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Magnetic resonance imaging for the normal mesostenium and involvement of the mesostenium in acute pancreatitis.

Chi XX, Zhang XM, Chen TW, Tang W, Xiao B, Ji YF, Huang XH - Biomed Res Int (2014)

Bottom Line: We found that the mesenterical involvement of acute pancreatitis patients is common on MRI.The mesenterical involvement has a positive correlation with the MR severity index and the Acute Physiology and Chronic Healthy Evaluation II scoring system.It has been shown that MR can be used to visualize mesenterical involvement, which is a supplementary indicator in evaluating the severity of acute pancreatitis and local and systemic complications.

View Article: PubMed Central - PubMed

Affiliation: Sichuan Key Laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province 637000, China.

ABSTRACT
The main point of this paper is to study MRI findings of the normal mesostenium and the involvement of the mesostenium in acute pancreatitis and to discuss the relationship between the involvement of the mesostenium and the severity of acute pancreatitis. In clinical practice, the mesenterical involvement in acute pancreatitis was often observed on MRI in daily works, which was little recorded in the reported studies. We conducted the current study to assess the mesenterical involvement in acute pancreatitis with MRI. We found that the mesenterical involvement of acute pancreatitis patients is common on MRI. The mesenterical involvement has a positive correlation with the MR severity index and the Acute Physiology and Chronic Healthy Evaluation II scoring system. It has been shown that MR can be used to visualize mesenterical involvement, which is a supplementary indicator in evaluating the severity of acute pancreatitis and local and systemic complications.

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The correlation between the MRSI and MI.
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fig5: The correlation between the MRSI and MI.

Mentions: Of the 196 patients with AP, 133 (67.9%) showed mesenterical involvement on MRI. In total, 133 patients had mesenterical-vessel involvement. The rates of mesenterical-vessel involvement in mild, moderate, and severe AP, respectively, were 31.5% (23/73), 87.7% (93/106), and 100% (17/17) (χ2 = 71.481, P = 0.000). As shown in specific detail in Table 1, we found that the increase in the MRSI score was associated with the increase in the MI grade. Among the cases of mesenterical effusion, 8 cases occurred in the left mesostenium, 4 cases occurred in the right mesostenium, and 38 cases occurred on both sides. The MI on MRI was strongly correlated with the MRSI score (r = 0.722, P = 0.000) (Figure 5).


Magnetic resonance imaging for the normal mesostenium and involvement of the mesostenium in acute pancreatitis.

Chi XX, Zhang XM, Chen TW, Tang W, Xiao B, Ji YF, Huang XH - Biomed Res Int (2014)

The correlation between the MRSI and MI.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4127251&req=5

fig5: The correlation between the MRSI and MI.
Mentions: Of the 196 patients with AP, 133 (67.9%) showed mesenterical involvement on MRI. In total, 133 patients had mesenterical-vessel involvement. The rates of mesenterical-vessel involvement in mild, moderate, and severe AP, respectively, were 31.5% (23/73), 87.7% (93/106), and 100% (17/17) (χ2 = 71.481, P = 0.000). As shown in specific detail in Table 1, we found that the increase in the MRSI score was associated with the increase in the MI grade. Among the cases of mesenterical effusion, 8 cases occurred in the left mesostenium, 4 cases occurred in the right mesostenium, and 38 cases occurred on both sides. The MI on MRI was strongly correlated with the MRSI score (r = 0.722, P = 0.000) (Figure 5).

Bottom Line: We found that the mesenterical involvement of acute pancreatitis patients is common on MRI.The mesenterical involvement has a positive correlation with the MR severity index and the Acute Physiology and Chronic Healthy Evaluation II scoring system.It has been shown that MR can be used to visualize mesenterical involvement, which is a supplementary indicator in evaluating the severity of acute pancreatitis and local and systemic complications.

View Article: PubMed Central - PubMed

Affiliation: Sichuan Key Laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province 637000, China.

ABSTRACT
The main point of this paper is to study MRI findings of the normal mesostenium and the involvement of the mesostenium in acute pancreatitis and to discuss the relationship between the involvement of the mesostenium and the severity of acute pancreatitis. In clinical practice, the mesenterical involvement in acute pancreatitis was often observed on MRI in daily works, which was little recorded in the reported studies. We conducted the current study to assess the mesenterical involvement in acute pancreatitis with MRI. We found that the mesenterical involvement of acute pancreatitis patients is common on MRI. The mesenterical involvement has a positive correlation with the MR severity index and the Acute Physiology and Chronic Healthy Evaluation II scoring system. It has been shown that MR can be used to visualize mesenterical involvement, which is a supplementary indicator in evaluating the severity of acute pancreatitis and local and systemic complications.

Show MeSH
Related in: MedlinePlus