急性胰腺炎和计算机断层扫描:在初始阶段,单独对门静脉阶段的兴趣
Wilfried Ansel-Wallois1, Parfait Assako1, Thierry Yzet1
1Department of Radiology, CHU Amiens-Picardie, Hauts de France, France.
Acta radiologica (Stockholm, Sweden : 1987)
|June 14, 2024
概括
单门静脉相计算断层扫描 (CT) 扫描与三相CT协议同样有效,用于评估急性胰腺炎 (AP) 严重程度. 这一发现可以将患者的辐射减少63%.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 目前的文献缺乏用于初步评估急性胰腺炎 (AP) 的计算机断层扫描 (CT) 协议.
- 标准实践通常涉及多相CT,可能导致不必要的辐射暴露.
研究的目的:
- 为了比较单门静脉阶段CT的诊断准确度与三相CT协议来评估AP严重程度.
- 为了确定简化的CT协议是否可以在降低辐射剂量的同时保持诊断效果.
主要方法:
- 在D3-D7症状出现后进行三相CT (非对比,动脉,门静脉) 的175名AP患者的回顾性分析.
- 独立评估AP严重程度和并发症使用三个验证的CT严重程度得分 (CTSI,mCTSI,EPIC) 由两个读者.
- 在三相协议和模拟单门静脉阶段采集之间比较得分结果.
主要成果:
- 在单门静脉阶段和三阶段CT协议之间,对于间歇性和瘤性胰腺炎,没有观察到严重性得分 (CTSI,mCTSI,EPIC) 的显著差异.
- 对于所有严重程度得分,无论使用CT协议,都取得了优异的观察者间一致性 (ICC = 0.96-0.99).
- 单门静脉阶段CT在严重性评估中表现出与三阶段协议相提并论的疗效.
结论:
- 三相CT协议对于初始AP严重性评估来说,并不优于单门静脉相CT.
- 使用单门静脉相CT方案可显著降低患者的辐射暴露率,高达63%.
- 这项研究支持采用简化,低剂量CT协议用于早期AP评估.
更多相关视频
04:01Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
Published on: September 8, 2022
2.4K
07:12Author Spotlight: Revolutionizing Pancreatic Disease Understanding Through Advanced Intravital Imaging
Published on: October 6, 2023
1.9K
相关概念视频
01:30Acute Pancreatitis II: Clinical Manifestations and Management
118
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
118
01:27Acute Pancreatitis I: Introduction
353
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
353
01:29Chronic Pancreatitis II: Collaborative Care
84
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
84
01:24Chronic Pancreatitis I: Introduction
86
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
86
01:10Computed Tomography
4.5K
Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
4.5K
01:26Endoscopic Procedures V: ERCP
176
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
176