基于3D Slicer定量测量胸腔积液在评估急性胰腺炎严重程度中的临床应用
Clinical application of quantitative measurement of pleural effusion based on 3D Slicer in evaluating the severity of acute pancreatitis
刘道安 1娄晶 1纪文策 1王文娟 1房彩云 1李泉霖 2孟现丽3
作者信息
- 1. 中国中医科学院广安门医院济南医院(济南市中医医院)医学影像科 山东 济南 250012
- 2. 山东中医药大学附属医院医学影像科 山东济南 250011
- 3. 山东第一医科大学附属省立医院医学影像科 山东 济南 250021
- 折叠
摘要
目的 探讨胸腔积液量在评估急性胰腺炎(AP)严重程度中的应用价值.方法 选取本院收治的急性胰腺炎并发胸腔积液患者 43 例,按照急性胰腺炎亚特兰大分类将患者分为重症急性胰腺炎(SAP组)24 例,非重症急性胰腺炎(NSAP组)19 例,并运用 3Dslicer技术测量各例AP患者的胸腔积液量,微软 EXCEL及IBM SPSS 26.0 版进行统计分析,分析胸腔积液量与AP严重程度的相关性并寻找SAP与NSAP的最佳临界值.结果 胸腔积液量两组比较,SAP组明显高于NSAP组,差异有统计学意义(P<0.05),且AP患者左侧更容易发生胸腔积液.胸腔积液量≥130.5 ml是确定SAP的最佳临界值,敏感性为 62.5%,特异性为 84.2%.结论 胸腔积液的量化有助于评估AP患者的病情,可以作为早期预测AP严重程度的可靠影像学指标.
Abstract
Objective This study aimed to explore the application value of pleural effusion(PE)volume in assessing the se-verity of acute pancreatitis(AP).Methods 43 patients of AP with concurrent PE admitted to our hospital were selected.Ac-cording to the Atlanta classification of AP,the patients were divided into 24 of severe AP(SAP group)and 19 of non-severe AP(NSAP group).The volume of pleural effusion in each patient was measured using 3D Slicer,and the relationship between pleu-ral effusion volume and the severity of acute pancreatitis was studied to find the optimal cutoff value between SAP and NSAP.Results The volume of pleural effusion in the SAP group was significantly higher than that in the NSAP group,with statistical significance(P<0.05),and pleural effusion was more likely to occur on the left side in patients with AP.A pleural effusion vol-ume≥130.5 ml was determined as the optimal cutoff value for identifying severe AP,with a sensitivity of 62.5%and specificity of 84.2%.Conclusion Pleural effusion volume can be served as a reliable radiological biomarker for predicting the severity of AP.
关键词
急性胰腺炎/胸腔积液/体层摄影术,X线计算机Key words
Acute pancreatitis/Pleural effusion/Tomography,X-ray computed引用本文复制引用
基金项目
山东省中医药科技项目(M-2023044)
山东省济南市卫生健康委科技发展计划(2023-1-41)
出版年
2024
NETL
NSTL
万方数据