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Abstract #2584

Orthotopic Liver Transplantation: MRI Based Measurement of Donor Graft Steatosis, Graft Performance and Outcome.

David John Lomas1, Richard T. Black1, Andrew J. Patterson1, Kieren G. Hollingsworth1, Susan Davies2, Graeme J. Alexander3, Mike E. Allison3, Neville V. Jamieson4, Alex E. Gimson3, Raaj K. Praseedom4, Chris J. Watson4

1Radiology, University of Cambridge & Addenbrooke's Hospital, Cambridge, Cambridgeshire, United Kingdom; 2Pathology, University of Cambridge & Addenbrooke's Hospital, Cambridge, Cambridgeshire, United Kingdom; 3Hepatology, University of Cambridge & Addenbrooke's Hospital, Cambridge, Cambridgeshire, United Kingdom; 4Surgery, University of Cambridge & Addenbrooke's Hospital, Cambridge, Cambridgeshire, United Kingdom


The results of rapid MRI based measurement of donor graft steatosis immediately prior to orthotopic liver transplantation in 49 patients were correlated with surgical and histopathology estimates, first week graft performance and 3 and 12 month outcomes. MR measurements correlated significantly with the other steatosis estimates but did not correlate with early serum performance markers. Both MRI and pathology estimates indicated significantly increased graft steatosis in those grafts failing at 3 months but not at 12 months. Such MRI based measurements may be a valuable tool for further investigating the impact of graft steatosis on transplant outcomes.