Application of the modified computed tomography severity index and retroperitoneal extension classification for evaluation of acute pancreatitis Article Swipe
Collin R. Dang
,
Anh Tuấn Nguyễn
,
Thanh Thao Nguyen
,
Trọng Bỉnh Lê
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.18528/ijgii240078
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.18528/ijgii240078
Background: This study examined the clinical application of the modified computed tomography severity index (MCTSI) and retroperitoneal extension classification (REC) in the evaluation of acute pancreatitis (AP) among Vietnamese patients. Methods: Data from 115 patients with AP between January 2022 and February 2024 were retrospectively analyzed. AP was diagnosed using the revised Atlanta classification (RAC) criteria. All computed tomography images were assessed by two abdominal radiologists with over 10 years of experience. Patients with AP secondary to blunt abdominal trauma were excluded. Results: The mean patient age was 49.8 ± 16.7 years, and the male:female ratio was 2.7:1. Necrotizing AP was observed in 24.3% of cases and extrapancreatic complications in 35.7%. Pancreatic and peripancreatic fluid collections were noted in 68.7% of cases, including 39.1% with acute peripancreatic fluid collection, 7.8% pseudocyst, 21.7% acute necrotic collection, and 4.3% walled-off necrosis. Based on MCTSI, the rates of mild, moderate, and severe AP were 28.7%, 53.9%, and 17.4%, respectively. Grades I, II, III, IV, and V REC represented 55.7%, 13.0%, 19.1%, 5.2%, and 7.0% of patients, respectively. MCTSI and REC were correlated with RAC in the evaluation of AP severity. Multivariate regression analysis revealed MCTSI to be an independent predictor of severe AP (odds ratio, 2.719; 95% confidence interval, 1.149-6.437; P = 0.023). MCTSI > 7 was the cutoff for predicting severe AP, with a sensitivity of 83.3%, specificity of 86.2%, and area under the curve of 0.944 (P < 0.001). Compared to the non-severe group, those with severe AP according to MCTSI had a longer hospitalization period (11 [9.25-16.75] days vs. 9 [6.50-12.00] days), a higher intensive care unit admission rate (30.0% vs. 3.2%), and greater mortality (15.0% vs. 1.1%). Conclusion: In the assessment of AP severity, MCTSI and REC were correlated with RAC. MCTSI was an independent predictor of severe AP.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.18528/ijgii240078
- https://www.ijgii.org/journal/download_pdf.php?doi=10.18528/ijgii240078
- OA Status
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- References
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- Related Works
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4409745907Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.18528/ijgii240078Digital Object Identifier
- Title
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Application of the modified computed tomography severity index and retroperitoneal extension classification for evaluation of acute pancreatitisWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-04-24Full publication date if available
- Authors
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Collin R. Dang, Anh Tuấn Nguyễn, Thanh Thao Nguyen, Trọng Bỉnh LêList of authors in order
- Landing page
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https://doi.org/10.18528/ijgii240078Publisher landing page
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https://www.ijgii.org/journal/download_pdf.php?doi=10.18528/ijgii240078Direct link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://www.ijgii.org/journal/download_pdf.php?doi=10.18528/ijgii240078Direct OA link when available
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Computed tomography, Acute pancreatitis, Extension (predicate logic), Medicine, Pancreatitis, Radiology, Index (typography), Internal medicine, Computer science, Programming language, World Wide WebTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.± | 89 |
| abstract_inverted_index.(11 | 255 |
| abstract_inverted_index.115 | 33 |
| abstract_inverted_index.95% | 203 |
| abstract_inverted_index.AP, | 219 |
| abstract_inverted_index.AP. | 299 |
| abstract_inverted_index.All | 56 |
| abstract_inverted_index.II, | 158 |
| abstract_inverted_index.IV, | 160 |
| abstract_inverted_index.RAC | 180 |
| abstract_inverted_index.REC | 163, 176, 287 |
| abstract_inverted_index.The | 83 |
| abstract_inverted_index.age | 86 |
| abstract_inverted_index.and | 15, 40, 92, 106, 112, 135, 147, 153, 161, 169, 175, 228, 272, 286 |
| abstract_inverted_index.for | 216 |
| abstract_inverted_index.had | 250 |
| abstract_inverted_index.the | 4, 8, 21, 50, 93, 142, 182, 214, 231, 240, 280 |
| abstract_inverted_index.two | 63 |
| abstract_inverted_index.vs. | 258, 270, 276 |
| abstract_inverted_index.was | 47, 87, 96, 100, 213, 293 |
| abstract_inverted_index.(AP) | 26 |
| abstract_inverted_index.16.7 | 90 |
| abstract_inverted_index.2022 | 39 |
| abstract_inverted_index.2024 | 42 |
| abstract_inverted_index.4.3% | 136 |
| abstract_inverted_index.49.8 | 88 |
| abstract_inverted_index.7.0% | 170 |
| abstract_inverted_index.7.8% | 129 |
| abstract_inverted_index.Data | 31 |
| abstract_inverted_index.III, | 159 |
| abstract_inverted_index.RAC. | 291 |
| abstract_inverted_index.This | 1 |
| abstract_inverted_index.area | 229 |
| abstract_inverted_index.care | 265 |
| abstract_inverted_index.days | 257 |
| abstract_inverted_index.from | 32 |
| abstract_inverted_index.mean | 84 |
| abstract_inverted_index.over | 67 |
| abstract_inverted_index.rate | 268 |
| abstract_inverted_index.unit | 266 |
| abstract_inverted_index.were | 43, 60, 80, 116, 150, 177, 288 |
| abstract_inverted_index.with | 35, 66, 73, 124, 179, 220, 244, 290 |
| abstract_inverted_index.(RAC) | 54 |
| abstract_inverted_index.(REC) | 19 |
| abstract_inverted_index.(odds | 200 |
| abstract_inverted_index.0.944 | 234 |
| abstract_inverted_index.21.7% | 131 |
| abstract_inverted_index.24.3% | 103 |
| abstract_inverted_index.39.1% | 123 |
| abstract_inverted_index.5.2%, | 168 |
| abstract_inverted_index.68.7% | 119 |
| abstract_inverted_index.Based | 139 |
| abstract_inverted_index.MCTSI | 174, 191, 210, 249, 285, 292 |
| abstract_inverted_index.acute | 24, 125, 132 |
| abstract_inverted_index.among | 27 |
| abstract_inverted_index.blunt | 77 |
| abstract_inverted_index.cases | 105 |
| abstract_inverted_index.curve | 232 |
| abstract_inverted_index.fluid | 114, 127 |
| abstract_inverted_index.index | 13 |
| abstract_inverted_index.mild, | 145 |
| abstract_inverted_index.noted | 117 |
| abstract_inverted_index.rates | 143 |
| abstract_inverted_index.ratio | 95 |
| abstract_inverted_index.study | 2 |
| abstract_inverted_index.those | 243 |
| abstract_inverted_index.under | 230 |
| abstract_inverted_index.using | 49 |
| abstract_inverted_index.years | 69 |
| abstract_inverted_index.(15.0% | 275 |
| abstract_inverted_index.(30.0% | 269 |
| abstract_inverted_index.1.1%). | 277 |
| abstract_inverted_index.13.0%, | 166 |
| abstract_inverted_index.17.4%, | 154 |
| abstract_inverted_index.19.1%, | 167 |
| abstract_inverted_index.2.719; | 202 |
| abstract_inverted_index.2.7:1. | 97 |
| abstract_inverted_index.28.7%, | 151 |
| abstract_inverted_index.3.2%), | 271 |
| abstract_inverted_index.35.7%. | 110 |
| abstract_inverted_index.53.9%, | 152 |
| abstract_inverted_index.55.7%, | 165 |
| abstract_inverted_index.83.3%, | 224 |
| abstract_inverted_index.86.2%, | 227 |
| abstract_inverted_index.Grades | 156 |
| abstract_inverted_index.MCTSI, | 141 |
| abstract_inverted_index.cases, | 121 |
| abstract_inverted_index.cutoff | 215 |
| abstract_inverted_index.days), | 261 |
| abstract_inverted_index.group, | 242 |
| abstract_inverted_index.higher | 263 |
| abstract_inverted_index.images | 59 |
| abstract_inverted_index.longer | 252 |
| abstract_inverted_index.period | 254 |
| abstract_inverted_index.ratio, | 201 |
| abstract_inverted_index.severe | 148, 198, 218, 245, 298 |
| abstract_inverted_index.trauma | 79 |
| abstract_inverted_index.years, | 91 |
| abstract_inverted_index.(MCTSI) | 14 |
| abstract_inverted_index.0.001). | 237 |
| abstract_inverted_index.0.023). | 209 |
| abstract_inverted_index.Atlanta | 52 |
| abstract_inverted_index.January | 38 |
| abstract_inverted_index.between | 37 |
| abstract_inverted_index.greater | 273 |
| abstract_inverted_index.patient | 85 |
| abstract_inverted_index.revised | 51 |
| abstract_inverted_index.Compared | 238 |
| abstract_inverted_index.February | 41 |
| abstract_inverted_index.Methods: | 30 |
| abstract_inverted_index.Patients | 72 |
| abstract_inverted_index.Results: | 82 |
| abstract_inverted_index.analysis | 189 |
| abstract_inverted_index.assessed | 61 |
| abstract_inverted_index.clinical | 5 |
| abstract_inverted_index.computed | 10, 57 |
| abstract_inverted_index.examined | 3 |
| abstract_inverted_index.modified | 9 |
| abstract_inverted_index.necrotic | 133 |
| abstract_inverted_index.observed | 101 |
| abstract_inverted_index.patients | 34 |
| abstract_inverted_index.revealed | 190 |
| abstract_inverted_index.severity | 12 |
| abstract_inverted_index.abdominal | 64, 78 |
| abstract_inverted_index.according | 247 |
| abstract_inverted_index.admission | 267 |
| abstract_inverted_index.analyzed. | 45 |
| abstract_inverted_index.criteria. | 55 |
| abstract_inverted_index.diagnosed | 48 |
| abstract_inverted_index.excluded. | 81 |
| abstract_inverted_index.extension | 17 |
| abstract_inverted_index.including | 122 |
| abstract_inverted_index.intensive | 264 |
| abstract_inverted_index.interval, | 205 |
| abstract_inverted_index.moderate, | 146 |
| abstract_inverted_index.mortality | 274 |
| abstract_inverted_index.necrosis. | 138 |
| abstract_inverted_index.patients, | 172 |
| abstract_inverted_index.patients. | 29 |
| abstract_inverted_index.predictor | 196, 296 |
| abstract_inverted_index.secondary | 75 |
| abstract_inverted_index.severity, | 284 |
| abstract_inverted_index.severity. | 186 |
| abstract_inverted_index.Pancreatic | 111 |
| abstract_inverted_index.Vietnamese | 28 |
| abstract_inverted_index.assessment | 281 |
| abstract_inverted_index.confidence | 204 |
| abstract_inverted_index.correlated | 178, 289 |
| abstract_inverted_index.evaluation | 22, 183 |
| abstract_inverted_index.non-severe | 241 |
| abstract_inverted_index.predicting | 217 |
| abstract_inverted_index.regression | 188 |
| abstract_inverted_index.tomography | 11, 58 |
| abstract_inverted_index.walled-off | 137 |
| abstract_inverted_index.Background: | 0 |
| abstract_inverted_index.Conclusion: | 278 |
| abstract_inverted_index.Necrotizing | 98 |
| abstract_inverted_index.application | 6 |
| abstract_inverted_index.collection, | 128, 134 |
| abstract_inverted_index.collections | 115 |
| abstract_inverted_index.experience. | 71 |
| abstract_inverted_index.independent | 195, 295 |
| abstract_inverted_index.male:female | 94 |
| abstract_inverted_index.pseudocyst, | 130 |
| abstract_inverted_index.represented | 164 |
| abstract_inverted_index.sensitivity | 222 |
| abstract_inverted_index.specificity | 225 |
| abstract_inverted_index.1.149-6.437; | 206 |
| abstract_inverted_index.Multivariate | 187 |
| abstract_inverted_index.[6.50-12.00] | 260 |
| abstract_inverted_index.[9.25-16.75] | 256 |
| abstract_inverted_index.pancreatitis | 25 |
| abstract_inverted_index.radiologists | 65 |
| abstract_inverted_index.complications | 108 |
| abstract_inverted_index.respectively. | 155, 173 |
| abstract_inverted_index.classification | 18, 53 |
| abstract_inverted_index.peripancreatic | 113, 126 |
| abstract_inverted_index.extrapancreatic | 107 |
| abstract_inverted_index.hospitalization | 253 |
| abstract_inverted_index.retroperitoneal | 16 |
| abstract_inverted_index.retrospectively | 44 |
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| countries_distinct_count | 1 |
| institutions_distinct_count | 4 |
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