COMPARISON OF THE MODIFIED CT SEVERITY INDEX WITH THE CT SEVERITY INDEX FOR THE ASSESSMENT OF ACUTE PANCREATITIS SEVERITY

Abstract

Introduction: Acute pancreatitis (AP) is a frequent, mild, self-limiting condition with only minor or temporary systemic symptoms. In the evaluation of AP, imaging by CT or MRI is helpful for diagnosis as well as for identifying regional pancreatic problems and directing interventional therapies. A retrospective analysis of a prospectively collected database Material and methods: was performed. The demographic, clinical, and laboratory data of the 40 cases of acute pancreatitis in patients were reviewed for this study. 40 patients underwent CECT or MRI within 1 week of onset of symptoms. A single radiologist performed imaging studies and recorded all pancreatic, peripancreatic, and extrapancreatic ndings and complications. According to CTSI, the number of patients with mild moderate and Results: severe disease were 19, 14 and 7 respectively; According to MCTSI, the number of patients with mild, moderate and severe disease were 7, 18, 15 respectively. Mean length of hospital stay and ICU stay was 4.48±2.03 and 1.7±2.11 respectively. Both the scoring systems more accurately correlated with the length of ICU stay, organ failure and necrosectomy and accurately correlated with infection and percutaneous catheter drainage. MCTSI showed superior and better Conclusion: correlation with disease severity than CTSI. There was statistical signicant association noted with CTSI and MCTSI each with the severity parameters and outcome assessed.