Diffusion-weighted magnetic resonance imaging indicates the severity of acute pancreatitis
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| 008 | 210128e20150201xx s 000 0 eng | ||
| 024 | 7 | 0 | |a 10.1007/s00261-014-0205-y |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00261-014-0205-y | ||
| 245 | 0 | 0 | |a Diffusion-weighted magnetic resonance imaging indicates the severity of acute pancreatitis |h [Elektronische Daten] |c [Franklin de Freitas Tertulino, Vladimir Schraibman, José Ardengh, Danilo do Espírito-Santo, Sergio Ajzen, Franz Torrez, Edson Lobo, Jacob Szejnfeld, Suzan Goldman] |
| 520 | 3 | |a Purpose: To test the use of diffusion-weighted magnetic resonance imaging (DW-MRI) to differentiate between different degrees of severity of acute pancreatitis (AP). Method: Thirty-six patients who underwent DW-MRI and magnetic resonance cholangiopancreatography were divided into patients with mild AP (mAP, n=15), patients with necrotizing AP (nAP, n=8), and patients with a normal pancreas (nP, n=15; controls). The pancreas was divided into head, body, and tail, and each segment was classified according to image features: pattern 1, normal; pattern 2, mild inflammation; and pattern 3, necrosis. Apparent diffusion coefficients (ADCs) were measured in each segment and correlated with clinical diagnoses. Results: A total of 108 segments was assessed (three segments per patient). Segments classified as pattern 1 in the nP and mAP groups showed similar ADC values (P=0.29). ADC values calculated for the pancreatic segments grouped according to the different image patterns (1-3) were significantly different (P<0.001). Comparisons revealed significant differences in signal intensity between all three patterns (P<0.05). Conclusions: DW-MRI was a compatible and safe image option to differentiate tissue image patterns in patients with mAP, nAP, and nP, mainly in those with contraindications to contrast-enhanced MRI (which is classically required for determining the presence of necrosis) or computed tomography. ADC measures allowed precise differentiation between patterns 1, 2, and 3. | |
| 540 | |a Springer Science+Business Media New York, 2014 | ||
| 690 | 7 | |a Acute necrotizing pancreatitis |2 nationallicence | |
| 690 | 7 | |a Diffusion magnetic resonance imaging |2 nationallicence | |
| 690 | 7 | |a Differential diagnosis |2 nationallicence | |
| 700 | 1 | |a de Freitas Tertulino |D Franklin |u Department of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | |
| 700 | 1 | |a Schraibman |D Vladimir |u Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | |
| 700 | 1 | |a Ardengh |D José |u Department of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | |
| 700 | 1 | |a do Espírito-Santo |D Danilo |u Department of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | |
| 700 | 1 | |a Ajzen |D Sergio |u Department of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | |
| 700 | 1 | |a Torrez |D Franz |u Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | |
| 700 | 1 | |a Lobo |D Edson |u Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | |
| 700 | 1 | |a Szejnfeld |D Jacob |u Department of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | |
| 700 | 1 | |a Goldman |D Suzan |u Department of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | |
| 773 | 0 | |t Abdominal Imaging |d Springer US; http://www.springer-ny.com |g 40/2(2015-02-01), 265-271 |x 0942-8925 |q 40:2<265 |1 2015 |2 40 |o 261 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00261-014-0205-y |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/s00261-014-0205-y |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a de Freitas Tertulino |D Franklin |u Department of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Schraibman |D Vladimir |u Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Ardengh |D José |u Department of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a do Espírito-Santo |D Danilo |u Department of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Ajzen |D Sergio |u Department of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Torrez |D Franz |u Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Lobo |D Edson |u Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Szejnfeld |D Jacob |u Department of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Goldman |D Suzan |u Department of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil |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), 265-271 |x 0942-8925 |q 40:2<265 |1 2015 |2 40 |o 261 | ||