Spleen and splenic vascular involvement in acute pancreatitis: an MRI study

Autor: Meng-Yue Tang, Hua-Dan Xue, Yong Chen, Zhengyu Jin, Mao Zhang, Ran Hu, Tian-wu Chen, Xiao-Ming Zhang, Chao-Lian Xie
Rok vydání: 2018
Předmět:
Zdroj: Quantitative Imaging in Medicine and Surgery. 8:291-300
ISSN: 2223-4306
2223-4292
Popis: Background To investigate the spleen and splenic vascular involvement in acute pancreatitis (AP) and their correlations with the severity of AP using magnetic resonance imaging (MRI). Methods MRI of 239 patients with AP was retrospectively reviewed to assess splenic and splenic vascular complications, and the severity of AP. The severity of AP was graded by the MRI severity index (MRSI) and the New Revised Classification of AP 2012. The intravoxel incoherent motion (IVIM) parameters (D, D*, and f) of spleen were measured. Thirty-five subjects without pancreatic and splenic disorders were enrolled as controls for IVIM parameters. Results Among the 239 patients with AP, splenomegaly (16.7%), splenic infarction (0.4%), splenic vein thrombosis (4.2%), phlebitis (7.5%) and arteritis (4.2%) were observed. Splenic vascular involvement was positively correlated with the severity of AP based on both the MRSI and the New Revised Classification of AP 2012 (P
Databáze: OpenAIRE