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Abstract #1738

Feasibility Study of Magnetic Transfer Imaging in Predicting Pancreatic Fistula After Distal Pancreatectomy

Mingming Yang1, Jie Chen1, Jinggang Zhang1, Ya Lan1, Derui Hu1, Fuyao Liu1, Qi Jiang1, Junxin Lv1, and Jing Zhang2
1The Third Affiliated Hospital of Soochow University, Changzhou, China, 2MR Research Collaboration Team, Siemens Healthineers Ltd. Shanghai, China, Shanghai, China

Synopsis

Keywords: Pancreas, Pancreas

Motivation: Pancreatic fistula (POPF) is a frequent complication following distal pancreatectomy (DP). This study aims to determine the value of magnetization transfer imaging (MTI) in predicting POPF after DP.

Goal(s): To assess the feasibility of using MTI to quantify pancreatic fibrosis preoperatively and predict the risk of clinically relevant pancreatic fistula (CR-POPF) after DP.

Approach: We retrospectively analyzed magnetization transfer ratio (MTR) at the surgical margin in 65 patients, comparing the MTR among non-fistula, biochemical fistula, and CR-POPF groups.

Results: MTR were significantly lower in the CR-POPF group compared to other groups. MTI demonstrates promise as a non-invasive tool for predicting CR-POPF.

Impact: Magnetization transfer imaging (MTI) provides a non-invasive method for predicting clinically relevant pancreatic fistula after distal pancreatectomy, aiding in the identification of high-risk patients and enabling early intervention strategies to improve postoperative outcomes.

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