Correlation analysis of computed tomography imaging score with the presence of acute kidney injury in severe acute pancreatitis

Verfasser / Beitragende:
[Zhengyan Li, Ling Zhang, Zixing Huang, Fang Yuan, Weiwei Zhang, Bin Song]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/5(2015-06-01), 1241-1247
Format:
Artikel (online)
ID: 605495203
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024 7 0 |a 10.1007/s00261-014-0289-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-014-0289-4 
245 0 0 |a Correlation analysis of computed tomography imaging score with the presence of acute kidney injury in severe acute pancreatitis  |h [Elektronische Daten]  |c [Zhengyan Li, Ling Zhang, Zixing Huang, Fang Yuan, Weiwei Zhang, Bin Song] 
520 3 |a Objectives: The aim of the study is to investigate the CT imaging findings of severe acute pancreatitis (SAP) complicated with acute kidney injury (AKI) and evaluate the correlation between the CT imaging score and the presence of AKI in SAP. Materials and methods: Contrast-enhanced CT scanning was performed for all 145 patients. Related CT indices such as Balthazar CT grading, CTSI and EPIC scores were calculated. Clinical data, including APACHE II, Ranson scores, serum creatinine levels, urine output, and mortality, were then collected and compared with CT indices. Results: The EPIC score showed a larger area under the receiver operating characteristic curve than either of the CTSI or Balthazar score. However, the change of APACHE II score, but not EPIC score, was significantly associated with the prognosis of AKI and eventual clinical outcome. In addition, the CT manifestation of fluid encapsulation was a good predictor of recovery from AKI. Conclusions: Among the CT indices, the EPIC score, which possessed a good correlation with both APACHE II and Ranson scores, provided a better prediction of AKI in SAP patients than CTSI and Balthazar scores. Encapsulation of inflammatory exudates might be used in the future as imaging-based prognostic criteria of recovering from AKI in patients with SAP. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Severe acute pancreatitis  |2 nationallicence 
690 7 |a Acute kidney injury  |2 nationallicence 
690 7 |a CT index  |2 nationallicence 
690 7 |a EPIC  |2 nationallicence 
690 7 |a CTSI  |2 nationallicence 
700 1 |a Li  |D Zhengyan  |u Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China  |4 aut 
700 1 |a Zhang  |D Ling  |u Division of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China  |4 aut 
700 1 |a Huang  |D Zixing  |u Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China  |4 aut 
700 1 |a Yuan  |D Fang  |u Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China  |4 aut 
700 1 |a Zhang  |D Weiwei  |u Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China  |4 aut 
700 1 |a Song  |D Bin  |u Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/5(2015-06-01), 1241-1247  |x 0942-8925  |q 40:5<1241  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-014-0289-4  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-014-0289-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Li  |D Zhengyan  |u Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhang  |D Ling  |u Division of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Huang  |D Zixing  |u Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yuan  |D Fang  |u Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhang  |D Weiwei  |u Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Song  |D Bin  |u Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/5(2015-06-01), 1241-1247  |x 0942-8925  |q 40:5<1241  |1 2015  |2 40  |o 261