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胰管变异与相关疾病的相关性：一种通过低keV单能量图像观察双能CT的有效方法。

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

作者信息

Zhang Ruike, Li Zhengying, Hu Xiaoli, Liang Hongwei, Yan Gaowu, Xie Dan, Zhang Jiao, Li Yongmei

机构信息

Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.

Department of Ultrasound, University-Town Hospital of Chongqing Medical University, Chongqing, 400016, China.

出版信息

Diagnostics (Basel). 2023 Jan 31;13(3):520. doi: 10.3390/diagnostics13030520.

DOI:10.3390/diagnostics13030520
PMID:36766625
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9914045/
Abstract

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 ( < 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.

摘要

目的

胰管变异可影响胰腺的分泌功能。我们旨在探讨使用双能CT（DECT）的低keV单能量图像[MEI(+)]观察到的胰管变异及其与相关疾病的关系。我们还进一步比较了使用DECT的低keV MEI(+)和磁共振胰胆管造影（MRCP）进行胰管成像的情况。

材料与方法

回顾性评估854例患者的DECT和MRCP图像。根据胰管的解剖结构和开口对808例患者的胰管类型进行分类，并分析其与相关疾病的相关性。根据852例患者胰管的清晰度对DECT和MRCP图像进行分级评估。

结果

在变异组中观察到急性胰腺炎（AP）、慢性胰腺炎（CP）和十二指肠乳头癌（DPC）的患病率较高。变异组的27例AP病例中，9例（33.3%）为3c型。此外，4a型与AP和CP显著相关（<0.05）。在852例患者中，DECT的低keV MEI(+)在胰管清晰度方面优于MRCP图像。

结论

胰管变异与AP、CP和DPC相关。低keV MEI(+) DECT是观察胰管系统的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae0/9914045/c4523b442808/diagnostics-13-00520-g010.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae0/9914045/38e1bb61c081/diagnostics-13-00520-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae0/9914045/4f4fe283620f/diagnostics-13-00520-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae0/9914045/f5ac23e96d2a/diagnostics-13-00520-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae0/9914045/20374c0b0501/diagnostics-13-00520-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae0/9914045/c4523b442808/diagnostics-13-00520-g010.jpg

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3
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4
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5
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6
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7
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