Pre-operative shear wave elastography can effectively predict the risk of post-operative pancreatic fistula (POPF) after partial pancreatectomy, impacting surgical decision-making.

• In a study of 305 patients, lower elastography measurements correlated with a higher risk of POPF.
• An integrated prediction model using elastography, BMI, and pancreatic duct dilation accurately assessed POPF risk with AUC values over 0.75.

Utilizing this model could improve patient selection and outcomes in pancreatic surgeries.