Comparison of CT Severity Index with Modified CT Severity Index in Evaluation of Acute Pancreatitis
| dc.contributor.author | Martis, Richard. S | en_US |
| dc.date.accessioned | 2019-12-06T09:24:07Z | |
| dc.date.available | 2019-12-06T09:24:07Z | |
| dc.date.issued | 2018-11 | |
| dc.description.abstract | Background: Acute pancreatitis is an acute inflammatory process of the pancreas triggered by several etiologic factors of which alcoholism and choledocholithiasis are the most common. Contrast-enhanced CT currently is the most accurate single imaging modality for diagnosis, staging the severity, and detecting complications of acute pancreatitis. Methods:This was a prospective study of 54 patients conducted in PBM Hospital Bikaner on Siemens Somatom ART scanner and GE High speed NX/I pro dual slice scanner. Contrast enhanced CT scans were obtained 40 seconds after i.v. administration of 150 ml of non-ionic contrast media injected at the rate of 3 ml/sec .The severity of pancreatitis was assessed for each case using the CTSI developed by Balthazar as well as the modified CTSI proposed by Mortele and correlated with clinical outcome. Results: Modified CTSI showed a more significant correlation with the occurrence of organ failure than the CTSI (p=0.011 vs. p=0.015). The modified CTSI also correlated more closely with the length of hospital stay (>20 days) than the CTSI although both the indices showed a significant correlation (p=0.013 vs. p=0.02). Conclusions: Modified CTSI simplifies the evaluation of acute pancreatitis in comparison to CTSI by taking into account extrapancreatic complications of acute pancreatitis and by simplifying grading of pancreatic necrosis. Modified CTSI score showed significant correlation with all outcome parameters compared to CTSI and was better than the CTSI in predicting the occurrence of organ failure and the length of hospital stay. . | en_US |
| dc.identifier.affiliations | Associate Professor, Department of Radiodiagnosis, ACME, Pariyaram. | en_US |
| dc.identifier.citation | Martis Richard. S. Comparison of CT Severity Index with Modified CT Severity Index in Evaluation of Acute Pancreatitis. Annals of International medical and Dental Research. 2018 Nov; 4(11): 1-3 | en_US |
| dc.identifier.issn | 2395-2822 | |
| dc.identifier.issn | 2395-2814 | |
| dc.identifier.place | India | en_US |
| dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/188446 | |
| dc.language | en | en_US |
| dc.publisher | Society for Health Care & Research Development | en_US |
| dc.relation.issuenumber | 11 | en_US |
| dc.relation.volume | 4 | en_US |
| dc.source.uri | https://doi.org/10.21276/aimdr.2018.4.6.RD1 | en_US |
| dc.title | Comparison of CT Severity Index with Modified CT Severity Index in Evaluation of Acute Pancreatitis | en_US |
| dc.type | Journal Article | en_US |
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