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Proposal and Validation of New Diagnostic Criteria for Diagnostic Weights of Endoultrasonographic Findings for Early Chronic Pancreatitis

[Background and study aim] A commonly applied method for diagnosing chronic pancreatitis (CP) uses endoscopic ultrasonography (EUS), assigning weights to each EUS diagnostic finding. It is the Rosemont classification (RC). In 2019, to improve EUS diagnostic specificity, Japanese diagnostic criteria...

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Autores principales: Kashima, Ken, Yamamiya, Akira, Abe, Yoko, Nagashima, Kazunori, Minaguchi, Takahito, Kunogi, Yasuhito, Sakuma, Fumi, Fukushi, Koh, Inaba, Yasunori, Sugaya, Takeshi, Tominaga, Keiichi, Goda, Kenichi, Irisawa, Atsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455995/
https://www.ncbi.nlm.nih.gov/pubmed/37629362
http://dx.doi.org/10.3390/jcm12165320
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author Kashima, Ken
Yamamiya, Akira
Abe, Yoko
Nagashima, Kazunori
Minaguchi, Takahito
Kunogi, Yasuhito
Sakuma, Fumi
Fukushi, Koh
Inaba, Yasunori
Sugaya, Takeshi
Tominaga, Keiichi
Goda, Kenichi
Irisawa, Atsushi
author_facet Kashima, Ken
Yamamiya, Akira
Abe, Yoko
Nagashima, Kazunori
Minaguchi, Takahito
Kunogi, Yasuhito
Sakuma, Fumi
Fukushi, Koh
Inaba, Yasunori
Sugaya, Takeshi
Tominaga, Keiichi
Goda, Kenichi
Irisawa, Atsushi
author_sort Kashima, Ken
collection PubMed
description [Background and study aim] A commonly applied method for diagnosing chronic pancreatitis (CP) uses endoscopic ultrasonography (EUS), assigning weights to each EUS diagnostic finding. It is the Rosemont classification (RC). In 2019, to improve EUS diagnostic specificity, Japanese diagnostic criteria for early chronic pancreatitis (ECP) were revised. Nevertheless, the criteria use no weighting of EUS diagnostic findings, as the RC does. This study was undertaken to propose diagnostic criteria that would weight each EUS finding of ECP and that would be more specific than the RC. [Methods] By EUS of the pancreas, 773 patients underwent detailed observation from January 2018 to March 2019 at our institution. An expert finalized all cases when patients were diagnosed. Using data from the medical records, 97 consecutive patients with EUS diagnostic findings of ECP based on the Japanese diagnostic criteria of ECP2009 (JDCECP2009) were selected. The definition under the RC of “Indeterminate for CP” was equivalent to ECP. Each case was diagnosed using (1) JDCECP2009 and (2) the Japanese diagnostic criteria of ECP2019 (JDCECP2019). Moreover, the four diagnostic EUS findings in JDCECP2019 were applied to the RC, weighted (modified-JDCECP2019), and subsequently compared with the earlier diagnostic criteria. As Modified-JDCECP2019, we suggested (3) RC-A—the current four items scored related to the RC, and (4) RC-B—the five items scored by dividing lobularity with and without honeycombing. [Results] Diagnoses produced based on each criterion were normal: ECP = (1) 20:77, (2) 46:51, (3) 52:42, and (4) 60:35. [Conclusions] Modified-JDCECP2019 may provide EUS diagnoses for ECP with higher specificity.
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spelling pubmed-104559952023-08-26 Proposal and Validation of New Diagnostic Criteria for Diagnostic Weights of Endoultrasonographic Findings for Early Chronic Pancreatitis Kashima, Ken Yamamiya, Akira Abe, Yoko Nagashima, Kazunori Minaguchi, Takahito Kunogi, Yasuhito Sakuma, Fumi Fukushi, Koh Inaba, Yasunori Sugaya, Takeshi Tominaga, Keiichi Goda, Kenichi Irisawa, Atsushi J Clin Med Article [Background and study aim] A commonly applied method for diagnosing chronic pancreatitis (CP) uses endoscopic ultrasonography (EUS), assigning weights to each EUS diagnostic finding. It is the Rosemont classification (RC). In 2019, to improve EUS diagnostic specificity, Japanese diagnostic criteria for early chronic pancreatitis (ECP) were revised. Nevertheless, the criteria use no weighting of EUS diagnostic findings, as the RC does. This study was undertaken to propose diagnostic criteria that would weight each EUS finding of ECP and that would be more specific than the RC. [Methods] By EUS of the pancreas, 773 patients underwent detailed observation from January 2018 to March 2019 at our institution. An expert finalized all cases when patients were diagnosed. Using data from the medical records, 97 consecutive patients with EUS diagnostic findings of ECP based on the Japanese diagnostic criteria of ECP2009 (JDCECP2009) were selected. The definition under the RC of “Indeterminate for CP” was equivalent to ECP. Each case was diagnosed using (1) JDCECP2009 and (2) the Japanese diagnostic criteria of ECP2019 (JDCECP2019). Moreover, the four diagnostic EUS findings in JDCECP2019 were applied to the RC, weighted (modified-JDCECP2019), and subsequently compared with the earlier diagnostic criteria. As Modified-JDCECP2019, we suggested (3) RC-A—the current four items scored related to the RC, and (4) RC-B—the five items scored by dividing lobularity with and without honeycombing. [Results] Diagnoses produced based on each criterion were normal: ECP = (1) 20:77, (2) 46:51, (3) 52:42, and (4) 60:35. [Conclusions] Modified-JDCECP2019 may provide EUS diagnoses for ECP with higher specificity. MDPI 2023-08-16 /pmc/articles/PMC10455995/ /pubmed/37629362 http://dx.doi.org/10.3390/jcm12165320 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kashima, Ken
Yamamiya, Akira
Abe, Yoko
Nagashima, Kazunori
Minaguchi, Takahito
Kunogi, Yasuhito
Sakuma, Fumi
Fukushi, Koh
Inaba, Yasunori
Sugaya, Takeshi
Tominaga, Keiichi
Goda, Kenichi
Irisawa, Atsushi
Proposal and Validation of New Diagnostic Criteria for Diagnostic Weights of Endoultrasonographic Findings for Early Chronic Pancreatitis
title Proposal and Validation of New Diagnostic Criteria for Diagnostic Weights of Endoultrasonographic Findings for Early Chronic Pancreatitis
title_full Proposal and Validation of New Diagnostic Criteria for Diagnostic Weights of Endoultrasonographic Findings for Early Chronic Pancreatitis
title_fullStr Proposal and Validation of New Diagnostic Criteria for Diagnostic Weights of Endoultrasonographic Findings for Early Chronic Pancreatitis
title_full_unstemmed Proposal and Validation of New Diagnostic Criteria for Diagnostic Weights of Endoultrasonographic Findings for Early Chronic Pancreatitis
title_short Proposal and Validation of New Diagnostic Criteria for Diagnostic Weights of Endoultrasonographic Findings for Early Chronic Pancreatitis
title_sort proposal and validation of new diagnostic criteria for diagnostic weights of endoultrasonographic findings for early chronic pancreatitis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455995/
https://www.ncbi.nlm.nih.gov/pubmed/37629362
http://dx.doi.org/10.3390/jcm12165320
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