Peritoneal cavity circumference on computed tomography predicts outcomes in acute pancreatitis
We investigated the role of novel intra-abdominal parameters measured by computed tomography (CT) in the prediction of clinical outcomes in acute pancreatitis (AP). Patients with AP underwent an abdominal CT scan on admission to define different intra-abdominal parameters (abdominal circumference, p...
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| Veröffentlicht in: | European journal of radiology 2020-11, Vol.132, p.109327-109327, Article 109327 |
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| container_title | European journal of radiology |
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| creator | Monreal-Robles, Roberto Kohn-Gutiérrez, Ana E. Sordia-Ramírez, José Zúñiga-Segura, Julian A. Palafox-Salinas, Javier A. de la Rosa-Pacheco, Sylvia Elizondo-Riojas, Guillermo González-González, José A |
| description | We investigated the role of novel intra-abdominal parameters measured by computed tomography (CT) in the prediction of clinical outcomes in acute pancreatitis (AP).
Patients with AP underwent an abdominal CT scan on admission to define different intra-abdominal parameters (abdominal circumference, peritoneal cavity circumference, intraabdominal visceral fat area, and subcutaneous fat area) at the L2-L3 level using the open-source image analysis software Osirix Lite v.11.0.4 to predict clinical outcomes.
Eighty patients with AP were analyzed. Peritoneal cavity circumference (PCC) was the only variable independently associated with outcomes. PCC showed an area under ROC for prediction of severity in AP of 0.830. A PCC ≥ 85 cm increased the risk of severity of AP (RR 15.7), persistent systemic inflammatory response syndrome (RR 9.3), acute peripancreatic fluid collection (RR 6.4), necrotizing pancreatitis (RR 21.50), and mortality (RR 2.4). We found a 4.7-fold increase in the risk of developing severe AP for each 10 cm increase in PCC.
PCC measurement at the L2-L3 level using a non-enhanced abdominal CT scan on admission in patients with AP is useful in the early prediction of severity, persistent systemic inflammatory response syndrome, local complications, and mortality. |
| doi_str_mv | 10.1016/j.ejrad.2020.109327 |
| format | Article |
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Patients with AP underwent an abdominal CT scan on admission to define different intra-abdominal parameters (abdominal circumference, peritoneal cavity circumference, intraabdominal visceral fat area, and subcutaneous fat area) at the L2-L3 level using the open-source image analysis software Osirix Lite v.11.0.4 to predict clinical outcomes.
Eighty patients with AP were analyzed. Peritoneal cavity circumference (PCC) was the only variable independently associated with outcomes. PCC showed an area under ROC for prediction of severity in AP of 0.830. A PCC ≥ 85 cm increased the risk of severity of AP (RR 15.7), persistent systemic inflammatory response syndrome (RR 9.3), acute peripancreatic fluid collection (RR 6.4), necrotizing pancreatitis (RR 21.50), and mortality (RR 2.4). We found a 4.7-fold increase in the risk of developing severe AP for each 10 cm increase in PCC.
PCC measurement at the L2-L3 level using a non-enhanced abdominal CT scan on admission in patients with AP is useful in the early prediction of severity, persistent systemic inflammatory response syndrome, local complications, and mortality.</description><identifier>ISSN: 0720-048X</identifier><identifier>EISSN: 1872-7727</identifier><identifier>DOI: 10.1016/j.ejrad.2020.109327</identifier><identifier>PMID: 33049650</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Abdominal obesity ; Acute necrotizing pancreatitis ; Adult ; Female ; Humans ; Image Processing, Computer-Assisted ; Intra-abdominal fat ; Male ; Mortality ; Pancreatitis - diagnosis ; Peritoneal Cavity - diagnostic imaging ; Prospective Studies ; Radiology ; Severity of Illness Index ; Tomography, X-Ray Computed</subject><ispartof>European journal of radiology, 2020-11, Vol.132, p.109327-109327, Article 109327</ispartof><rights>2020 Elsevier B.V.</rights><rights>Copyright © 2020 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-415c9f7b6da56dc41e1f426bebb243f1b151ef5fffcb61a631af51e74842138d3</citedby><cites>FETCH-LOGICAL-c425t-415c9f7b6da56dc41e1f426bebb243f1b151ef5fffcb61a631af51e74842138d3</cites><orcidid>0000-0002-7188-5518 ; 0000-0002-8751-9280</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejrad.2020.109327$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33049650$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Monreal-Robles, Roberto</creatorcontrib><creatorcontrib>Kohn-Gutiérrez, Ana E.</creatorcontrib><creatorcontrib>Sordia-Ramírez, José</creatorcontrib><creatorcontrib>Zúñiga-Segura, Julian A.</creatorcontrib><creatorcontrib>Palafox-Salinas, Javier A.</creatorcontrib><creatorcontrib>de la Rosa-Pacheco, Sylvia</creatorcontrib><creatorcontrib>Elizondo-Riojas, Guillermo</creatorcontrib><creatorcontrib>González-González, José A</creatorcontrib><title>Peritoneal cavity circumference on computed tomography predicts outcomes in acute pancreatitis</title><title>European journal of radiology</title><addtitle>Eur J Radiol</addtitle><description>We investigated the role of novel intra-abdominal parameters measured by computed tomography (CT) in the prediction of clinical outcomes in acute pancreatitis (AP).
Patients with AP underwent an abdominal CT scan on admission to define different intra-abdominal parameters (abdominal circumference, peritoneal cavity circumference, intraabdominal visceral fat area, and subcutaneous fat area) at the L2-L3 level using the open-source image analysis software Osirix Lite v.11.0.4 to predict clinical outcomes.
Eighty patients with AP were analyzed. Peritoneal cavity circumference (PCC) was the only variable independently associated with outcomes. PCC showed an area under ROC for prediction of severity in AP of 0.830. A PCC ≥ 85 cm increased the risk of severity of AP (RR 15.7), persistent systemic inflammatory response syndrome (RR 9.3), acute peripancreatic fluid collection (RR 6.4), necrotizing pancreatitis (RR 21.50), and mortality (RR 2.4). We found a 4.7-fold increase in the risk of developing severe AP for each 10 cm increase in PCC.
PCC measurement at the L2-L3 level using a non-enhanced abdominal CT scan on admission in patients with AP is useful in the early prediction of severity, persistent systemic inflammatory response syndrome, local complications, and mortality.</description><subject>Abdominal obesity</subject><subject>Acute necrotizing pancreatitis</subject><subject>Adult</subject><subject>Female</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Intra-abdominal fat</subject><subject>Male</subject><subject>Mortality</subject><subject>Pancreatitis - diagnosis</subject><subject>Peritoneal Cavity - diagnostic imaging</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>Severity of Illness Index</subject><subject>Tomography, X-Ray Computed</subject><issn>0720-048X</issn><issn>1872-7727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1rGzEQhkVoaZykvyBQdOxlXY0-VvahhxLyBYH20EBOEVpplMh4V1tJG_C_zzpOe-xp4J1nZpiHkHNgS2DQftsscZOtX3LG98lacH1EFrDSvNGa6w9kwTRnDZOrh2NyUsqGMabkmn8ix0IwuW4VW5DHX5hjTQPaLXX2JdYddTG7qQ-YcXBI00Bd6sepoqc19ekp2_F5R8eMPrpaaJrq3MdC40CtmzE62sFltDXWWM7Ix2C3BT-_11Nyf3X5--Kmuft5fXvx465xkqvaSFBuHXTXeqta7yQgBMnbDruOSxGgAwUYVAjBdS3YVoANc6LlSnIQKy9OydfD3jGnPxOWavpYHG63dsA0FcOlAhBagZxRcUBdTqVkDGbMsbd5Z4CZvVizMW9izV6sOYidp768H5i6Hv2_mb8mZ-D7AcD5zZeI2RQX9wZ9zOiq8Sn-98AreLWMqw</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Monreal-Robles, Roberto</creator><creator>Kohn-Gutiérrez, Ana E.</creator><creator>Sordia-Ramírez, José</creator><creator>Zúñiga-Segura, Julian A.</creator><creator>Palafox-Salinas, Javier A.</creator><creator>de la Rosa-Pacheco, Sylvia</creator><creator>Elizondo-Riojas, Guillermo</creator><creator>González-González, José A</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7188-5518</orcidid><orcidid>https://orcid.org/0000-0002-8751-9280</orcidid></search><sort><creationdate>202011</creationdate><title>Peritoneal cavity circumference on computed tomography predicts outcomes in acute pancreatitis</title><author>Monreal-Robles, Roberto ; Kohn-Gutiérrez, Ana E. ; Sordia-Ramírez, José ; Zúñiga-Segura, Julian A. ; Palafox-Salinas, Javier A. ; de la Rosa-Pacheco, Sylvia ; Elizondo-Riojas, Guillermo ; González-González, José A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-415c9f7b6da56dc41e1f426bebb243f1b151ef5fffcb61a631af51e74842138d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdominal obesity</topic><topic>Acute necrotizing pancreatitis</topic><topic>Adult</topic><topic>Female</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>Intra-abdominal fat</topic><topic>Male</topic><topic>Mortality</topic><topic>Pancreatitis - diagnosis</topic><topic>Peritoneal Cavity - diagnostic imaging</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>Severity of Illness Index</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Monreal-Robles, Roberto</creatorcontrib><creatorcontrib>Kohn-Gutiérrez, Ana E.</creatorcontrib><creatorcontrib>Sordia-Ramírez, José</creatorcontrib><creatorcontrib>Zúñiga-Segura, Julian A.</creatorcontrib><creatorcontrib>Palafox-Salinas, Javier A.</creatorcontrib><creatorcontrib>de la Rosa-Pacheco, Sylvia</creatorcontrib><creatorcontrib>Elizondo-Riojas, Guillermo</creatorcontrib><creatorcontrib>González-González, José A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Monreal-Robles, Roberto</au><au>Kohn-Gutiérrez, Ana E.</au><au>Sordia-Ramírez, José</au><au>Zúñiga-Segura, Julian A.</au><au>Palafox-Salinas, Javier A.</au><au>de la Rosa-Pacheco, Sylvia</au><au>Elizondo-Riojas, Guillermo</au><au>González-González, José A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Peritoneal cavity circumference on computed tomography predicts outcomes in acute pancreatitis</atitle><jtitle>European journal of radiology</jtitle><addtitle>Eur J Radiol</addtitle><date>2020-11</date><risdate>2020</risdate><volume>132</volume><spage>109327</spage><epage>109327</epage><pages>109327-109327</pages><artnum>109327</artnum><issn>0720-048X</issn><eissn>1872-7727</eissn><abstract>We investigated the role of novel intra-abdominal parameters measured by computed tomography (CT) in the prediction of clinical outcomes in acute pancreatitis (AP).
Patients with AP underwent an abdominal CT scan on admission to define different intra-abdominal parameters (abdominal circumference, peritoneal cavity circumference, intraabdominal visceral fat area, and subcutaneous fat area) at the L2-L3 level using the open-source image analysis software Osirix Lite v.11.0.4 to predict clinical outcomes.
Eighty patients with AP were analyzed. Peritoneal cavity circumference (PCC) was the only variable independently associated with outcomes. PCC showed an area under ROC for prediction of severity in AP of 0.830. A PCC ≥ 85 cm increased the risk of severity of AP (RR 15.7), persistent systemic inflammatory response syndrome (RR 9.3), acute peripancreatic fluid collection (RR 6.4), necrotizing pancreatitis (RR 21.50), and mortality (RR 2.4). We found a 4.7-fold increase in the risk of developing severe AP for each 10 cm increase in PCC.
PCC measurement at the L2-L3 level using a non-enhanced abdominal CT scan on admission in patients with AP is useful in the early prediction of severity, persistent systemic inflammatory response syndrome, local complications, and mortality.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>33049650</pmid><doi>10.1016/j.ejrad.2020.109327</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-7188-5518</orcidid><orcidid>https://orcid.org/0000-0002-8751-9280</orcidid></addata></record> |
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| subjects | Abdominal obesity Acute necrotizing pancreatitis Adult Female Humans Image Processing, Computer-Assisted Intra-abdominal fat Male Mortality Pancreatitis - diagnosis Peritoneal Cavity - diagnostic imaging Prospective Studies Radiology Severity of Illness Index Tomography, X-Ray Computed |
| title | Peritoneal cavity circumference on computed tomography predicts outcomes in acute pancreatitis |
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