Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Computed tomographic false diagnoses in acute pancreatitis].

R Kursawe, M Lüning

    Radiologia Diagnostica
    |January 1, 1989
    PubMed
    Summary

    Computed tomography (CT) accurately classifies acute pancreatitis into five forms, aiding diagnosis. Differentiating necrotizing from abscessing pancreatitis remains challenging, though CT excels at detecting necrosis.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Right-sided pulmonary aplasia: longitudinal lung function studies in two cases and comparison to results from term healthy neonates.

    Pediatric pulmonology·1998
    Same author

    Neuroectodermal cyst may be a rare differential diagnosis of fetal sacrococcygeal teratoma: first case report of a prenatally observed neuroectodermal cyst.

    Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology·1996
    Same author

    Pulmonary agenesis in a newborn: implantation of tissue expander to prevent a mediastinal shift.

    The Thoracic and cardiovascular surgeon·1995
    Same author

    [MRT in nonpalpable testes].

    RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin·1994
    Same author

    Focal liver lesions: characterization with nonenhanced and dynamic contrast material-enhanced MR imaging.

    Radiology·1994
    Same author

    [MRT in clinically unclear posttraumatic knee joint lesions].

    RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin·1993

    Area of Science:

    • Radiology
    • Gastroenterology
    • Medical Imaging

    Background:

    • Acute pancreatitis diagnosis relies on imaging.
    • Computed tomography (CT) is a key tool for assessing pancreatitis severity.
    • Distinguishing between different forms of pancreatitis, especially necrotizing and abscessing, is crucial for treatment.

    Purpose of the Study:

    • To evaluate the diagnostic accuracy of computed tomography (CT) in classifying acute pancreatitis.
    • To assess the effectiveness of CT in differentiating between various forms of acute pancreatitis.
    • To determine the accuracy of CT in detecting pancreatic necrosis and distinguishing it from abscesses.

    Main Methods:

    • Retrospective analysis of computed tomography (CT) scans from patients with acute pancreatitis.
    • Classification of pancreatitis into oedematous, serous-exudative, hemorrhagic-necrotizing, suppurative-abscessing, and postacute necrotizing forms.
    • Evaluation of diagnostic accuracy for overall classification and specific differentiation of necrotizing vs. abscessing pancreatitis.
    • Comparison of dynamic CT with contrast enhancement versus native scans for detecting parenchyma loss and necrosis.
    • Inclusion of sonographic tomography findings for corroborating diagnoses.

    Main Results:

    • Computed tomography (CT) achieved a high overall diagnostic accuracy of 83.2% in classifying acute pancreatitis.
    • Distinguishing necrotizing from abscessing pancreatitis presented diagnostic challenges.
    • The accuracy for detecting necrosis and differentiating it from less severe forms was high, with low false negative (4.4%) and false positive (2.1%) rates.
    • Dynamic CT with contrast enhancement identified parenchyma losses and confirmed necrosis in cases with subtle native scan changes.
    • Sonographic tomography aided in diagnosing acute necrotizing pancreatitis secondary to chronic inflammation.

    Conclusions:

    • Computed tomography (CT) is a valuable tool for classifying acute pancreatitis, offering high diagnostic accuracy.
    • While CT is effective, differentiating necrotizing from abscessing pancreatitis requires careful interpretation.
    • Dynamic CT enhances the detection of pancreatic necrosis and parenchyma loss.
    • Sonographic tomography can complement CT findings in specific cases of necrotizing pancreatitis.

    Related Experiment Videos