Affiliations: [a] Department of Radiology, Hospital of Northwest Minzu University, Lanzhou, Gansu, China | [b] Department of Imaging, Taihe People’s Hospital, Fuyang, Anhui, China
Correspondence:
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Corresponding author: Xiaoyan Gu, Department of Imaging, Taihe people’s Hospital, Fuyang City, No. 21 Jiankang Road, Chengguan Town, Taihe County, Anhui 236000, China. E-mail: guxiaooo3@126.com.
Abstract: BACKGROUND: Recurrent acute pancreatitis is a common acute abdominal disease in surgery. OBJECTIVE: To evaluate the radiographic features of pancreatic computed tomography (CT) imaging in the diagnosis of acute and chronic pancreatitis. METHODS: 48 pancreatitis patients who met the criteria were selected in this retrospective study from 2010 to 2019. Each diagnosis was evaluated as functional abdominal pain, recurrent acute pancreatitis, or chronic pancreatitis. All clinical data were collected from the patient’s medical records. 54 radiological features were extracted from each region of interest in outline the pancreas and divided into five categories: first order statistics, the gray level co-occurrence matrix (GLCM), the gray level run-length matrix (GLRLM), the neighborhood gray level difference matrix (NGTDM), and morphological features by the MATLAB program. RESULTS: Of the 48 patients, 16 had functional abdominal pain (33.3%), 18 had recurrent acute pancreatitis (37.5%), and 14 had chronic pancreatitis (29.2%). In the univariate analysis, nine radiological features, eight GLCM features and one NGTDM feature were significantly different between groups. Nine radiological characteristics had important reference values with AUC values ranging from 0.73–0.91. CONCLUSION: Nine radiographic features of CT imaging demonstrate good evaluation efficiency in the diagnosis of pancreatitis and can distinguish patients with functional abdominal pain, recurrent acute pancreatitis, and chronic pancreatitis.
