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Abstract #0194

Three-dimensional MR Elastography Identifies Portal Hypertension in Cirrhosis: A Prospective Multicenter Study

Zhiying Wang1, Minghui Zhou1, Chen Pan1, Baihe Luo1, Jialin Li1, Qiang Liu1, and Yu Shi1
1Department of Radiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China

Synopsis

Keywords: Liver, Elastography

Motivation: Hepatic venous pressure gradient (HVPG) is the gold standard for diagnosing portal hypertension, but it is invasiveness, cost, and feasibility.

Goal(s): To develop a non-invasive model based on Three-dimensional (3D) MR elastography (3D-MRE) to detect portal hypertension.

Approach: Spearman correlation analysis between 3D-MRE parameters and HVPG; Multivariable linear regression analysis between mechanical parameters and HVPG; Logistic regression analysis and establish a model to diagnose portal hypertension.

Results: 3D-MRE is a non-invasive, rapid, and highly accurate tool for predicting portal hypertension. Especially Spleen stiffness at 60Hz was the independent parameters associating HVPG.

Impact: This indicates that the use of 3D-MRE can provide more personalized evaluation and better medical experience for patients with cirrhosis and provides a new method for non-invasive diagnosis of portal hypertension.

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