caa a22 4500 605495203 CHVBK 20210128100530.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00261-014-0289-4 doi (NATIONALLICENCE)springer-10.1007/s00261-014-0289-4 Correlation analysis of computed tomography imaging score with the presence of acute kidney injury in severe acute pancreatitis [Elektronische Daten] [Zhengyan Li, Ling Zhang, Zixing Huang, Fang Yuan, Weiwei Zhang, Bin Song] 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. Springer Science+Business Media New York, 2014 Severe acute pancreatitis nationallicence Acute kidney injury nationallicence CT index nationallicence EPIC nationallicence CTSI nationallicence Li Zhengyan Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China aut Zhang Ling Division of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China aut Huang Zixing Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China aut Yuan Fang Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China aut Zhang Weiwei Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China aut Song Bin Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China aut Abdominal Imaging Springer US; http://www.springer-ny.com 40/5(2015-06-01), 1241-1247 0942-8925 40:5<1241 2015 40 261 https://doi.org/10.1007/s00261-014-0289-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00261-014-0289-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Li Zhengyan Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China aut NATIONALLICENCE 700 1- Zhang Ling Division of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China aut NATIONALLICENCE 700 1- Huang Zixing Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China aut NATIONALLICENCE 700 1- Yuan Fang Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China aut NATIONALLICENCE 700 1- Zhang Weiwei Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China aut NATIONALLICENCE 700 1- Song Bin Division of Radiology, West China Hospital of Sichuan University, No.37, Guoxue Alley, Chengdu, Sichuan, China aut NATIONALLICENCE 773 0- Abdominal Imaging Springer US; http://www.springer-ny.com 40/5(2015-06-01), 1241-1247 0942-8925 40:5<1241 2015 40 261