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Abstract #3608

Pancreas fat via Dual-Echo mDIXON Imaging shows that Intracellular Fat does not Accumulate within the Pancreas of Healthy and T2DM Subjects

Paul Begovatz 1 , Chrysi Koliaki 1 , Julia Szendroedi 1 , Guido Giani 2 , Juergen Bunke 3 , and Michael Roden 1,4

1 Institute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University, Duesseldorf, Germany, 2 Institute for Biometry and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University, Germany, 3 Philips Healthcare, Hamburg, Germany, 4 Department of Endocrinology and Diabetology, University Clinics, Heinrich Heine University, Duesseldorf, Germany

Pancreatic steatosis has been linked to -cell dysfunction in the development of type 2 diabetes (T2DM). However, 1 H-MRS and MRI studies investigating pancreatic fat and -cell function have shown conflicting results. In this work, mDIXON imaging with a noise reduction fat fraction algorithm was verified in comparison to 1 H-MRS liver fat measurements. Pancreas fat was then measured in 48 participants: lean, overweight/obese, and T2DM. Results showed that avoiding regions of interlobular fat revealed clear regions of parenchymal tissue void of any lipid accumulation. These results show for that the pancreas does not consist of intracellular fat leading to pancreatic steatosis.

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