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Abstract #4802

Predictive Potential of IVIM for Vessels Encapsulate Tumor Clusters and Recurrence-free Survival in Hepatocellular Carcinoma

Min Li1, Xinming Li1, Xianyue Quan1, Yufan Ren1, Yongzhou Xu2, Congyue Guo1, Jiaqi Lyu1, Ge Zhang1, and Haojun Lu1
1Department of Radiology, Zhujiang Hospital of Southern Medical University, Guangzhou, China, 2Philips Healthcare, Guangzhou, China

Synopsis

Keywords: Liver, Diffusion/other diffusion imaging techniques, Vessels Encapsulate Tumor Clusters (VETC),IVIM,HCC

Motivation: To explore a more accurate non-invasive method for predicting VETC pattern in HCC.

Goal(s): To estimate the potential of preoperative IVIM in predicting of VETC pattern in HCC.

Approach: Investigating the correlation between IVIM-derived parameters and the VETC pattern, and constructing a predictive model.

Results: Our results showed that VETC HCC exhibited a declining f value trend and outperformed conventional imaging-clinical models when an integrated model was established, incorporating intratumoral necrosis and high-level AFP. Furthermore, this model is capable of identifying individuals at high risk of postoperative recurrence.

Impact: To our knowledge, this study marks the first time diffusion sequences have been used to predict VETC in HCC, which offers a fresh perspective and paves the way for more accurate VETC direction in the future.

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