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The efficacy of diffusion weighted imaging for detection of acute pancreatitis and comparison of subgroups according to Balthazar classification   
Yazarlar (8)
Yencilek Esin
Seçil Telli
T.C. Sağlık Bakanlığı, Türkiye
Kemal Tekeşin
T.C. Sağlık Bakanlığı, Türkiye
Anıl Özgür
Mersin Üniversitesi, Türkiye
Özcan Çakır
T.C. Sağlık Bakanlığı, Türkiye
Özlem Türkoğlu
T.C. Sağlık Bakanlığı, Türkiye
Prof. Dr. Kaan MERİÇ Prof. Dr. Kaan MERİÇ
T.C. Sağlık Bakanlığı, Türkiye
Masum Şimşek
T.C. Sağlık Bakanlığı, Türkiye
Devamını Göster
Özet
Background/Aims: The aim of this study was to measure the apparent diffusion coefficient (ADC) values detected by diffusion-weighted imaging (DWI) in acute pancreatitis and compare them with computerized tomography (CT) findings in acute pancreatitis subgrouped by the Balthazar classification.Materials and Methods: The study population included 50 patients diagnosed with clinical pancreatitis who were evaluated with both multidetector CT and magnetic resonance imaging (MRI) within 24 h of clinical presentation. We calculated pancreatic ADC values obtained from DWI (b=0 and b=1000 mm2/sn). These values were compared with their normal counterparts (n=24). The patients with acute pancreatitis were subgrouped according to the Balthazar classification. The mean ADC values were calculated in each subgroup, and they were compared with control ADC values. Results: The mean pancreatic ADC values in acute pancreatitis (1.19×10-3 mm2/sn ±0.32) was significantly lower than in the normal group (1.78×10-3 mm2/sn ±0.29) (p<0.001). In the subgroup analysis, ADC values in each group were significantly lower than in the control group (p<0.001). In addition, as severity of pancreatitis increased according to the Balthazar classification, lower ADC values were noted. Conclusion: DWI with MRI and ADC values are helpful in the diagnosis of all subgroups of acute pancreatitis. Due to the lack of CT findings in grade A patients, DWI may be helpful in the diagnosis in this group as well.
Anahtar Kelimeler
Makale Türü Açık Erişim Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Turkish Journal of Gastroenterology
Dergi ISSN 1300-4948
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 01-2014
Cilt No 25
Sayı 5
Sayfalar 553 / 557
DOI Numarası 10.5152/tjg.2014.6416