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Pancreatic duct patterns in acute pancreatitis: a MRI study
- Source :
- PLoS ONE, PLoS ONE, Vol 8, Iss 8, p e72792 (2013)
- Publication Year :
- 2013
-
Abstract
- Objectives: To study the MRI findings of the pancreatic duct in patients with acute pancreatitis. Materials and Methods: A total of 239 patients with acute pancreatitis and 125 controls were analyzed in this study. The severity of acute pancreatitis was graded using the MR severity index (MRSI) and the Acute Physiology And Chronic Healthy Evaluation II(APACHE II) scoring systems. The number of main pancreatic duct (MPD) segments visualized, and both MPD diameter and pancreatic duct disruption were noted and compared with the severity of acute pancreatitis. Results: The frequency of MPD segment visualization in the control group was higher than that in the acute pancreatitis group (p,0.05). The number of MPD segments visualized was negatively correlated with the MRSI score (p,0.05) and the APACHE II score (p,0.05). There was no difference in the MPD diameter between the acute pancreatitis and control groups or among the patients with different severities of acute pancreatitis (p.0.05). The prevalence of pancreatic duct disruption was 7.9% in the acute pancreatitis group. The prevalences of pancreatic duct disruption were 4.8% and 15.3% in the mild and severe acute pancreatitis groups based on the APACHE II score, respectively, and were 0%, 5.7% and 43.5% in the mild, moderate and severe acute pancreatitis groups according the MRSI score, respectively. The prevalence of pancreatic duct disruption was correlated with the severity of acute pancreatitis based on the APACHE II score (p,0.05) and MRSI score (p,0.05). Conclusion: The pancreatic duct in acute pancreatitis patients was of normal diameter. The number of MPD segments visualized and visible pancreatic duct disruption on MRI may be supplementary indicators for determining the severity of acute pancreatitis.
- Subjects :
- Adult
Male
medicine.medical_specialty
Pathology
Adolescent
Epidemiology
Clinical Research Design
lcsh:Medicine
Gastroenterology and Hepatology
Gastroenterology
Severity of Illness Index
Diagnostic Radiology
Internal medicine
Severity of illness
medicine
Prevalence
Humans
Clinical Epidemiology
lcsh:Science
Biology
Pancreas
Aged
Pancreatic duct
Aged, 80 and over
Multidisciplinary
medicine.diagnostic_test
APACHE II
Population Biology
business.industry
lcsh:R
Pancreatic Ducts
Magnetic resonance imaging
Middle Aged
medicine.disease
Magnetic Resonance Imaging
Endoscopy
Radiography
medicine.anatomical_structure
Pancreatitis
Acute Disease
Acute pancreatitis
Medicine
lcsh:Q
Female
business
Radiology
Research Article
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 8
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- PloS one
- Accession number :
- edsair.doi.dedup.....5feaa4ed96992929224165d9ce16fef7