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ENGJOM, T. NYLUND, K. ERCHINGER, F. STANGELAND, M. LAERUM, B. MÉZL, M. JIŘÍK, R. GILJA, O. DIMCEVSKI, G.
Original Title
Contrast-enhanced ultrasonography of the pancreas shows impaired perfusion in pancreas insufficient cystic fibrosis patients
Type
journal article in Web of Science
Language
English
Original Abstract
Perfusion assessment of the pancreas is challenging and poorly evaluated. Pancreatic affection is a prevalent feature of cystic fibrosis (CF). Little is known about pancreatic perfusion in CF. We aimed to assess pancreatic perfusion by contrast-enhanced ultrasound (CEUS) analysed in the bolus-and-burst model and software. We performed contrast enhanced ultrasound of the pancreas in 25 CF patients and 20 healthy controls. Perfusion data was analysed using a dedicated perfusion model providing the mean capillary transit-time (MTT), blood flow (BF) and blood-volume (BV). CF patients were divided according to exocrine function. The pancreas insufficient CF patients had longer MTT (p ≤ 0.002), lower BF (p < 0.001) and lower BV (p < 0.05) compared to the healthy controls and sufficient CF patients. Interrater analysis showed substantial agreement for the analysis of mean transit time. The bolus-and-burst method used on pancreatic CEUS-examinations demonstrates reduced perfusion in CF patients with pancreas affection. The perfusion model and software requires further optimization and standardization to be clinical applicable for the assessment of pancreatic perfusion.
Keywords
ultrasound perfusion imaging; cystic fibrosis; bolus & burst method, perfusion analysis
Authors
ENGJOM, T.; NYLUND, K.; ERCHINGER, F.; STANGELAND, M.; LAERUM, B.; MÉZL, M.; JIŘÍK, R.; GILJA, O.; DIMCEVSKI, G.
Released
15. 5. 2018
ISBN
1471-2342
Periodical
BMC Medical Imaging
Year of study
18
Number
14
State
United Kingdom of Great Britain and Northern Ireland
Pages from
1
Pages to
8
Pages count
URL
http://link.springer.com/article/10.1186/s12880-018-0259-3
BibTex
@article{BUT151250, author="Trond {Engjom} and Kim {Nylund} and Friedemann {Erchinger} and Marcus {Stangeland} and Birger Norderud {Laerum} and Martin {Mézl} and Radovan {Jiřík} and Odd Helge {Gilja} and Georg {Dimcevski}", title="Contrast-enhanced ultrasonography of the pancreas shows impaired perfusion in pancreas insufficient cystic fibrosis patients", journal="BMC Medical Imaging", year="2018", volume="18", number="14", pages="1--8", doi="10.1186/s12880-018-0259-3", issn="1471-2342", url="http://link.springer.com/article/10.1186/s12880-018-0259-3" }