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Correlation between Pancreatic Duct Variation and Related Diseases: An Effective Method Observing the Dual-Energy CT with Low-keV Monoenergetic Images

Purpose: Pancreatic duct variation can affect the secretory function of the pancreas. We aimed to explore the pancreatic duct variation, observed using low-keV monoenergetic images [MEI (+)] of dual-energy CT (DECT), and its relationship with related diseases. We further sought to compare pancreatic...

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Detalles Bibliográficos
Autores principales: Zhang, Ruike, Li, Zhengying, Hu, Xiaoli, Liang, Hongwei, Yan, Gaowu, Xie, Dan, Zhang, Jiao, Li, Yongmei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914045/
https://www.ncbi.nlm.nih.gov/pubmed/36766625
http://dx.doi.org/10.3390/diagnostics13030520
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author Zhang, Ruike
Li, Zhengying
Hu, Xiaoli
Liang, Hongwei
Yan, Gaowu
Xie, Dan
Zhang, Jiao
Li, Yongmei
author_facet Zhang, Ruike
Li, Zhengying
Hu, Xiaoli
Liang, Hongwei
Yan, Gaowu
Xie, Dan
Zhang, Jiao
Li, Yongmei
author_sort Zhang, Ruike
collection PubMed
description Purpose: Pancreatic duct variation can affect the secretory function of the pancreas. We aimed to explore the pancreatic duct variation, observed using low-keV monoenergetic images [MEI (+)] of dual-energy CT (DECT), and its relationship with related diseases. We further sought to compare pancreatic duct imaging using low-keV MEI (+) of DECT and magnetic resonance cholangiopancreatography (MRCP). Materials and Methods: The DECT and MRCP images of 854 patients were evaluated retrospectively. The 808 patients’ pancreatic duct types were classified according to the anatomy and the opening of the pancreatic ducts, and the correlation with related diseases was analyzed. The DECT and MRCP images of 852 patients were graded according to the sharpness of the pancreatic ducts for evaluation. Results: A higher prevalence of acute pancreatitis (AP), chronic pancreatitis (CP), and duodenal papillary carcinoma (DPC) was observed in the variant group. Of the 27 AP cases in the variant group, 9 patients (33.3%) were Type 3c. Additionally, Type 4a was significantly correlated with AP and CP (p < 0.05). Low-keV MEI (+) of DECT outperformed the MRCP images in the sharpness of the pancreatic ducts in 852 patients. Conclusions: Pancreatic duct variation is associated with AP, CP, and DPC. Low-keV MEI (+) DECT is an effective method to observe the pancreatic duct system.
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spelling pubmed-99140452023-02-11 Correlation between Pancreatic Duct Variation and Related Diseases: An Effective Method Observing the Dual-Energy CT with Low-keV Monoenergetic Images Zhang, Ruike Li, Zhengying Hu, Xiaoli Liang, Hongwei Yan, Gaowu Xie, Dan Zhang, Jiao Li, Yongmei Diagnostics (Basel) Article Purpose: Pancreatic duct variation can affect the secretory function of the pancreas. We aimed to explore the pancreatic duct variation, observed using low-keV monoenergetic images [MEI (+)] of dual-energy CT (DECT), and its relationship with related diseases. We further sought to compare pancreatic duct imaging using low-keV MEI (+) of DECT and magnetic resonance cholangiopancreatography (MRCP). Materials and Methods: The DECT and MRCP images of 854 patients were evaluated retrospectively. The 808 patients’ pancreatic duct types were classified according to the anatomy and the opening of the pancreatic ducts, and the correlation with related diseases was analyzed. The DECT and MRCP images of 852 patients were graded according to the sharpness of the pancreatic ducts for evaluation. Results: A higher prevalence of acute pancreatitis (AP), chronic pancreatitis (CP), and duodenal papillary carcinoma (DPC) was observed in the variant group. Of the 27 AP cases in the variant group, 9 patients (33.3%) were Type 3c. Additionally, Type 4a was significantly correlated with AP and CP (p < 0.05). Low-keV MEI (+) of DECT outperformed the MRCP images in the sharpness of the pancreatic ducts in 852 patients. Conclusions: Pancreatic duct variation is associated with AP, CP, and DPC. Low-keV MEI (+) DECT is an effective method to observe the pancreatic duct system. MDPI 2023-01-31 /pmc/articles/PMC9914045/ /pubmed/36766625 http://dx.doi.org/10.3390/diagnostics13030520 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
Zhang, Ruike
Li, Zhengying
Hu, Xiaoli
Liang, Hongwei
Yan, Gaowu
Xie, Dan
Zhang, Jiao
Li, Yongmei
Correlation between Pancreatic Duct Variation and Related Diseases: An Effective Method Observing the Dual-Energy CT with Low-keV Monoenergetic Images
title Correlation between Pancreatic Duct Variation and Related Diseases: An Effective Method Observing the Dual-Energy CT with Low-keV Monoenergetic Images
title_full Correlation between Pancreatic Duct Variation and Related Diseases: An Effective Method Observing the Dual-Energy CT with Low-keV Monoenergetic Images
title_fullStr Correlation between Pancreatic Duct Variation and Related Diseases: An Effective Method Observing the Dual-Energy CT with Low-keV Monoenergetic Images
title_full_unstemmed Correlation between Pancreatic Duct Variation and Related Diseases: An Effective Method Observing the Dual-Energy CT with Low-keV Monoenergetic Images
title_short Correlation between Pancreatic Duct Variation and Related Diseases: An Effective Method Observing the Dual-Energy CT with Low-keV Monoenergetic Images
title_sort correlation between pancreatic duct variation and related diseases: an effective method observing the dual-energy ct with low-kev monoenergetic images
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914045/
https://www.ncbi.nlm.nih.gov/pubmed/36766625
http://dx.doi.org/10.3390/diagnostics13030520
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