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Abstract #0243

Enhanced accuracy and stability in automated intra-pancreatic fat deposition monitoring of type 2 diabetes mellitus using Dixon MRI and deep learning

Yueyao Chen1, Zhongxian Pan1, Qiuyi Chen1, Haiwei Lin2, Bingsheng Huang2, Wensheng Huang3, Fanqi Meng1, Zhangnan Zhong2, Wenxi Liu2, Zhujing Li1, and Haodong Qin4
1Department of Radiology, Shenzhen Traditional Chinese Medicine Hospital (The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine), Shenzhen, China, 2Medical AI Lab,School of Biomedical Engineering, Medical School, Shenzhen University, Shenzhen, China, 3Department of Radiology, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China, 4MR Research Collaboration, Siemens Healthineers, Guangzhou, China

Synopsis

Keywords: Diagnosis/Prediction, Diabetes

Motivation: Intra-pancreatic fat deposition (IPFD) is linked to the onset and progression of type 2 diabetes mellitus (T2DM).

Goal(s): Develop an accurate and automated method to measure IPFD on multi-echo Dixon MRI.

Approach: 518 patients who underwent upper abdomen MRI were included.A deep learning radiomics (DLR) model and two radiologist models were constructed.

Results: The mean Dice similarity coefficient for pancreas segmentation was 0.959.The DLR model achieved the AUCs of 0.862 (training cohort) and 0.786 (external test cohort),both outperforming the radiologist models.The ICCs between radiologists’ pancreatic proton density fat fraction (PDFF) measurements were 0.797 and 0.708 in the two cohorts,suggesting good and moderate reproducibility,respectively.

Impact: The DLR model demonstrated superior performance over radiologists, providing a more efficient, accurate and stable method for monitoring IPFD.

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