ArticleiLIVER2026
Preoperative MRI-derived fat fraction is linked to survival after liver transplantation for hepatocellular carcinoma.
Article in iLIVER, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Background and aims: Liver transplantation (LT) is a curative option for hepatocellular carcinoma (HCC). However, HCC recurrence and the limited accuracy of current morphological criteria remain unresolved issues. This study investigated the association between preoperative magnetic resonance imaging (MRI)-derived fat fraction (FF) and survival in patients with HCC undergoing LT. Methods: We retrospectively reviewed 42 patients with HCC who underwent orthotopic LT. Preoperative FF was obtained from dual-echo T1-weighted imaging, and patients were categorized into low- ( Results: Baseline characteristics were comparable between the two groups, except for higher cholesterol level in the low-FF group. Elevated alpha-fetoprotein level (≥40 ng/mL) was independently associated with shorter DFS (hazard ratio [HR] = 3.649; 95% confidence interval [CI]: 1.002-13.289; Conclusion: Preoperative MRI-derived FF is independently associated with DSS after LT in patients with HCC. FF assessment may complement the Milan criteria and improve candidate selection, thereby supporting clinical decision-making.
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