Perfusion CT in predicting deep pancreatic necrosis and planning early interventions for severe acute pancreatitis

Aim. To explore the potential of perfusion CT for predicting deep pancreatic necrosis and duct injury as well determining treatment strategy. Materials methods. The prospective study included 74 patients hospitalized within 1–2 days acute pancreatitis. They were exposed to examination their arterial blood flow velocity. In 37 observations, a standard was also performed on day 3–9 depth configuration necrosis. severity pancreatitis assessed according integral scoring systems, organ failure peripancreatitis. alfa-amylase activity in fluid collections examined. Results. Necrosis detected 20 patients: – 11 cases, shallow 9. 17 did not reveal type 1 16 patients, 2 4. Deep preceded by significant decrease velocity: 39–52 ml/min/100 ml. This rate greater with without necrosis: 72–100 95–117 ml (p < 0.001). cases necrosis, advanced peripancreatitis formed, noted 9 3 died. Internal fistula 7 out 6 configuration. noted. Minimally invasive interventions transformation internal into external one 12 percutaneous drainage stenting 3. Conclusion. Perfusion can be used predict disease. A velocity range is associated risk parenchyma injury. parameter taken account when indications early minimally interventions.