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Abstract #3028

Intravoxel Incoherent Motion (IVIM) MRI of the Human Pancreas Detects Altered Glucose-Stimulated Pancreas Perfusion in Type 1 Diabetes

Chengyue Wu1,2,3,4, Ingrid Harris5, Avni Mody6, Pratima Kumar6, and Jack Virostko5,7,8,9
1Imaging Physics, MD Anderson Cancer Center, Houston, TX, United States, 2Breast Imaging, MD Anderson Cancer Center, Houston, TX, United States, 3Biostatistics, MD Anderson Cancer Center, Houston, TX, United States, 4Institute for Data Science, MD Anderson Cancer Center, Houston, TX, United States, 5Diagnostic Medicine, University of Texas at Austin, Austin, TX, United States, 6Internal Medicine, University of Texas at Austin, Austin, TX, United States, 7Oncology, University of Texas at Austin, Austin, TX, United States, 8Oden Institute, University of Texas at Austin, Austin, TX, United States, 9Livestrong Cancer Institutes, University of Texas at Austin, Austin, TX, United States

Synopsis

Keywords: Pancreas, Diabetes

Motivation: Monitoring of the pancreatic islet can help predict participants at risk for developing diabetes and facilitate development of islet-directed therapies.

Goal(s): This study employed IVIM to detect the vascularity of pancreatic islets and their response to glucose.

Approach: We imaged pancreas perfusion in 14 control participants with no pancreas pathology and 2 participants with type 1 diabetes. Pancreas perfusion was imaged dynamically after oral ingestion of a 30 g glucose gel.

Results: We found that pancreas perfusion increased ~14% in response to glucose ingestion in control participants, but perfusion was delayed and transient in participants with type 1 diabetes.

Impact: MRI of pancreas perfusion can improve our understanding of vasculature dysfunction in diabetes. Studies in larger populations of participants with diabetes and those at risk for diabetes may help us better predict disease onset and evaluate novel therapies.

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