AI Article Synopsis
- - The study investigates the effectiveness of various scales in predicting postoperative pancreatic fistula (POPF) using MRI techniques focusing on factors like pancreatic duct diameter and intra-abdominal fat thickness.
- - Conducted from January 2017 to December 2021, the study involved 133 pancreatoduodenectomies with 96 patients analyzed; 26 developed overall POPF and 8 had clinically relevant POPF (CR-POPF).
- - The Birmingham score emerged as the most accurate predictor for overall POPF and CR-POPF, with an area under the curve (AUC) indicating high predictive capability, suggesting it should be utilized in clinical practice for patients undergoing this surgery.
Article Abstract
Background: Postoperative pancreatic fistula (POPF) is one of the most feared and common complications following pancreatoduodenectomies. This study aims to evaluate the performance of different scales in predicting POPF using magnetic resonance imaging (MRI), including estimation of the pancreatic duct diameter, pancreatic texture, main duct index, relation to the portal vein, and intra-abdominal fat thickness.
Materials And Methods: A retrospective diagnostic test study was designed. Between January 2017 and December 2021, 133 pancreatoduodenectomies were performed at our institution. The performance for predicting overall POPF and clinically relevant POPF (CR-POPF) was evaluated using a receiver operating characteristic (ROC) curve.
Results: A total of 96 patients were included in the study, of whom 26 patients experienced overall POPF, and 8 patients had CR-POPF. When analyzing the predictive value of each of the different scores applied, the Birmingham score showed the highest performance for predicting overall POPF and CR-POPF with an AUC (area under the curve) of 0.815 (95 % CI 0.725-0.906) and 0.813 (0.679-0.947), respectively.
Conclusion: The Birmingham scale demonstrated the highest predictive performance for POPF. It is a simple scale with only two variables that can be obtained preoperatively using MRI. Based on these results, we recommend its use in patients undergoing pancreatoduodenectomy.
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| http://dx.doi.org/10.1016/j.pan.2024.05.526 | DOI Listing |
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