Use of CT and MRI in emergency department patients with acute pancreatitis
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| 005 | 20210128100531.0 | ||
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| 008 | 210128e20150201xx s 000 0 eng | ||
| 024 | 7 | 0 | |a 10.1007/s00261-014-0210-1 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00261-014-0210-1 | ||
| 245 | 0 | 0 | |a Use of CT and MRI in emergency department patients with acute pancreatitis |h [Elektronische Daten] |c [Atul Shinagare, Ivan Ip, Ali Raja, V. Sahni, Peter Banks, Ramin Khorasani] |
| 520 | 3 | |a Purpose: Assess the utility of CT and MRI in patients with acute pancreatitis (AP) presenting to emergency department (ED). Materials and Methods: In this Institutional Review Board-approved retrospective study, we identified all patients with AP from March 2012 through February 2013 in ED of a teaching hospital with approximately 60,000 annual visits. Patients were initially identified via ICD-9 code for AP (577.0); diagnosis was confirmed by chart review using established diagnostic criteria (presence of two of the following: typical abdominal pain, elevated lipase/amylase>3 times normal, or imaging findings of pancreatitis). Abdominal CT or MRI obtained in the ED and within 24h of admission was reviewed by a fellowship-trained abdominal radiologist. Results: Of 101 patients admitted with AP (60 women, 41 men; mean age 52years, range 20-89), 63 (62.4%) underwent imaging; only one (1.6%) showed pancreatic necrosis. 88 (87.1%) patients could have been clinically diagnosed without imaging based on presence of abdominal pain and elevated laboratory values; 13 (12.9%) required imaging for diagnosis. Of 88 patients who met AP diagnostic criteria without imaging, 50 (56.8%) nonetheless underwent imaging, with AP without necrosis seen in 34 (68.0%), pancreatic necrosis in one (2.0%), sequelae of prior AP in four (8.0%), and no abnormality in 11 (22.0%). Conclusion: Early imaging is common in patients with AP, even when the diagnosis can be established based on non-imaging criteria, rarely demonstrating pancreatic necrosis. Reducing overuse of early imaging in patients with confident diagnosis of AP may improve quality and reduce waste. | |
| 540 | |a Springer Science+Business Media New York, 2014 | ||
| 690 | 7 | |a Acute pancreatitis |2 nationallicence | |
| 690 | 7 | |a Emergency department |2 nationallicence | |
| 690 | 7 | |a CT |2 nationallicence | |
| 690 | 7 | |a MRI |2 nationallicence | |
| 690 | 7 | |a Diagnostic criteria |2 nationallicence | |
| 700 | 1 | |a Shinagare |D Atul |u Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, 02115, Boston, MA, USA |4 aut | |
| 700 | 1 | |a Ip |D Ivan |u Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, 02115, Boston, MA, USA |4 aut | |
| 700 | 1 | |a Raja |D Ali |u Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, 02115, Boston, MA, USA |4 aut | |
| 700 | 1 | |a Sahni |D V. |u Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, 02115, Boston, MA, USA |4 aut | |
| 700 | 1 | |a Banks |D Peter |u Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, 02115, Boston, MA, USA |4 aut | |
| 700 | 1 | |a Khorasani |D Ramin |u Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, 02115, Boston, MA, USA |4 aut | |
| 773 | 0 | |t Abdominal Imaging |d Springer US; http://www.springer-ny.com |g 40/2(2015-02-01), 272-277 |x 0942-8925 |q 40:2<272 |1 2015 |2 40 |o 261 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00261-014-0210-1 |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/s00261-014-0210-1 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Shinagare |D Atul |u Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, 02115, Boston, MA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Ip |D Ivan |u Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, 02115, Boston, MA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Raja |D Ali |u Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, 02115, Boston, MA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Sahni |D V. |u Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, 02115, Boston, MA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Banks |D Peter |u Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, 02115, Boston, MA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Khorasani |D Ramin |u Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, 02115, Boston, MA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Abdominal Imaging |d Springer US; http://www.springer-ny.com |g 40/2(2015-02-01), 272-277 |x 0942-8925 |q 40:2<272 |1 2015 |2 40 |o 261 | ||