Spleen and splenic vascular involvement in acute pancreatitis: an MRI study Article Swipe
Chao-Lian Xie
,
Mao Zhang
,
Yong Chen
,
Ran Hu
,
Mengyue Tang
,
Tian‐wu Chen
,
Huadan Xue
,
Zhengyu Jin
,
Xiaoming Zhang
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.21037/qims.2018.03.04
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.21037/qims.2018.03.04
Background: To investigate the spleen and splenic vascular involvement in acute pancreatitis (AP) and their correlations with the severity of AP using magnetic resonance imaging (MRI). Methods: MRI of 239 patients with AP was retrospectively reviewed to assess splenic and splenic vascular complications, and the severity of AP. The severity of AP was graded by the MRI severity index (MRSI) and the New Revised Classification of AP 2012. The intravoxel incoherent motion (IVIM) parameters (D, D*, and f) of spleen were measured. Thirty-five subjects without pancreatic and splenic disorders were enrolled as controls for IVIM parameters. Results: Among the 239 patients with AP, splenomegaly (16.7%), splenic infarction (0.4%), splenic vein thrombosis (4.2%), phlebitis (7.5%) and arteritis (4.2%) were observed. Splenic vascular involvement was positively correlated with the severity of AP based on both the MRSI and the New Revised Classification of AP 2012 (P<0.05). In the control and AP groups, the splenic f values were (0.164±0.074) vs. (0.210±0.095) (P=0.023) respectively. In AP patients with and without splenomegaly, f = (0.240±0.091) vs. (0.203±0.095) (P<0.001). Conclusions: Splenic vascular involvement and splenomegaly were common in AP. The vascular involvement was associated with the severity of AP. This complication should be considered when severity and prognosis of AP are assessed. Quantitative analysis of the spleen with IVIM might be a useful imaging biomarker for splenic perfusion changes in AP, especially in those with splenomegaly.
Related Topics
Concepts
Medicine
Intravoxel incoherent motion
Spleen
Splenic infarction
Acute pancreatitis
Magnetic resonance imaging
Pancreatitis
Splenic artery
Perfusion
Pathology
Splenic vein
Radiology
Internal medicine
Gastroenterology
Diffusion MRI
Portal hypertension
Cirrhosis
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.21037/qims.2018.03.04
- OA Status
- hybrid
- Cited By
- 20
- References
- 35
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2796432557
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2796432557Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.21037/qims.2018.03.04Digital Object Identifier
- Title
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Spleen and splenic vascular involvement in acute pancreatitis: an MRI studyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2018Year of publication
- Publication date
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2018-04-01Full publication date if available
- Authors
-
Chao-Lian Xie, Mao Zhang, Yong Chen, Ran Hu, Mengyue Tang, Tian‐wu Chen, Huadan Xue, Zhengyu Jin, Xiaoming ZhangList of authors in order
- Landing page
-
https://doi.org/10.21037/qims.2018.03.04Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
- OA URL
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https://doi.org/10.21037/qims.2018.03.04Direct OA link when available
- Concepts
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Medicine, Intravoxel incoherent motion, Spleen, Splenic infarction, Acute pancreatitis, Magnetic resonance imaging, Pancreatitis, Splenic artery, Perfusion, Pathology, Splenic vein, Radiology, Internal medicine, Gastroenterology, Diffusion MRI, Portal hypertension, CirrhosisTop concepts (fields/topics) attached by OpenAlex
- Cited by
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20Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2024: 3, 2023: 4, 2022: 2, 2021: 3Per-year citation counts (last 5 years)
- References (count)
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35Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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