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Disclosures: Matthew Garas: Nothing to Disclose, Luis Calzadilla Bertot: Nothing to Disclose, Briohny Smith: Nothing to Disclose, Luc Delriviere: Nothing to Disclose, Bryon Jaques: Nothing to Disclose, Lingjun Mou: Nothing to Disclose, Leon Adams: Novo Nordisk: Advisor, SCL Behring: Advisor, Pfizer: Advisor, Gerry MacQuillan: Nothing to Disclose, George Garas: Nothing to Disclose, Gary Jeffrey: Nothing to Disclose, Michael Wallace: Nothing to Disclose 1349 MRI-SERUM BASED SCORE ACCURATELY IDENTIFIES LIVER TRANSPLANT PATIENTS WITHOUT REJECTION AVOIDING NEED FOR LIVER BIOPSY: A MULTISITE EUROPEAN STUDY Jelte Schaapman 1 Elizabeth Shumbayawonda 2 Miguel Castelo-Branco 3 Filipe Caseiro Alves 3 Tania Costa 3 Emer Fitzpatrick 4 Katie Tupper 4 Anil Dhawan 4 Maesha Deheragoda 5 Eva Sticova 4 Marika French 2 Cayden Beyer 6 Soubera Rymell 2 Dimitar Tonev 7 Hein Verspaget 1 Stefan Neubauer 8 Rajarshi Banerjee 2 Hildo Lamb 1 Minneke Coenraad 1 , 1 Leiden University Medical Center, 2 Perspectum Ltd., 3 Universidade de Coimbra, 4 King's College London, 5 King's College Hospital, 6 Perspectum Ltd, 7 HCV Research UK, 8 Oxford NIHR Biomedical Research Centre Background: Liver function and histological assessment for fibrosis, inflammation and T-cell mediated rejection are essential elements of post-liver transplant monitoring