ObjectiveTo evaluate the value of 120 kV portal venous phase images combined with iodine maps created from dual-source dual-energy CT (DECT) for the diagnosis of pancreatic necrosis in the early stage of acute pancreatitis. MethodsThis prospective study enrolled 17 patients who underwent abdominal dual-source DECT within 72 hours from the onset of acute pancreatitis. All patients had received treatment in West China Hospital from May 2014 to August 2014. Comparison of the diagnostic value of 120 kV portal venous phase images alone and 120 kV portal venous phase images combined with iodine maps created from dual-source DECT was performed. ResultsSix of the 17 patients were found the presence of pancreatic necrosis (4 patients without obvious necrosis in the early stage developed to pancreatic necrosis, and 2 patients with the presence of necrosis in the early stage improved). The sensitivity, specificity, and accuracy of 120 kV portal venous phase images for the diagnosis of pancreatic necrosis were 50.0% (3/6), 100% (11/11), and 82.4% (14/17), respectively, and it had a good diagnostic value (AUC=0.856, P=0.018). The sensitivity, specificity, and accuracy of 120 kV portal venous phase images combined with iodine maps created from dual-source DECT for predicting pancreatic necrosis were 100% (6/6), 90.9% (10/11), and 94.1% (16/17), respectively, and this method had good value too (AUC=0.977, P=0.002), which higher than that of 120 kV portal venous phase images (P=0.002). ConclusionsThe 120 kV portal venous phase images combined with iodine maps created from dual-source DECT is helpful to improve subjective judgment in the diagnosis of pancreatic necrosis in the early stage of acute pancreatitis. It also contributes to the display of hypo-perfusion area of the pancreatic parenchyma, and has higher diagnostic value.
ObjectiveTo explore the current status and tendency of the application of CT or MRI in the pancreatic pseudocyst using bibiometric analysis for relative documents, and provide reference information for the future research of radiology. MethodsBibliographies from research literatures of CT or MRI application in the pancreatic pseudocyst from January 1, 2003 to September 20, 2014 in PubMed database were downloaded.The publication years, journals, the first authors, and the frequency of subject headings and subheadings were extracted from them by Bicomb 2.0 software.The subject headings and subheadings appeared more than five times were intercepted as high frequency ones, then created the high frequency subject headings and subheadings co-occurrence matrix.SPSS 22.0 statistical software was applied for clustering analysis with this matrix, then got the major hotspots. ResultsA total of 342 literatures were screened out.The research of CT or MRI application in the pancreatic pseudocyst increased slowly year by year in recent 10 years, then slowly decreased after 2008 year.The related literatures were published in the 164 journals, in which 16 journals (115 literatures were published) were core area distribution according to the Bradford law.There were 10 authors at least 2 published literatures, in who Bhasin DK in USA published 7 literatures, was the most active researcher in this field.The number of high frequency subject headings and subheadings was 33 and among which 5 research hotspots were clustered. ConclusionResearch hotspots about CT or MRI application in pancreatic pseudocyst mainly focuses on five aspects below:pathology, diagnosis, therapy, complications, and etiology.
ObjectiveTo investigate researches on pancreatic neoplasms and molecular imaging in recent five years and provide reference information for the majority of professionals in deep research. MethodsBibliographies from research literature of pancreatic neoplasms and molecular imaging in recent five years in PubMed database were downloaded. The publication years, journals, countries of publication, the first authors and the frequency of MJMEs were counted by Bicomb 2.0 software. The affiliations were analyzed artificially. MJMEs appeared no less than two times were intercepted as high frequency ones and the high frequency MJMEs co-occurrence matrix were formed. SPSS 22.0 statistical software were applied for clustering analysis with matrix, then to get the topic hotspots. ResultsA total of 28 literatures were screened out. The data of research trend, journals, research degree of countries were acquired. The number of high frequency MJMEs were 20 and among which 5 research hotspots were clustered. ConclusionsResearches on pancreatic neoplasms and molecular imaging are mainly in terms of therapy and genetics, diagnosis and metabolism, radionuclide imaging, pharmacology and pathology.