Yong Eun Chung

Keywords: Body: Liver

MRI plays a crucial role in the management of liver cancer as a tool for screening, diagnosis, treatment planning and surgical guidance. In addition, in patients with NAFLD, which has emerged as a significant concern in recent years, MRI with MR elastography can accurately assess the hepatic steatosis and fibrosis in the liver.

Sudhakar Venkatesh

Keywords: Body: Liver, Contrast mechanisms: Elastography, Image acquisition: Multiparametric

 MR Elastography has emerged as the leading non-invasive quantitative imaging marker of liver fibrosis and considered the reference standard. Advanced MRE technique known as “3D MRE” provides an opportunity for evaluation of new mechanical parameters including storage modulus (G’), loss modulus (G”), wave attenuation (α), damping ratio (ζ), and volumetric strain. Multiparametric evaluation including two or more of these MR parameters are promising for differentiating inflammation from fibrosis and improving diagnostic accuracy for liver fibrosis staging. Furthermore, the multiparametric MRE may aid in the diagnosis of portal hypertension and prediction of outcome in chronic liver diseases.

Maria Antonietta Bali

Keywords: Body: Digestive

Biliary diseases can be incidentally discovered in clinically asymptomatic patients or during a diagnostic work-up in cholestatic patients. For most pathological conditions, magnetic resonance (MR) with magnetic resonance cholangiopancreatography (MRCP) is recommended as the second step imaging modality after ultrasound. 
MR acquisition protocol includes: conventional T2-weighted (T2W) images on coronal and axial planes; heavily 2D/3D T2-weighted MRCP (T2W MRCP) sequences on the coronal and axial planes, the latter centered on the intra-hépatiques bile ducts; axial diffusion-weighted imaging with high b values (>800 s/mm²); 3D T1-weighted  after hepato-specific contrast agents  administration will provide cholangiogram, besides the assessment of the liver parenchyma. 

Takeshi Nakaura, Toshinori Hirai

Keywords: Education Committee: Clinical MRI

 Deep Learning Reconstruction (DLR) evolutionizes MRI with noise reduction and super-resolution. This advancement positions DLR as the likely future standard for MRI examinations. Concurrently, the performance of large language models (LLM) has seen remarkable improvements, epitomized by the development of ChatGPT. The application of these models in the medical arena, particularly in the hepatobiliary sector, marks one of today's most promising AI frontiers. This presentation delves into the fundamentals of Deep Learning, elucidating the underlying mechanisms of DLR and LLM, and showcases their clinical applications with an emphasis on the hepatobiliary and pancreatic regions.

Saugata Sen

Scott Reeder

Rebecca Dennis

Keywords: Body: Digestive, Cross-organ: Pediatric

Magnetic Resonance Enterography (MRE) is the main imaging modality for the assessment of inflammatory bowel disease (IBD) in children. Beyond its initial diagnostic value, MRE plays a significant role in monitoring therapeutic response and detecting potential complications. This session will delve into the various applications of MRE in managing IBD beyond initial endoscopic diagnosis. We will examine how MRE aids in evaluating treatment response and discuss its use in assessing patients with acute symptoms. Furthermore, we will explore the potential of MRE for identifying extraluminal and non-inflammatory findings that influence therapy and contribute to informed decision-making for optimal patient management.

Thian Yee Liang