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Fig 1.

Consort flow Diagram.

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Table 1.

Characteristics and findings in 212 hemodialysis patients studied by hepatic MRI to determine liver iron content (LIC), and assessment of iron biomarkers.

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Table 2.

Biochemical markers of iron metabolism in 212 hemodialysis patients studied by hepatic MRI to determine liver iron content (LIC).

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Fig 2.

Histogram of liver iron content measured by quantitative MRI in two cohorts of hemodialysis patients treated with different ferritin and transferrin saturation targets for iron repletion.

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Table 3.

Correlations between the liver iron concentration determined by MRI and iron biomarkers in 212 hemodialysis patients studied (Spearman rank order correlation test).

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Fig 3.

Correlations of liver iron stores studied by quantitative MRI with serum ferritin and the soluble transferrin receptor/ferritin ratio in 212 hemodialysis patients.

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Table 4.

Area under the receiver operating characteristics (ROC) curve of iron biomarkers for diagnosis of iron overload (LIC > 50 micromol/g) in 212 hemodialysis patients studied by hepatic MRI.

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Table 5.

Optimal threshold values and diagnostic accuracy of iron biomarkers to detect iron overload (LIC > 50 micromol/g), as determined in 212 hemodialysis patients studied by hepatic MRI.

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Table 6.

Area under the receiver operating characteristics (ROC) curve, optimal threshold values and diagnostic accuracy of serum ferritin and the serum soluble transferrin receptor/ferritin ratio to detect severe iron overload (LIC > 200 micromol/g) as determined in 212 hemodialysis patients studied by hepatic MRI.

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Fig 4.

ROC curves of iron biomarkers for predicting iron overload (LIC > 50 μmol/g) in 212 hemodialysis patients studied by quantitative hepatic MRI.

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Fig 5.

ROC curve analysis of serum ferritin for predicting iron overload at a cutoff of LIC > 50 and > 200 μmol/g in the overall cohort of 212 hemodialysis patients studied by quantitative hepatic MRI.

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Fig 6.

ROC Curves of ferritin compared to a combination of the eight biomarkers for predicting iron overload (LIC > 50 μmol/g) in 212 hemodialysis patients studied by quantitative hepatic MRI.

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