CT grading of blunt pancreatic injuries: Prediction of ductal disruption and surgical correlation

Yon Cheong Wong, Li Jen Wang, Being Chuan Lin, Chi Jen Chen, Kun Eng Lim, Ray Jade Chen

Research output: Contribution to journalArticle

66 Citations (Scopus)

Abstract

Purpose: The purpose of our study was to devise a CT grading scheme for blunt pancreatic injuries (BPIs) and to apply it to predict the presence or absence of ductal disruption. Method: We retrospectively reviewed CT scans of 22 patients with proven BPIs. We graded these injuries on CT (A, BI, BII, CI, and CII) based on the (a) presence or absence of pancreatic lacerations, (b) site of lacerations, and (c) depth of lacerations. CT grading was correlated with surgical findings for glandular and ductal injuries. Results: Main pancreatic ducts were intact in 2 patients with normal CT scans and in all grade A injuries (n = 10). Distal pancreatic ducts were disrupted in all grade B injuries (BI, n = 1; BII, n = 4). Of five grade C injuries, three CII injuries had disruption of proximal pancreatic duct, one CII injury had disruption of minor duct, and one CI injury had an intact ductal system. Conclusion: CT grading of BPIs was useful in predicting ductal integrity or disruption. Ductal disruption was likely present if the pancreas appeared to have a transection or deep laceration on CT scans. It was accurate in grade A and B injuries. Overestimation could occur in grade CI and CII injuries.

Original languageEnglish
Pages (from-to)246-250
Number of pages5
JournalJournal of Computer Assisted Tomography
Volume21
Issue number2
DOIs
Publication statusPublished - 1997
Externally publishedYes

Fingerprint

Nonpenetrating Wounds
Wounds and Injuries
Lacerations
Pancreatic Ducts
Pancreas

Keywords

  • Computed tomography
  • Pancreas, abnormalities
  • Pancreas, ducts
  • Pancreas, wounds and injuries

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

CT grading of blunt pancreatic injuries : Prediction of ductal disruption and surgical correlation. / Wong, Yon Cheong; Wang, Li Jen; Lin, Being Chuan; Chen, Chi Jen; Lim, Kun Eng; Chen, Ray Jade.

In: Journal of Computer Assisted Tomography, Vol. 21, No. 2, 1997, p. 246-250.

Research output: Contribution to journalArticle

@article{8e193c5dc6204018b2193fc24ecd3385,
title = "CT grading of blunt pancreatic injuries: Prediction of ductal disruption and surgical correlation",
abstract = "Purpose: The purpose of our study was to devise a CT grading scheme for blunt pancreatic injuries (BPIs) and to apply it to predict the presence or absence of ductal disruption. Method: We retrospectively reviewed CT scans of 22 patients with proven BPIs. We graded these injuries on CT (A, BI, BII, CI, and CII) based on the (a) presence or absence of pancreatic lacerations, (b) site of lacerations, and (c) depth of lacerations. CT grading was correlated with surgical findings for glandular and ductal injuries. Results: Main pancreatic ducts were intact in 2 patients with normal CT scans and in all grade A injuries (n = 10). Distal pancreatic ducts were disrupted in all grade B injuries (BI, n = 1; BII, n = 4). Of five grade C injuries, three CII injuries had disruption of proximal pancreatic duct, one CII injury had disruption of minor duct, and one CI injury had an intact ductal system. Conclusion: CT grading of BPIs was useful in predicting ductal integrity or disruption. Ductal disruption was likely present if the pancreas appeared to have a transection or deep laceration on CT scans. It was accurate in grade A and B injuries. Overestimation could occur in grade CI and CII injuries.",
keywords = "Computed tomography, Pancreas, abnormalities, Pancreas, ducts, Pancreas, wounds and injuries",
author = "Wong, {Yon Cheong} and Wang, {Li Jen} and Lin, {Being Chuan} and Chen, {Chi Jen} and Lim, {Kun Eng} and Chen, {Ray Jade}",
year = "1997",
doi = "10.1097/00004728-199703000-00014",
language = "English",
volume = "21",
pages = "246--250",
journal = "Journal of Computer Assisted Tomography",
issn = "0363-8715",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - CT grading of blunt pancreatic injuries

T2 - Prediction of ductal disruption and surgical correlation

AU - Wong, Yon Cheong

AU - Wang, Li Jen

AU - Lin, Being Chuan

AU - Chen, Chi Jen

AU - Lim, Kun Eng

AU - Chen, Ray Jade

PY - 1997

Y1 - 1997

N2 - Purpose: The purpose of our study was to devise a CT grading scheme for blunt pancreatic injuries (BPIs) and to apply it to predict the presence or absence of ductal disruption. Method: We retrospectively reviewed CT scans of 22 patients with proven BPIs. We graded these injuries on CT (A, BI, BII, CI, and CII) based on the (a) presence or absence of pancreatic lacerations, (b) site of lacerations, and (c) depth of lacerations. CT grading was correlated with surgical findings for glandular and ductal injuries. Results: Main pancreatic ducts were intact in 2 patients with normal CT scans and in all grade A injuries (n = 10). Distal pancreatic ducts were disrupted in all grade B injuries (BI, n = 1; BII, n = 4). Of five grade C injuries, three CII injuries had disruption of proximal pancreatic duct, one CII injury had disruption of minor duct, and one CI injury had an intact ductal system. Conclusion: CT grading of BPIs was useful in predicting ductal integrity or disruption. Ductal disruption was likely present if the pancreas appeared to have a transection or deep laceration on CT scans. It was accurate in grade A and B injuries. Overestimation could occur in grade CI and CII injuries.

AB - Purpose: The purpose of our study was to devise a CT grading scheme for blunt pancreatic injuries (BPIs) and to apply it to predict the presence or absence of ductal disruption. Method: We retrospectively reviewed CT scans of 22 patients with proven BPIs. We graded these injuries on CT (A, BI, BII, CI, and CII) based on the (a) presence or absence of pancreatic lacerations, (b) site of lacerations, and (c) depth of lacerations. CT grading was correlated with surgical findings for glandular and ductal injuries. Results: Main pancreatic ducts were intact in 2 patients with normal CT scans and in all grade A injuries (n = 10). Distal pancreatic ducts were disrupted in all grade B injuries (BI, n = 1; BII, n = 4). Of five grade C injuries, three CII injuries had disruption of proximal pancreatic duct, one CII injury had disruption of minor duct, and one CI injury had an intact ductal system. Conclusion: CT grading of BPIs was useful in predicting ductal integrity or disruption. Ductal disruption was likely present if the pancreas appeared to have a transection or deep laceration on CT scans. It was accurate in grade A and B injuries. Overestimation could occur in grade CI and CII injuries.

KW - Computed tomography

KW - Pancreas, abnormalities

KW - Pancreas, ducts

KW - Pancreas, wounds and injuries

UR - http://www.scopus.com/inward/record.url?scp=0030897121&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030897121&partnerID=8YFLogxK

U2 - 10.1097/00004728-199703000-00014

DO - 10.1097/00004728-199703000-00014

M3 - Article

C2 - 9071293

AN - SCOPUS:0030897121

VL - 21

SP - 246

EP - 250

JO - Journal of Computer Assisted Tomography

JF - Journal of Computer Assisted Tomography

SN - 0363-8715

IS - 2

ER -