Abstract:
PURPOSE:To assess interobserver agreement when using the revised Atlanta classification (RAC) to categorize pancreatic and peripancreatic collections during the first month of acute pancreatitis (AP), and to correlate type of collection to outcome. MATERIAL AND METHODS:This retrospective study of 115 consecutive patients admitted for 123 AP episodes, 178 CTs performed within the first month showed peripancreatic abnormalities. Each AP episode was classified as mild, moderately severe, or severe based on the RAC. Two radiologists, blinded to clinical data, used RAC criteria to retrospectively categorize the collections as acute peripancreatic fluid collections (APFC) or acute necrotic collections (ANC). Interobserver agreement was assessed based on Cohen's κ statistics and compared according to CT timing. RESULTS:Interobserver agreement for categorizing peripancreatic collections was moderate (κ = 0.45) and did not improve with time to CT (κ values, 0.53 < day 3, 0.34 on days 3-6, and 0.43 ≥ day 7). For detecting parenchymal necrosis, interobserver agreement was also moderate (κ = 0.45). AP was less severe in patients with APFC versus ANC (p = 0.04). CONCLUSION:Our finding of moderate interobserver agreement when using the RAC to categorize pancreatic and peripancreatic collections by CT indicates that the accurate diagnosis of APFC or ANC by CT in the first 4 weeks after symptom onset is often challenging. KEY POINTS:• Interobserver agreement was moderate for categorizing peripancreatic collections. • Interobserver agreement did not improve with time from onset to CT. • Interobserver agreement was moderate for detecting parenchymal necrosis.
journal_name
Eur Radioljournal_title
European radiologyauthors
Badat N,Millet I,Corno L,Khaled W,Boulay-Coletta I,Zins Mdoi
10.1007/s00330-018-5906-0subject
Has Abstractpub_date
2019-05-01 00:00:00pages
2302-2310issue
5eissn
0938-7994issn
1432-1084pii
10.1007/s00330-018-5906-0journal_volume
29pub_type
杂志文章abstract:OBJECTIVE:To evaluate the feasibility of dual-energy CT (DECT) ventilation imaging in combination with DE perfusion mapping for a comprehensive assessment of ventilation, perfusion, morphology and structure of the pulmonary parenchyma. METHODS:Two dual-energy CT acquisitions for xenon-enhanced ventilation and iodine-e...
journal_title:European radiology
pub_type: 杂志文章
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abstract:OBJECTIVES:To determine whether sirolimus has beneficial effects on lymphangioleiomyomatosis (LAM) lung cysts in CT with long-term follow-up (FU) and to investigate whether CT is an appropriate imaging biomarker to monitor and evaluate LAM progression. METHODS:In this retrospective study, 73 female patients diagnosed ...
journal_title:European radiology
pub_type: 杂志文章
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abstract::We report on a new minimally invasive technique for the retrieval of a surgical pin fragment after accidental migration into the soft tissue of the shoulder in two patients. The technique is performed under local anaesthesia and uses combined CT and fluoroscopic guidance. The materials used were simple, combining a bo...
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pub_type: 杂志文章,评审
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更新日期:2013-06-01 00:00:00
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