November 12, 2014
Notes: Spicak, J
Vnitr Lek. 2013 Jul;59(7):597-605.
Author Address: Klinika hepatogastroenterologie IKEM Praha. email@example.com
Reference Type: Journal Article
Record Number: 4943Author: Stabile Ianora, A. A., Rubini, G., Lorusso, F., Ambriola, A., Rella, L., Di Crescenzo, V. and Moschetta, M.
Title: [Chronic pancreatitis: which is the role of 320-row CT for the staging?]
Journal: Recenti Prog Med
Short Title: [Chronic pancreatitis: which is the role of 320-row CT for the staging?]
Alternate Journal: Recenti progressi in medicina
ISSN: 0034-1193 (Print)
Original Publication: Pancreatite cronica: quale ruolo per la TC a 320 strati nella stadiazione?
Accession Number: 24042412
*Multidetector Computed Tomography
Predictive Value of Tests
Reproducibility of Results
Sensitivity and Specificity
Severity of Illness Index
Abstract: The purpose of this study was to evaluate the diagnostic potential of multi-planar and volumetric reconstructions obtained from isotropic data by using 16-slice computed tomography (CT) in the diagnosis and staging of chronic pancreatitis. In a group of 42 patients CT images were evaluated searching for alterations in morphology and structure of the pancreas, alterations of the Wirsung duct, dilatation of the bile ducts, fluid collections, and vascular involvement of the digestive tract. The disease was then staged in mild, moderate and severe and correlated with the clinical staging. CT allowed the recognition of chronic pancreatitis in all cases. The staging was correct in 25/42 patients, with an accuracy rate of 59.5%. In the staging of moderate and severe forms, CT correlation with clinical and laboratory data was valid, but in mild forms it appeared less significant. Multi-detector CT is accurate in the recognition of moderate, advanced forms of chronic pancreatitis and in the identification of its complications, while it is poorly correlated with the clinical staging in mild forms of the disease.