTN which were closely linked to the enhanced central chemoreflex and breathing disorders. Also, HF rats displayed decreased expression of antioxidant genes in the RTN compared with control rats. EX training increases antioxidant defense in the RTN, reduces ROS formation and restores normal central chemoreflex drive and breathing regularity in HF rats. This study provides evidence for a role of ROS in central chemoreception in the setting of HF and support the use of EX to reduce ROS in the brainstem of HF animals and reveal its potential as an effective mean to normalize chemoreflex and breathing function in HF.
- ItemGeographic variation of gallbladder cancer mortality and risk factors in Chile: A population-based ecologic study(WILEY, 2008) Andia, Marcelo E.; Hsing, Ann W.; Andreotti, Gabriella; Ferreccio, CatterinaChile's gallbladder cancer rates are among the highest in the world, being the leading cause of cancer deaths among Chilean women. To provide insights into the etiology of gallbladder cancer, we conducted an ecologic study examining the geographical variation of gallbladder cancer and several putative risk factors. The relative risk of dying from gallbladder cancer between 1985 and 2003 was estimated for each of the 333 Chilean counties, using a hierarchical Poisson regression model, adjusting for age, sex and geographical location. The risk of gallbladder cancer mortality was analyzed in relation to region, poverty, Amerindian (Mapuche) population, typhoid fever and access to cholecystectomy, using logistic regression analysis. There were 27,183 gallbladder cancer deaths, with age and sex-adjusted county mortality rates ranging from 8.2 to 12.4 per 100,000 inhabitants. Rates were highest in inland and southern regions. Compared to the northern-coast, the northern-inland region had a 10-fold risk (95% of confidence interval (95% CI): 2.4-42.2) and the southern-inland region had a 26-fold risk (95% CI: 6.0-114.2). Independent of region, other risk factors for gallbladder cancer included a high Mapuche population (Odds ratio (011):3.9, 95% CI 1.8-8.7), high typhoid fever incidence (011:2.9, 95% Cl 1.2-6.9), high poverty (011:5.1., 95% CI 1.6-15.9), low access to cholecystectomy (011:3.9, 95% CI 1.5-10.1), low access to hospital care (011:14.2, 95% C1 4.2-48.7) and high urbanization (011:8.0, 95% CI 3.4-18.7). Our results suggest that gallbladder cancer in Chile may be related to both genetic factors and poor living conditions. Future analytic studies are needed to further clarify the role of these factors in gallbladder cancer etiology. Published 2008 Wiley-Liss, Inc.
- ItemHepatoprotective species from the Chilean medicinal flora: Junellia spathulata (Verbenaceae)(2021) Bridi, Raquel; von Poser, Gilsane Lino; Gomez, Miguel; Andia, Marcelo E.; Esteban Oyarzun, Juan; Nunenz, Paula; Vasquez Arias, Ariadsna Jael; Espinosa-Bustos, ChristianEthnopharmacological relevance: Chilean population relies on medicinal plants for treating a wide range of illnesses, especially those of the gastrointestinal system. Junellia spathulata (Gillies & Hook.) Moldenke var. spathulata (Verbenaceae), called as "verbena-azul-de-cordilleira", is a medicinal plant native to Argentina and Chile traditionally used for treating digestive disorders. Although the species of the genus ar e important as therapeutic resources for the Andean population, the plants are ver y scarcely studied.
- ItemImpact of Respiratory Gating on Hemodynamic Parameters from 4D Flow MRI(2022) Denecken, Esteban ; Sotelo, Julio ; Arrieta, Cristobal ; Andia, Marcelo E. ; Uribe, SergioThe hemodynamic parameters from 4D flow datasets have shown promising diagnostic value in different cardiovascular pathologies. However, the behavior of these parameters can be affected when the 4D flow data are corrupted by respiratory motion. The purpose of this work was to perform a quantitative comparison between hemodynamic parameters computed from 4D flow cardiac MRI both with and without respiratory self-gating. We considered 4D flow MRI data from 15 healthy volunteers (10 men and 5 women, 30.40 +/- 6.23 years of age) that were acquired at 3T. Using a semiautomatic segmentation process of the aorta, we obtained the hemodynamic parameters from the 4D flow MRI, with and without respiratory self-gating. A statistical analysis, using the Wilcoxon signed-rank test and Bland-Altman, was performed to compare the hemodynamic parameters from both acquisitions. We found that the calculations of the hemodynamic parameters from 4D flow data that were acquired without respiratory self-gating showed underestimated values in the aortic arch, and the descending and diaphragmatic aorta. We also found a significant variability of the hemodynamic parameters in the ascending aorta of healthy volunteers when comparing both methods. The 4D flow MRI requires respiratory compensation to provide reliable calculations of hemodynamic parameters.
- ItemIncidence and survival of stomach cancer in a high-risk population of Chile(BAISHIDENG PUBLISHING GROUP INC, 2009) Heise, Katy; Bertran, Enriqueta; Andia, Marcelo E.; Ferreccio, CatterinaAIM: To study the incidence and survival rate of stomach cancer (SC) and its associated factors in a high risk population in Chile.
- ItemNoninvasive Magnetic Resonance Imaging Evaluation of Endothelial Permeability in Murine Atherosclerosis Using an Albumin-Binding Contrast Agent(LIPPINCOTT WILLIAMS & WILKINS, 2012) Phinikaridou, Alkystis; Andia, Marcelo E.; Protti, Andrea; Indermuchle, Andreas; Shah, Ajay; Smith, Alberto; Warley, Alice; Botnar, Rene M.Backgound-Endothelial dysfunction promotes atherosclerosis and precedes acute cardiovascular events. We investigated wether in vivo magnetic resonance imaging with the use of an albumin-binding contrast agent, gadofosveset, could detect endothelial damage associated with atherosclerosis in apolipoprotein E-deficient (ApoE(-/-)) mice. Furthermore, we tested whether magnetic resonance imaging could noninvasively assess endothelial function by measuring the endothelial-dependent vasolidation in response to acetycholine.
- ItemSoluble Free, Esterified and Insoluble-Bound Phenolic Antioxidants from Chickpeas Prevent Cytotoxicity in Human Hepatoma HuH-7 Cells Induced by Peroxyl Radicals(2022) Costa de Camargo, Adriano; Alvarez, Alina Concepción ; Arias-Santé, María Fernanda; Oyarzún, Juan Esteban; Andia, Marcelo E.; Uribe, Sergio; Nunez-Pizarro, Paula; Bustos, Simón M.; Schwember, Andrés R. ; Shahidi, Fereidoon ; Bridi, Raquel
- ItemThe Cervical and Meningeal Lymphatic Network as a Pathway for Retrograde Nanoparticle Transport to the Brain(2024) Ramos-Zaldivar, Hector; Polakovicova, Iva; Salas-Huenuleo, Edison; Yefi, Claudia P.; Silva-Ancahuail, David; Jara-Guajardo, Pedro; Oyarzun, Juan Esteban; Neira-Troncoso, Alvaro; Burgos, Patricia, V; Cavieres, Viviana A.; Arias-Munoz, Eloisa; Martinez, Carlos; Riveros, Ana L.; Corvalan, Alejandro H.; Kogan, Marcelo J.; Andia, Marcelo E.Introduction: The meningeal lymphatic vessels have been described as a pathway that transports cerebrospinal fluid and interstitial fluid in a unidirectional manner towards the deep cervical lymph nodes. However, these vessels exhibit anatomical and molecular characteristics typical of initial lymphatic vessels, with the absence of surrounding smooth muscle and few or absent valves. Given its structure, this network could theoretically allow for bidirectional motion. Nevertheless, it has not been assessed as a potential route for nanoparticles to travel from peripheral tissues to the brain. Methods: We employed superparamagnetic iron oxide nanoparticles (SPIONs), exosomes loaded with SPIONs, gold nanorods, and Chinese ink nanoparticles. SPIONs were prepared via chemical coprecipitation, while exosomes were isolated from the B16F10 melanoma cell line through the Exo-Spin column protocol and loaded with SPIONs through electroporation. Gold nanorods were functionalized with polyethylene glycol. We utilized C57BL/6 mice for post-mortem and in vivo procedures. To evaluate the retrograde directional flow, we injected each nanoparticle solution in the deep cervical lymph node. The head and neck were fixed for magnetic resonance imaging and histological analysis. Results: Here we show that extracellular vesicles derived from the B16F10 melanoma cell line, along with superparamagnetic iron oxide nanoparticles, gold nanorods, and Chinese ink nanoparticles can reach the meningeal lymphatic vessels and the brain of C57BL/6 mice after administration within the deep cervical lymph nodes post-mortem and in vivo, exclusively through lymphatic structures. Discussion: The functional anatomy of dural lymphatics has been found to be conserved between mice and humans, suggesting that our findings may have significant implications for advancing targeted drug delivery systems using nanoparticles. Understanding the retrograde transport of nanoparticles through the meningeal lymphatic network could lead to novel therapeutic approaches in nanomedicine, offering new insights into fluid dynamics in both physiological and neuropathological contexts. Further research into this pathway may unlock new strategies for treating neurological diseases or enhancing drug delivery to the brain.
- ItemThe Spectrum from Overt Primary Aldosteronism to Mild Dysregulated Aldosterone Production in Incidentally Discovered Adrenocortical Adenomas(2024) Uslar Nawrath, Thomas Hermann; Olmos, Roberto; Burnier, Alberth; Sanfuentes, Benjamín; Böhm, Pauline; Orellana, Maria Paz; Guarda, Francisco J.; Huete, Alvaro; Mertens, Nicolás; Besa, Cecilia; Andia, Marcelo E.; Majerson, Alejandro; Cartes, Jaime; Fardella, Carlos; Allende, Fidel; Solari, Sandra; Vaidya, Anand; Baudrand Biggs, RenéBackground Incidental adrenocortical adenomas (IA) are common. Current guidelines suggest screening for primary aldosteronism (PA) only in cases of hypertension or hypokalemia. This study aimed to evaluate the spectrum from overt PA to mild dysregulated aldosterone production with a sensitive protocol irrespective of blood pressure (BP) and potassium in patients with IA.Methods 254 consecutive patients (excluding hypercortisolism) were evaluated. The spectrum of PA was defined as a suppressed renin plus the following criteria: 1)Overt PA: aldosterone-to-renin-ratio (ARR) >30 ng/dL-to-ng/mL/hr, plasma aldosterone concentration (PAC) >15ng/dL, and/or 24h urinary aldosterone >10 ug/24h; 2)Moderate PA: ARR 20-30 ng/dL-to-ng/mL/hr, PAC 10-15 ng/dL; 3)Mild dysregulated aldosterone production: ARR <20 ng/dL-to-ng/mL/hr and PAC >5-10 ng/dL.Results 35% (n=89/254) met criteria for PA spectrum, 20% (34/89) were initially normotensive and 94% (84/89) normokalemic. Overt, moderate, and mild groups were 10%, 12%, and 13%. There were trends across groups of clinical severity: systolic BP (153±19, 140±14, 137±14 mmHg, p-trend<0.05), resistant hypertension (50%, 23%, 7% p-trend=<0.001), daily defined dose of antihypertensives (DDD) (3.2±1.6, 1.2±1.5, 0.4±0.6 p-trend=0.001), and lower eGFR (75.5±30.8, 97.8±38.5, 101±25.5, p-trend<0.01). At follow-up (mean 28±15 months), 87% had treatment with MR antagonists or surgery with decreased systolic BP relative to clinical severity, −31.3 ±23, −12.7 ±19, and −11.4 ±19 mmHg, (p-trend<0.001). Similar trends were observed for DDD, with significant increase in renin.Conclusions There is a prevalent spectrum of clinically-relevant PA and dysregulated aldosterone production in IA, irrespective of BP or potassium, usually undetected. Aldosterone-directed treatment improved BP and normalized renin even in milder cases.
- ItemUnbiased and reproducible liver MRI-PDFF estimation using a scan protocol-informed deep learning method(2024) Meneses, Juan P.; Qadir, Ayyaz; Surendran, Nirusha; Arrieta, Cristobal; Tejos, Cristian; Andia, Marcelo E.; Chen, Zhaolin; Uribe, SergioObjectiveTo estimate proton density fat fraction (PDFF) from chemical shift encoded (CSE) MR images using a deep learning (DL)-based method that is precise and robust to different MR scanners and acquisition echo times (TEs).MethodsVariable echo times neural network (VET-Net) is a two-stage framework that first estimates nonlinear variables of the CSE-MR signal model, to posteriorly estimate water/fat signal components using the least-squares method. VET-Net incorporates a vector with TEs as an auxiliary input, therefore enabling PDFF calculation with any TE setting. A single-site liver CSE-MRI dataset (188 subjects, 4146 axial slices) was considered, which was split into training (150 subjects), validation (18), and testing (20) subsets. Testing subjects were scanned using several protocols with different TEs, which we then used to measure the PDFF reproducibility coefficient (RDC) at two regions of interest (ROIs): the right posterior and left hepatic lobes. An open-source multi-site and multi-vendor fat-water phantom dataset was also used for PDFF bias assessment.ResultsVET-Net showed RDCs of 1.71% and 1.04% on the right posterior and left hepatic lobes, respectively, across different TEs, which was comparable to a reference graph cuts-based method (RDCs = 1.71% and 0.86%). VET-Net also showed a smaller PDFF bias (-0.55%) than graph cuts (0.93%) when tested on a multi-site phantom dataset. Reproducibility (1.94% and 1.59%) and bias (-2.04%) were negatively affected when the auxiliary TE input was not considered.ConclusionVET-Net provided unbiased and precise PDFF estimations using CSE-MR images from different hardware vendors and different TEs, outperforming conventional DL approaches.Key PointsQuestionReproducibility of liver PDFF DL-based approaches on different scan protocols or manufacturers is not validated.FindingsVET-Net showed a PDFF bias of -0.55% on a multi-site phantom dataset, and RDCs of 1.71% and 1.04% at two liver ROIs.Clinical relevanceVET-Net provides efficient, in terms of scan and processing times, and unbiased PDFF estimations across different MR scanners and scan protocols, and therefore it can be leveraged to expand the use of MRI-based liver fat quantification to assess hepatic steatosis.Key PointsQuestionReproducibility of liver PDFF DL-based approaches on different scan protocols or manufacturers is not validated.FindingsVET-Net showed a PDFF bias of -0.55% on a multi-site phantom dataset, and RDCs of 1.71% and 1.04% at two liver ROIs.Clinical relevanceVET-Net provides efficient, in terms of scan and processing times, and unbiased PDFF estimations across different MR scanners and scan protocols, and therefore it can be leveraged to expand the use of MRI-based liver fat quantification to assess hepatic steatosis.Key PointsQuestionReproducibility of liver PDFF DL-based approaches on different scan protocols or manufacturers is not validated.FindingsVET-Net showed a PDFF bias of -0.55% on a multi-site phantom dataset, and RDCs of 1.71% and 1.04% at two liver ROIs.Clinical relevanceVET-Net provides efficient, in terms of scan and processing times, and unbiased PDFF estimations across different MR scanners and scan protocols, and therefore it can be leveraged to expand the use of MRI-based liver fat quantification to assess hepatic steatosis.