Diagnostic Accuracy of CT Scan in Necrotizing Pancreatitis Taking Surgical findings as Gold Standard

Abstract

Objective: To find out diagnostic accuracy of computed tomography (CT) for necrotizing pancreatitis in comparison with surgical findings (gold standard).
Method: This cross-sectional study was conducted in Department of Radiology, Jinnah Hospital, Lahore from January 2019 to December 2019. 165 patients clinically suspected to have necrotizing pancreatitis aged 30-70 of either gender constituted the study population. After taking informed consent, pre and post contrast CT scans of the abdomen were performed. These studies were then assessed by experienced consultantradiologist for presence or absence of necrotizing pancreatitis.These findings were then compared with surgical findings.
Results: Mean age of the study population was 47.45 with standard deviation of 8.34 years having male: female ratio of 1.5:1. Among patients diagnosed with necrotizing pancreatitis on CT, 82 turned out to be True Positive and 11 False Positive. On the other hand, there were 06 False Negative and 66 True Negative patients in those not diagnosed with necrotizing pancreatitis by CT (p=0.580). The diagnostic accuracy of computed tomography (CT) in necrotizing pancreatitis came out to be 89.70%.
Conclusion: Computed tomography (CT) has dramatically improved our ability of accurate detection of necrotizing pancreatitis and can improve patient care by guiding pre-operative management plan of these patients.

How to cite: Shaukat R, Mansoor A, Arooj S, Imran Z, Masood M, Asghar A. Diagnostic Accuracy of CT Scan in
Necrotizing Pancreatitis Taking Surgical findings as Gold Standard. Esculapio - JSIMS 2022;18(04):248-252