Diagnostic accuracy of contrast enhanced computed tomography (CECT) in detection of necrosis in acute pancreatitis by taking surgical findings as gold standard

OBJECTIVE: To determine the diagnostic accuracy of contrast-enhanced computed tomography in the detection of necrosis in acute pancreatitis by taking surgical findings as the gold standard.

METHODS: The descriptive cross-sectional study was conducted at Radiology and Surgery departments of the Jinnah Postgraduate Medical Centre, Karachi, from January 1 to June 30, 2016, and comprised patients of either gender having severe clinical pancreatitis with symptoms lasting >72 hours without showing improvement. Computed tomography scan was performed with slice thickness of 3mm. Multiple detector scan of abdomen with contrast was done. Data was analysed using SPSS 19.

RESULTS: Of the 191 patients, 97 (50.8%) were female, and 129 (67.50%) were aged >40 years, with an overall mean age of 39.65±11.67 years. Mean duration of the symptoms was 85.61±6.41 hours. Contrast-enhanced computed tomography scan's sensitivity was 71.4%, specificity 87%, positive predictive value 83.33%, negative predictive value 76.99% and over all diagnostic accuracy was 79.5%.

CONCLUSIONS: The diagnostic accuracy of contrast-enhanced computed tomography was found to be high in detecting necrosis in acute pancreatitis cases.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:70

Enthalten in:

JPMA. The Journal of the Pakistan Medical Association - 70(2020), 11 vom: 20. Nov., Seite 1930-1933

Sprache:

Englisch

Beteiligte Personen:

Urooj, Tabinda [VerfasserIn]
Shoukat, Shaista [VerfasserIn]
Bokhari, Iram [VerfasserIn]
Mahmood, Tariq [VerfasserIn]

Links:

Volltext

Themen:

Contrast Media
Diagnostic accuracy, Necrosis in acute pancreatitis, Contrast enhanced computed tomography, CECT.
Journal Article

Anmerkungen:

Date Completed 14.05.2021

Date Revised 14.05.2021

published: Print

Citation Status MEDLINE

doi:

10.47391/JPMA.1070

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM319066800