2009Practical Preventive MedicineRequires access

Value Analysis of Multi-slice CT in Diagnosis of Acute Pancreatitis

Qiao Yuan-gang

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Abstract

Objective To evaluate the diagnostic value of multi-slice spiral CT (MSCT) for acute pancreatitis. Methods Enhanced dynamic CT with perfusion technique of AP was performed with 16-slice spiral CT in 65 patients who were clinically diagnosed as AP. Same CT protocol and the CT findings in 60 patients with no pancreatic disorders served as controls. Data were analyzed with perfusion-3 software package. Hemodynamic parameters including blood flow (BF),blood volume (BV),time to peak (TTP),and capillary permeability surface (PS) were calculated. Results The levels of BE and BV in AP patients were significantly decreased than those in normal subjects (P0.05); there was no significant difference in TTP and PS between AP patients and normal subjects (P0.05). Perfusion parameters showed no significant difference between MAP patients and the normal group (P0.05). BF and BV decreased significantly in SAP patients as compared with MAP patients and normal group (P0.05); but no significant difference in TTP and PS was found among SAP patients,MAP patients and normal group (P0.05). Conclusions MSCT is helpful in identifying patients with acute pancreatitis,which is a simple and effective way in clinical application.

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What this paper is about

Objective To evaluate the diagnostic value of multi-slice spiral CT (MSCT) for acute pancreatitis. Methods Enhanced dynamic CT with perfusion technique of AP was performed with 16-slice spiral CT in 65 patients who were clinically diagnosed as AP. Same CT protocol and the CT findings in 60 patients with no pancreatic disorders served as controls. Data were analyzed with perfusion-3 software package. Hemodynamic parameters including blood flow (BF),blood volume (BV),time to peak (TTP),and capillary permeability surface (PS) were calculated. Results The levels of BE and BV in AP patients were significantly decreased than those in normal subjects (P0.05); there was no significant difference in TTP and PS between AP patients and normal subjects (P0.05). Perfusion parameters showed no significant difference between MAP patients and the normal group (P0.05). BF and BV decreased significantly in SAP patients as compared with MAP patients and normal group (P0.05); but no significant difference in TTP and PS was found among SAP patients,MAP patients and normal group (P0.05). Conclusions MSCT is helpful in identifying patients with acute pancreatitis,which is a simple and effective way in clinical application.

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Available abstract

Objective To evaluate the diagnostic value of multi-slice spiral CT (MSCT) for acute pancreatitis. Methods Enhanced dynamic CT with perfusion technique of AP was performed with 16-slice spiral CT in 65 patients who were clinically diagnosed as AP. Same CT protocol and the CT findings in 60 patients with no pancreatic disorders served as controls. Data were analyzed with perfusion-3 software package. Hemodynamic parameters including blood flow (BF),blood volume (BV),time to peak (TTP),and capillary permeability surface (PS) were calculated. Results The levels of BE and BV in AP patients were significantly decreased than those in normal subjects (P0.05); there was no significant difference in TTP and PS between AP patients and normal subjects (P0.05). Perfusion parameters showed no significant difference between MAP patients and the normal group (P0.05). BF and BV decreased significantly in SAP patients as compared with MAP patients and normal group (P0.05); but no significant difference in TTP and PS was found among SAP patients,MAP patients and normal group (P0.05). Conclusions MSCT is helpful in identifying patients with acute pancreatitis,which is a simple and effective way in clinical application.

Key concepts: Medicine, Acute pancreatitis, Perfusion, Pancreatitis, Significant difference, Blood volume, Perfusion scanning, Nuclear medicine

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