Functional liver remnant measured by preoperative gadoxetate disodium-enhanced MRI predicts post-hepatectomy liver failure

Gadoxetate disodium-enhanced MRI can predict post-hepatectomy liver failure. Low signal intensity of the remnant liver compared to the spleen post-contrast is associated with higher odds of liver failure. Functional liver remnant determined by this imaging can accurately predict post-hepatectomy liver failure, with a specific cut-off value and high sensitivity and specificity. This predictive tool may aid in identifying patients at risk, guiding surgical decisions, and ultimately reducing morbidity and mortality.