The importance of acoustic radiation force impulse (ARFI) elastography in the diagnosis and clinical course of acute pancreatitis
Yükleniyor...
Tarih
2018
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Aves Yayıncılık
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background/Aims: Acute pancreatitis (AP) is characterized by acute inflammation of the pancreas and it has a highly variable clinical
course. The aim of our study was to evaluate the value of acoustic radiation force impulse (ARFI) elastography in the diagnosis and
clinical course of AP.
Materials and Methods: Consecutive patients with a diagnosis of AP (patients group) and healthy subject (control group) were prospectively enrolled to the study. Demographic features and clinical, laboratory, and radiological data were recorded. Virtual Touch Tissue Quantification (VTQ) was used to implement ARFI elastography. The tissue elasticity is proportional to the square of the wave velocity (SWV).
Results: A total of 108 patients (age, 57±1.8 y) and 79 healthy subjects (age, 53.6±1.81 y) were included in the study. There were 100
(92.5%) edematous and 8 (7.4%) necrotizing AP. The mean SWV was significantly higher in the patient group than in the control group
(2.43±0.08 vs. 1.27±0.025 m/s, p<0.001). There was not significant difference between patient and control group regarding age and
gender. SWV cutoff value of 1.63 m/s was associated with 100% sensitivity and 98% specificity for the diagnosis of AP. There was not
significant difference between patients with and without complications and patients with edematous and necrotizing AP regarding
mean SWV value. There was also not significant correlation between mean SWV value and age, mean length of hospital stay, and mean
amylase level.
Conclusion: ARFI elastography may be a feasible method for the diagnosis of AP, but it has no value for the prediction of clinical course of AP.
Açıklama
Anahtar Kelimeler
Acute pancreatitis, Elasticity imaging techniques, Diagnosis, Prognosis
Kaynak
Turkish Journal of Gastroenterology
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
29
Sayı
3
Künye
Kaya, M., Değirmenci, S., Göya, C., Tuncel, E. T., Uçmak, F. ve Kaplan, M. A. (2018). The importance of acoustic radiation force impulse (ARFI) elastography in the diagnosis and clinical course of acute pancreatitis. Turkish Journal of Gastroenterology, 29(3), 342-347.
