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Abstract #3634

MRI Radiomics Enhances Radiologists' Ability for Characterizing Intestinal Fibrosis in Patients with Crohn's Disease

Mengchen Zhang1, Yinghou Zeng2, Zhuang-nian Fang1, Yang-di Wang1, Ruonan Zhang1, Ziyin Ye3, Qing-hua Cao3, Chen Zhao4, Ren Mao5, Canhui Sun1, Zhi-hui Chen6, Bingsheng Huang2, and Xuehua Li1
1Radiology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China, 2Shenzhen University, Shenzhen, China, 3Pathology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China, 4MR Research Collaboration Team, Siemens Healthineers, Guangzhou, China, 5Gastroenterology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China, 6Gastrointestinal Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China

Synopsis

Keywords: Digestive, Radiomics, Crohn’s disease; Fibrosis; MR Enterography

Motivation: Fibrostenosis is a severe complication of Crohn's disease that significantly impacts patients' quality of life. Currently, there are no effective medical interventions for severe intestinal fibrosis

Goal(s): We aimed to develop MRI-based radiomic models to improve the diagnostic accuracy of radiologists in characterizing intestinal fibrosis in patients with Crohn’s disease.

Approach: Radiomic models based on different MR sequence combinations were developed and validated in an independent test cohort.

Results: The radiologists’ interpretation aided by MRI-radiomics outperformed visual interpretation in characterizing intestinal fibrosis in Crohn's disease (AUC=0.86-0.93 vs. AUC=0.63-0.77).

Impact: The utilization of MRI-based radiomic models significantly enhances the diagnostic accuracy of radiologists in characterizing intestinal fibrosis.

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