Background The role of diffusion-weighted magnetic resonance imaging (DW-MRI) in the diagnosis of acute pancreatitis is assessed in this study by measuring the apparent diffusion coefficient (ADC) values in acute pancreatitis and comparing them with a control group. The aim of this study is to compare those two groups thus supporting the diagnosis of this disease. Sixteen patients with acute pancreatitis and 16 control participants underwent diffusion-weighted imaging with b values of 0, 200, and 800. ADC maps were generated from the DW-MRI and ADC values, which were calculated for the pancreas, and the results of the two groups of patients were compared. Results The mean pancreatic ADC value in the acute pancreatitis group (1.15 10(−3) mm(2)/s ± 0.28) was significantly lower than in the normal group (1.6 10−3 mm(2)/s ± 0.2). A threshold ADC value of 1.38 10−3 mm(2)/s yielded 81.25%, specificity of 93.75%, positive predictive value of 92.9%, negative predictive value of 83.3%, and accuracy of 91.8%. Pancreatic ADC values were significantly lower in patients with acute pancreatitis than in the control group. Conclusion Diffusion-weighted magnetic resonance imaging could be an important supportive tool in the diagnosis of acute pancreatitis.
Purpose to assess the role of Diffusion-weighted MRI in diagnosis of acute pancreatitis by measure the apparent diffusion coefficient (ADC) values detected by diffusion-weighted imaging (DWI) in acute pancreatitis and compare them with the control group Methods and Material sixteen patients with acute pancreatitis and sixteen normal controls underwent DWI with b values (0,200 & 800). Apparent diffusion coefficient (ADC) maps are generated from DWI and ADC values were calculated for pancreas and compared the results between the two groups Results The mean pancreatic ADC in the AP group (1.17 × 10(-3) mm(2)/s ± 0.2) was significantly lower than in the normal group (1.6 × 10(-3) mm(2)/s ± 0.32). There was no significant difference in mean ADCs between each of the pancreatic segments in the controls. A threshold ADC value of 1.38 × 10-3 mm(2)/s yielded a sensitivity of 93% and specificity of 87% for detecting acute pancreatitis. Pancreatic ADCs are significantly lower in patients with AP than normal controls. Conclusion MR diffusion imaging could be an important supportive tool in diagnosis of acute pancreatitis
Back ground: Breast cancer radiotherapy plays an important role and can reduce local and regional recurrence, however may be complicated by radiation pneumonitis, the early stage occurs one to three months after treatment characterized mainly by ground glass opacities and consolidate-ion related to radiation portal. The late phase develops six months after the completion of radiation therapy and can progress for as long as two years manifested by atelectactic bands bronchiectasis and lung fibrosis. MDCT has an important role in assessment of lung and pleural changes with grading of these changes. Aim of the work:To show the role of MDCT in assessment of pleuropneumonic changes after breast cancer radiotherapy.
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