title: Splanchnic vein thrombosis in necrotizing acute pancreatitis: Detection by computed tomographic venography.
abstract: OBJECTIVE
  To assess the diagnostic accuracy of computed tomographic venography (CTV) for splanchnic vein thrombosis (SVT) detection in necrotizing acute pancreatitis (AP) patients.
  
  
  METHODS
  Forty-three patients with necrotizing AP who underwent both CTV and digital subtraction angiography (DSA) within 3 d were analyzed in this retrospective comparative study. All CTV procedures were performed with a dual-source CT scanner. The presence and location of SVT were determined via blinded imaging data analyses.
  
  
  RESULTS
  According to the DSA results, 17 (39.5%) of the total 43 patients had SVT. The sensitivity, specificity, positive and negative predictive values of CTV for SVT detection were 100% (95%CI: 77.1%-100%), 92.3% (95%CI: 73.4%-98.7%), 89.5% (95%CI: 65.5%-98.2%) and 100% (95%CI: 82.8%-100%), respectively.
  
  
  CONCLUSIONS
  CTV is an effective examination for SVT detection in patients with necrotizing AP with high positive and negative predictive values.
authors.affiliation: Wei Jiang, Jing Zhou, Lu Ke, Gang Li, Zhi-Hui Tong, Wei-Qin Li, Jie-Shou Li, Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing 210000, Jiangsu Province, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Jiang
authors.affiliation: Wei Jiang, Jing Zhou, Lu Ke, Gang Li, Zhi-Hui Tong, Wei-Qin Li, Jie-Shou Li, Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing 210000, Jiangsu Province, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Zhou
authors.affiliation: Wei Jiang, Jing Zhou, Lu Ke, Gang Li, Zhi-Hui Tong, Wei-Qin Li, Jie-Shou Li, Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing 210000, Jiangsu Province, China.
authors.forename: Lu
authors.initials: L
authors.lastname: Ke
authors.affiliation: Wei Jiang, Jing Zhou, Lu Ke, Gang Li, Zhi-Hui Tong, Wei-Qin Li, Jie-Shou Li, Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing 210000, Jiangsu Province, China.
authors.forename: Gang
authors.initials: G
authors.lastname: Li
authors.affiliation: Wei Jiang, Jing Zhou, Lu Ke, Gang Li, Zhi-Hui Tong, Wei-Qin Li, Jie-Shou Li, Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing 210000, Jiangsu Province, China.
authors.forename: Zhi-Hui
authors.initials: ZH
authors.lastname: Tong
authors.affiliation: Wei Jiang, Jing Zhou, Lu Ke, Gang Li, Zhi-Hui Tong, Wei-Qin Li, Jie-Shou Li, Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing 210000, Jiangsu Province, China.
authors.forename: Wei-Qin
authors.initials: WQ
authors.lastname: Li
authors.affiliation: Wei Jiang, Jing Zhou, Lu Ke, Gang Li, Zhi-Hui Tong, Wei-Qin Li, Jie-Shou Li, Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing 210000, Jiangsu Province, China.
authors.forename: Jie-Shou
authors.initials: JS
authors.lastname: Li
mesh_terms: D000328:Adult; D015901:Angiography, Digital Subtraction; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications*; D010690:Phlebography / Q000379:methods*; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012189:Retrospective Studies; D013152:Splanchnic Circulation; D013162:Splenic Vein / Q000000981:diagnostic imaging* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000503:physiopathology
keywords: Computed tomographic venography; Digital subtraction angiography; Necrotizing acute pancreatitis; Splanchnic vein; Thrombosis