Abstract
The goal of our study was to determine the diagnostic value of diffusion-weighted
magnetic resonance imaging in the identification of acute mild pancreatitis with low
Ranson scores. The study group included 22 healthy subjects and 40 patients with mild
acute pancreatitis. Patients with Ranson scores of 1–3 were included in the present
study. There was a significant reduction in mean pancreatic apparent diffusion coefficient
among the acute pancreatitis patients (1.46±2.80×10−3mm2/s) relative to the healthy subjects (1.69±2.26×10−3mm2/s). Diffusion-weighted imaging improves diagnosis of mild acute pancreatitis and
enables the differentiation of acute pancreatitis from other diseases involving abdominal
pain and other nonspecific findings.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical ImagingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Clinical practice. Acute pancreatitis.N Engl J Med. 2006; 354: 2142-2150
- A clinically based classification system for acute pancreatitis: summary of the International Symposium on Acute Pancreatitis, Atlanta, GA, September 11 through 13, 1992.Arch Surg. 1993; 128: 586-590
- Prognostic signs and the role of operative management in acute pancreatitis.Surg Gynecol Obstet. 1974; 139: 69-81
- High-b-value diffusion-weighted MR imaging for pretreatment prediction and early monitoring of tumor response to therapy in mice.Radiology. 2004; 232: 685-692
- MR imaging of intravoxel incoherent motions: application to diffusion and perfusion in neurologic disorders.Radiology. 1986; 161: 401-407
- Abdominal diffusion mapping with use of a whole-body echo-planar system.Radiology. 1994; 190: 475-478
- Liver lesion detection and characterization: role of diffusion-weighted imaging.J Magn Reson Imaging. 2013; 37: 1260-1276
- Computed diffusion-weighted imaging of the prostate at 3T: impact on image quality and tumour detection.Eur Radiol. 2013; 23: 3170-3177
- Imaging assessment of acute pancreatitis: a review.Semin Ultrasound CT MR. 2008; 29: 322-340
- MDCT of acute mild (nonnecrotizing) pancreatitis: abdominal complications and fate of fluid collections.AJR Am J Roentgenol. 2008; 190: 643-649
- Disconnection of the pancreatic duct: an important but overlooked complication of severe acute pancreatitis.Radiographics. 2007; 27: 1389-1400
- Evaluation of unusual causes of pancreatitis: role of cross-sectional imaging.Eur J Radiol. 2009; 71: 296-312
- Cross-sectional imaging in acute pancreatitis.Radiol Clin North Am. 2007; 45: 447-460
- Pancreatitis: computed tomography and magnetic resonance imaging.Eur Radiol. 2000; 10: 401-408
- Effectiveness of MR imaging for diagnosing the mild forms of acute pancreatitis: comparison with MDCT.J Magn Reson Imaging. 2006; 24: 1342-1349
- Magnetic resonance imaging for acute pancreatitis.World J Radiol. 2010; 2: 298-308
- Acute interstitial edematous pancreatitis: findings on non-enhanced MR imaging.World J Gastroenterol. 2006; 12: 5859-5865
- Extracranial applications of diffusion-weighted magnetic resonance imaging.Eur Radiol. 2007; 17: 1385-1393
- Ultrafast MR imaging of the abdomen: echo planar imaging and diffusion-weighted imaging.J Magn Reson Imaging. 1998; 8: 367-374
- High-b value diffusion-weighted MRI for detecting pancreatic adenocarcinoma: preliminary results.AJR Am J Roentgenol. 2007; 188: 409-414
- ADC measurement of abdominal organs and lesions using parallel imaging technique.AJR Am J Roentgenol. 2006; 187: 1521-1530
- ADC normalization: a promising research track for diffusion-weighted MR imaging of the abdomen.Diagn Interv Imaging. 2013; 94: 571-573
- Characterization of focal pancreatic lesions using normalized apparent diffusion coefficient at 1.5-tesla: preliminary experience.Diagn Interv Imaging. 2013; 94: 619-627
- Diffusion-weighted MR imaging of the normal pacreas: reproducibility and variations of apparent diffusion coefficient measurement at 1.5- and 3.0-tesla.Diagn Interv Imaging. 2013; 94: 418-427
- Diagnosis of chronic pancreatitis by using apparent diffusion coefficient measurements at 3.0-T MR following secretin stimulation.Radiology. 2009; 252: 418-425
- Diffusion-weighted magnetic resonance imaging in autoimmune pancreatitis.Jpn J Radiol. 2009; 27: 138-142
- Acute pancreatitis successfully diagnosed by diffusion-weighted imaging: a case report.World J Gastroenterol. 2008; 14: 5478-5480
Article info
Publication history
Published online: October 16, 2014
Accepted:
October 1,
2014
Received in revised form:
September 28,
2014
Received:
August 14,
2014
Footnotes
☆This article is not under publication or consideration for publication elsewhere.
Identification
Copyright
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
