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《Modern Medical Imageology》 2013-05
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MRI and Enhanced CT in Diagnosis of Acute Pancreatitis Classification

Gui bing;Xiao Jianguo;Tao Minggen;Taizhou Hospital of Traditional Chinese Medicine of Jiangsu Province Taizhou;  
Purpose: Using the modified CT severity index,comparison of MRI and CECT on the diagnosis of acute pancreatitis diagnosis accuracy. Materials and Methods: In 2010 February to 2013 March in our hospital were included in the study of AP patients,retrospective analysis of clinical and MRI and CECT,MCTSI as the MRI severity index( MRSI) index,respectively by MRSI and MCTSI in patients with AP diagnosis and clinical assessment results for hierarchical control. Results: 28 cases of patients with clinical evaluation for mild pancreatitis( 37. 8%),46 patients with clinical evaluation for SAP and MSAP( 62. 2%); MRSI and MCTSI diagnosis of pancreatitis was 33 cases( 44. 6%) and 30 cases( 40. 5%). MRSI diagnosis of SAP and MSAP in 44 cases( 55. 4%); MCTSI diagnosis of SAP and MSAP in 41 cases( 59. 4%),the accuracy of MRI diagnosis of SAP and MSAP was higher than that of CECT( 95. 7% to 89. 1%),no significant difference( P 0. 5). To reveal the etiology of acute pancreatitis calculus of bile duct and gallbladder stone MRI is superior to CT. Conclusion: MRSI and MCTSI score for the grading and clinical diagnosis of acute pancreatitis with similar diagnosis results of Ranson grading of MRI on mild acute pancreatitis; pancreatic parenchymal inflammation edema is shown to be superior to CECT; severity diagnostic effects of MRI on acute pancreatitis is similar to CECT,is a reliable method to judge the severity of acute pancreatitis.
【CateGory Index】: R816.5;R576
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