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Abstract #0431

Clinical Value of 4D Flow MRI in Assessing High-Risk Esophagogastric Varices: A Prospective Study

Qian Zhang1, Mingfeng Wu1, Yi Zhu2, Ke Jiang3, and Rongpin Wang1
1Guizhou Provincial People’s Hospital, Guiyang, China, 2Philips Healthcare, Beijing, China, 3Philips Healthcare, Chengdu, China

Synopsis

Keywords: Liver, Body, 4D Flow MRI; portal hypertension; Esophagogastric Varices

Motivation: The pursuit of less invasive diagnostic methods to gauge portal hypertension and the associated risk of variceal bleeding in cirrhosis patients.

Goal(s): To determine the effectiveness of hemodynamic parameters derived from 4D flow MRI for the non-invasive assessment of portal hypertension and to stratify the risk of variceal bleeding in patients with cirrhosis.

Approach: Utilizing hemodynamic parameters from 4D flow MRI to profile portal circulation.

Results: Results showed significant differences in FFC and maximum splenic blood flow between low-risk and high-risk patients. Moreover, the combination of FFC and maximum splenic blood yielded high diagnostic accuracy.

Impact: Demonstrating the utility of 4D flow MRI in evaluating portal hypertension and variceal bleeding risk.

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Keywords