Systematic approach for assessment of imaging features in chronic pancreatitis: a feasibility and validation study from the Scandinavian Baltic Pancreatic Club (SBPC) database

Systematic approach for assessment of imaging features in chronic pancreatitis: a feasibility and validation study from the Scandinavian Baltic Pancreatic Club (SBPC) database

Maria Valeryevna Lisitskaya;Søren Schou Olesen;Petra Svarc;Mohamed Ebrahim;Annette Bøjer Jensen;Camilla Nøjgaard;Peter Nørregaard;Asbjørn Mohr Drewes;Ingfrid S. Haldorsen;Trond Engjom;Jens Brøndum Frøkjær;Maria Valeryevna Lisitskaya;Søren Schou Olesen;Petra Svarc;Mohamed Ebrahim;Annette Bøjer Jensen;Camilla Nøjgaard;Peter Nørregaard;Asbjørn Mohr Drewes;Ingfrid S. Haldorsen;Trond Engjom;Jens Brøndum Frøkjær;
abdominal radiology 2020 Vol. 45 pp. 1468-1480
185
lisitskaya2020abdominalsystematic

Abstract

There is an unmet need for new systems with quantitative pancreatic imaging assessments to support better diagnosis and understand development of chronic pancreatitis (CP). The aims were to present such an approach for assessment of imaging features in CP, to apply this system in a multi-center cohort of CP patients (feasibility study), and to report inter-reader agreement between expert radiologists (validation study). The feasibility study included pancreatic computed tomography (CT) or magnetic resonance imaging (MRI) from 496 patients with definitive CP in the Scandinavian Baltic Pancreatic Club (SBPC) database. Images were assessed according to the new SBPC imaging system (quantitative assessments of ductal and parenchymal features). Inter-reader agreement of reported imaging parameters was investigated for 80 CT and 80 MRI examinations by two expert radiologists. Reporting of the imaging features into the imaging system was deemed feasible for > 80% of CT and > 90% of MRI examinations. Quantitative assessments of main pancreatic duct diameters, presence/number/diameter of calcifications, and gland diameters had high levels of inter-reader agreement with κ-values of 0.75–0.87 and intraclass correlation coefficients of 0.74–0.97. The more subjective assessments, e.g., irregular main pancreatic duct and dilated side-ducts, had poor to moderate agreement with κ-values of 0.03–0.44. The presented system provides a feasible mean for systematic assessment of CP imaging features. Imaging parameters based on quantitative assessment, as opposed to subjective assessments, have better reproducibility and should be preferred in the development of new grading systems for understanding pathophysiology and disease progression in CP.

Citation

ID: 261264
Ref Key: lisitskaya2020abdominalsystematic
Use this key to autocite in SciMatic or Thesis Manager

References

Blockchain Verification

Account:
NFT Contract Address:
0x95644003c57E6F55A65596E3D9Eac6813e3566dA
Article ID:
261264
Unique Identifier:
doi:10.1007/s00261-020-02466-x
Network:
Scimatic Chain (ID: 481)
Loading...
Blockchain Readiness Checklist
Authors
Abstract
Journal Name
Year
Title
5/5
Creates 1,000,000 NFT tokens for this article
Token Features:
  • ERC-1155 Standard NFT
  • 1 Million Supply per Article
  • Transferable via MetaMask
  • Permanent Blockchain Record
Blockchain QR Code
Scan with Saymatik Web3.0 Wallet

Saymatik Web3.0 Wallet