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Abstract #4739

Assessment of Lipid Levels in Newly Diagnosed Diabetic Obese Patients Treated with GLP-1 Inhibitors Using MRI-PDFF

Yufei Zhao1, Xiaoyuan Wang2, Mengluan Zhang2, Yingqi Lv2, Ling Li2, and Xingui Peng1
1Radiology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China, 2Endocrinology, Zhongda Hospital, Medical School, Southeast University, Nanjing, China

Synopsis

Keywords: Endocrine, Diabetes

Motivation: GLP-1 receptor agonists have shown favorable effects in improving obesity and ectopic fat deposition in type 2 diabetes patients. MRI-PDFF can serve as a tool for continuous, dynamic assessment of lipid content changes in patients.

Goal(s): Dynamic monitoring of fat content and lipid deposition changes in type 2 diabetes obese patients receiving glucagon-like peptide-1 receptor agonist treatment using MRI-PDFF.

Approach: 21 male diabetic patients received 3-month treatment: semaglutide (n=12) or loxenatide (n=9). Clinical data collected, pre/post 3.0T MRI scans (T1WI, T2WI, MRI-PDFF) measured fat.

Results: The semaglutide group showed significant fat reduction in multiple organs, while the loxenatide group reduced pancreatic fat fraction.

Impact: Semaglutide effectively controls blood glucose and body weight in type 2 diabetes obese patients. It also significantly reduces SAT and VAT while alleviating ectopic fat deposition. MRI-PDFF represents a non-invasive tool for continuous assessment of lipid content changes following treatment.

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