Correlative Analysis of Two Computed Tomography Imaging Scoring to Bedside Index for Severity in Acute Pancreatitis for Evaluating Severe Acute Pancreatitis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 WANGYi , HUANGZi-xing ,  SONGBin

Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China;

Corresponding?author：

SONGBin, Email: cjr.songbin@vip.163.com

Keywords：

Severe acute pancreatitis; Bedside index for severity in acute pancreatitis; CT severity index; Modified CT severity index

DOI：

10.7507/1007-9424.20150365

Video：

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Objective To investigate correlation of bedside index for severity in acute pancreatitis (BISAP) and computed tomography severity index (CTSI) or modified CT severity index (MCTSI) in assessing severe acute pancreatitis (SAP). Methods Thirty-eight patients confirmed SAP from July 2015 to October 2015 in West China Hospital of Sichuan University were prospectively included into this study. Contrast-enhanced multi-detector-row CT scan was performed for all the patients. The abnormal imaging features, such as pancreatic and peri-pancreatic inflammatory changes, involvement of other organs, and local complications, were observed and used to calculate by CTSI score and MCTSI score. The clinical data were also collected to calculate BISAP score and as compared with CTSI score and MCTSI score. Results The results of BISAP score were as follows:3 cases gradeⅠ(8.9%), 20 cases gradeⅡ(52.6%), 15 cases gradeⅢ(39.5%). The results of CTSI score were as follows:6 cases gradeⅠ(15.8%), 22 cases gradeⅡ(57.9%), 10 cases gradeⅢ(26.3%). The results of MCTSI score were as follows:2 cases gradeⅠ(5.3%), 19 cases gradeⅡ(50.0%), 17 cases gradeⅢ(44.7%). The results of interobserver agreement were good (BISAP:Kappa=1, P < 0.01; CTSI:Kappa=0.748, 95% CI 0.00-0.076, P < 0.01; MCTSI:Kappa=0.788, 95% CI 0.00-0.076, P < 0.01). There was a positive correlation between CTSI score (r_s=0.385, P=0.001) or MCTSI score (r_s=0.326, P=0.004) and BISAP score using the Spearman test. Conclusion There is a weak correlation between CTSI score or MCTSI score and BISAP score.

Citation： WANGYi, HUANGZi-xing, SONGBin. Correlative Analysis of Two Computed Tomography Imaging Scoring to Bedside Index for Severity in Acute Pancreatitis for Evaluating Severe Acute Pancreatitis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(11): 1386-1389. doi: 10.7507/1007-9424.20150365 Copy

1.	?Triantopoulou C, Lytras D, Maniatis PA, et al. Computed tomography versus acute physiology and chronic health evaluationⅡscore in predicting severity of acute pancreatitis. Pancreas, 2007, 35(3):238-242.
2.	King NK, Powell JJ, Redhead D, et al. A simplified method for computed tomographic estimation of prognosis in acute pancreatitis. Scand J Gastroenterol, 2003, 38(4):433-436.
3.	Sun JK, Li WQ, Ni HB, et al. Modified gastrointestinal failure score for patients with severe acute pancreatitis. Surg Today, 2013, 43(5):506-513.
4.	Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis-2012:revision of the Atlanta classification and definitions by international consensus. Gut, 2013, 62(1):102-111.
5.	Wu BU, Johannes RS, Sun X, et al. The early prediction of mortality in acute pancreatitis:a large population-based study. Gut, 2008, 57(12):1698-1703.
6.	Balthazar EJ, Ranson JH, Naidich DP, et al. Acute pancreatitis:prognostic value of CT. Radiology, 1985, 156(3):767-772.
7.	Balthazar EJ, Robinson DL, Megibow AJ, et al. Acute pancreatitis:value of CT in establishing prognosis. Radiology, 1990, 174(2):331-336.
8.	Mortele KJ, Wiesner W, Intriere L, et al. A modified CT severity index for evaluating acute pancreatitis:improved correlation with patient outcome. AJR Am J Roentgenol, 2004, 183(5):1261-1265.
9.	周航, 羅放.早期急性胰腺炎嚴重性評價進展.檢驗醫學與臨床, 2014, 11(9):1267-1268, 1297.
10.	金濤, 林子琦, 薛平, 等.多種CT評分對早期重癥急性胰腺炎患者假性囊腫形成的預測價值比較.四川大學學報:醫學版, 2013, 44(6):970-973.
11.	中華醫學會消化病學分會胰腺疾病學組.中國急性胰腺炎診治指南(草案).現代消化及介入診療, 2007, 12(3):206-208.
12.	王興鵬, 李兆申, 袁耀宗, 等.中國急性胰腺炎診治指南(2013, 上海)中國實用內科雜志, 2013, 18(7):530-535.
13.	嚴志漢, 閔鵬秋, 章士正.急性胰腺炎嚴重程度和預后評價的研究進展.中華放射學雜志, 2005, 39(4):432-435.
14.	樂星華, 謝會忠.急性胰腺炎評分標準的評價.現代消化及介入診療, 2007, 12(3):195-199.
15.	De Waele JJ, Delrue L, Hoste EA, et al. Extrapancreatic inflammation on abdominal computed tomography as an early predictor of disease severity in acute pancreatitis:evaluation of a new scoring system. Pancreas, 2007, 34(2):185-190.
16.	李崢艷, 張凌, 金濤, 等. CT評分與重癥急性胰腺炎合并急性腎損傷的相關性分析.四川大學學報:醫學版, 2011, 42(5):695-698, 703.
17.	Bollen TL, Singh VK, Maurer R, et al. Comparative evaluation of the modified CT severity index and CT severity index in assessing severity of acute pancreatitis. AJR Am J Roentgenol, 2011, 197(2):386-392.
18.	Perez A, Whang EE, Brooks DC, et al. Is severity of necrotizing pancreatitis increased in extended necrosis and infected necrosis? Pancreas, 2002, 25(3):229-233.
19.	Singh VK, Wu BU, Bollen TL, et al. A prospective evaluation of the bedside index for severity in acute pancreatitis score in assessing mortality and intermediate markers of severity in acute pancreatitis. Am J Gastroenterol, 2009, 104(4):966-971.
20.	Gao W, Yang HX, Ma CE. The value of BISAP score for predicting mortality and severity in acute pancreatitis:a systematic review and meta-analysis. PLoS One, 2015, 10(6):e0130412.
21.	Chen L, Lu G, Zhou Q, et al. Evaluation of the BISAP score in predicting severity and prognoses of acute pancreatitis in Chinese patients. Int Surg, 2013, 98(1):6-12.
22.	周圓圓, 楊麗, 廖忠莉, 等. BISAP與Ranson's評分對急性胰腺炎患者預后評估的比較.第三軍醫大學學報, 2012, 34(7):658-661.
23.	Papachristou GI, Muddana V, Yadav D, et al. Comparison of BISAP, Ranson's, APACHE-Ⅱ, and CTSI scores in predicting organ failure, complications, and mortality in acute pancreatitis. Am J Gastroenterol, 2010, 105(2):435-441.

1. ?Triantopoulou C, Lytras D, Maniatis PA, et al. Computed tomography versus acute physiology and chronic health evaluationⅡscore in predicting severity of acute pancreatitis. Pancreas, 2007, 35(3):238-242.
2. King NK, Powell JJ, Redhead D, et al. A simplified method for computed tomographic estimation of prognosis in acute pancreatitis. Scand J Gastroenterol, 2003, 38(4):433-436.
3. Sun JK, Li WQ, Ni HB, et al. Modified gastrointestinal failure score for patients with severe acute pancreatitis. Surg Today, 2013, 43(5):506-513.
4. Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis-2012:revision of the Atlanta classification and definitions by international consensus. Gut, 2013, 62(1):102-111.
5. Wu BU, Johannes RS, Sun X, et al. The early prediction of mortality in acute pancreatitis:a large population-based study. Gut, 2008, 57(12):1698-1703.
6. Balthazar EJ, Ranson JH, Naidich DP, et al. Acute pancreatitis:prognostic value of CT. Radiology, 1985, 156(3):767-772.
7. Balthazar EJ, Robinson DL, Megibow AJ, et al. Acute pancreatitis:value of CT in establishing prognosis. Radiology, 1990, 174(2):331-336.
8. Mortele KJ, Wiesner W, Intriere L, et al. A modified CT severity index for evaluating acute pancreatitis:improved correlation with patient outcome. AJR Am J Roentgenol, 2004, 183(5):1261-1265.
9. 周航, 羅放.早期急性胰腺炎嚴重性評價進展.檢驗醫學與臨床, 2014, 11(9):1267-1268, 1297.
10. 金濤, 林子琦, 薛平, 等.多種CT評分對早期重癥急性胰腺炎患者假性囊腫形成的預測價值比較.四川大學學報:醫學版, 2013, 44(6):970-973.
11. 中華醫學會消化病學分會胰腺疾病學組.中國急性胰腺炎診治指南(草案).現代消化及介入診療, 2007, 12(3):206-208.
12. 王興鵬, 李兆申, 袁耀宗, 等.中國急性胰腺炎診治指南(2013, 上海)中國實用內科雜志, 2013, 18(7):530-535.
13. 嚴志漢, 閔鵬秋, 章士正.急性胰腺炎嚴重程度和預后評價的研究進展.中華放射學雜志, 2005, 39(4):432-435.
14. 樂星華, 謝會忠.急性胰腺炎評分標準的評價.現代消化及介入診療, 2007, 12(3):195-199.
15. De Waele JJ, Delrue L, Hoste EA, et al. Extrapancreatic inflammation on abdominal computed tomography as an early predictor of disease severity in acute pancreatitis:evaluation of a new scoring system. Pancreas, 2007, 34(2):185-190.
16. 李崢艷, 張凌, 金濤, 等. CT評分與重癥急性胰腺炎合并急性腎損傷的相關性分析.四川大學學報:醫學版, 2011, 42(5):695-698, 703.
17. Bollen TL, Singh VK, Maurer R, et al. Comparative evaluation of the modified CT severity index and CT severity index in assessing severity of acute pancreatitis. AJR Am J Roentgenol, 2011, 197(2):386-392.
18. Perez A, Whang EE, Brooks DC, et al. Is severity of necrotizing pancreatitis increased in extended necrosis and infected necrosis? Pancreas, 2002, 25(3):229-233.
19. Singh VK, Wu BU, Bollen TL, et al. A prospective evaluation of the bedside index for severity in acute pancreatitis score in assessing mortality and intermediate markers of severity in acute pancreatitis. Am J Gastroenterol, 2009, 104(4):966-971.
20. Gao W, Yang HX, Ma CE. The value of BISAP score for predicting mortality and severity in acute pancreatitis:a systematic review and meta-analysis. PLoS One, 2015, 10(6):e0130412.
21. Chen L, Lu G, Zhou Q, et al. Evaluation of the BISAP score in predicting severity and prognoses of acute pancreatitis in Chinese patients. Int Surg, 2013, 98(1):6-12.
22. 周圓圓, 楊麗, 廖忠莉, 等. BISAP與Ranson's評分對急性胰腺炎患者預后評估的比較.第三軍醫大學學報, 2012, 34(7):658-661.
23. Papachristou GI, Muddana V, Yadav D, et al. Comparison of BISAP, Ranson's, APACHE-Ⅱ, and CTSI scores in predicting organ failure, complications, and mortality in acute pancreatitis. Am J Gastroenterol, 2010, 105(2):435-441.

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Correlative Analysis of Two Computed Tomography Imaging Scoring to Bedside Index for Severity in Acute Pancreatitis for Evaluating Severe Acute Pancreatitis

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