Pancreatic duct patterns in acute pancreatitis: a MRI study.

Autor: Rong Peng, Xiao Ming Zhang, Yi Fan Ji, Tian Wu Chen, Lin Yang, Xiao Hua Huang, Xiao Xiao Chi
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: PLoS ONE, Vol 8, Iss 8, p e72792 (2013)
Druh dokumentu: article
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0072792
Popis: 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 (p0.05). 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
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