Role of Magnetic Resonance Imaging in Evaluation of Acute Pancreatitis
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- Category: Vol. 86, September 2018
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Role of Magnetic Resonance Imaging in Evaluation of Acute Pancreatitis, SHAIMAA H. BAKR, HASSAN I. MEGALLY, REEM M. EL-KADY and WAEL A. ABBAS
Abstract
Background: To investigate the role of dynamic Magnetic Resonance Imaging (MRI) in diagnosing and assessing the severity of Acute Pancreatitis (AP) patients and role out pancreatic necrosis.
Aim of Study: The aim of the study was to determine the effectiveness of dynamic MRI in the diagnosis of AP and assessing the severity of AP by detection and delineation of extension of pancreatic necrosis in comparison to clinical scoring systems.
Material and Methods: Thirty four patients with clinical diagnosis of acute pancreatitis underwent magnetic resonance imaging using 1.5T machine include T1, T2 weighted imaging, SPAIR and dynamic contrast. Magnetic Resonance Severity Index (MRSI) was used to assess the severity and correlated with clinical scoring based on revised Atlanta classification and Acute Physiology and Chronic Health Evaluation II (APACHE II) score.
Results: T2-SPAIR is the best sequence to diagnose AP. The MRSI significantly correlates with both revised Atlanta and APACHE II scores in differentiating mild cases of AP from moderate edematous and severe necrotizing cases (p <0.001 for revised Atlanta and 0.004 for APACHE II.
Conclusion: Dynamic MRI help to diagnose mild forms of AP and differentiate it from other causes of abdominal pain.MRI can be used in combination with clinical scoring for diagnosis of AP and accurate assessment of disease severity.