Purpose: Evaluation of the role of perfusion parameters in the detection of
circulatory disturbance and chronic rejection in patients after pancreas t
ransplantation. Materials and Methods: 70 examinations of 39 patients after
pancreas transplantation were performed. Using a dynamic gadolinium-enhanc
ed Turbo-FLASH-sequence, we evaluated the perfusion parameters in a group o
f patients with chronic rejection, with circulatory disturbance, and in a c
ontrol group with normal organ function. Results: There were statistically
significant differences of the perfusion parameters in patients with chroni
c rejection and circulatory disturbance compared to the control group. Conc
lusion: Dynamic MRI can help detect patients with chronic rejection and cir
culatory disturbance and should therefore be part of the routine follow-up
in patients after pancreas transplantation.