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Abstract #2605

Correlation between CT based Radiomics Features and Mesenteric Vein Resection Margin in Patients with the Pancreatic Head Cancer

Yun Bian1, Chao Ma1, Xu Fang1, Jin Li1, Kai Cao1, Li Wang1, Jin Gang2, Jianping Lu1, and Xiangxue Wang3
1Radiology, Changhai hospital, Shanghai, China, 2Pancreatic Surgery, Changhai hospital, Shanghai, China, 3Shanghai Institute for Advanced Communication and Data Science, School of Computer Engineering and Science, Shanghai University, Shanghai, China

A striking number of patients are diagnosed with resectable pancreatic cancer (PC) or borderline resectable PC by computed tomography (CT) but end up with positive (R1) resection at surgery according to the National Comprehensive Cancer Network (NCCN) criteria. If the pathological resection margin can be accurately and noninvasively predicted prior to surgery, an appropriate treatment plan can be developed and patients with PC can avoid futile surgery. Hence, we sought to accurately identify the relationship between the arterial radiomics score (rad-score) and pathologic superior mesenteric vein (SMV) resection margin in patients with pancreatic head cancer and to evaluate the diagnostic performance of the rad-score in differentiating between negative (R0) and R1 resection.

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