Multicenter comparison of the interobserver agreement of standard EUS scoring and Rosemont classification scoring for diagnosis of chronic pancreatitis

Stevens, Tyler; López, Rocío; Adler, Douglas G.; Al‐Haddad, Mohammad; Conway, Jason; DeWitt, John M.; Forsmark, Chris E.; Kahaleh, Michel; Lee, Linda; Levy, Michael J.; Mishra, Girish; Piraka, Cyrus; Papachristou, Georgios I.; Shah, Raj J.; Topazian, Mark D.; Vargo, John J.; Vela, Stacie

doi:10.1016/j.gie.2009.10.043

Cited by 107 publications

(73 citation statements)

References 21 publications

(19 reference statements)

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“…The hypothesis that all these criteria have the same value for the diagnosis was proposed in the Rosemont classification (4), which defines the EUSbased criteria for CP and their specific validity, establishing different patients groups. However, the interobserver variation of this classification does not improve the aforementioned (3)(4)(5).…”

Section: Introductionmentioning

confidence: 82%

“…The activation of pancreatic stellate cells produces parenchymal fibrosis and progressive loss of acinar cells and, to a lesser extent, of the islets of Langerhans (1)(2)(3)(4)(5). Endoscopic ultrasound (EUS) has become the technique of choice for the diagnosis of pancreatic disease such as CP, especially in early stages, in which other methods do not achieve the same accuracy (1)(2)(3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

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Usefulness of percutaneous elastography by acoustic radiation force impulse for the non-invasive diagnosis of chronic pancreatitis

et al. 2016

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Objective: To determine the accuracy of the acoustic radiation force impulse (ARFI) technique for the diagnosis of chronic pancreatitis. Materials and methods:We present an observational, single-center study that included patients with suspected chronic pancreatitis in the period between October 2012 and September 2015 who underwent endoscopic ultrasound (EUS) and were classified according to the standard and Rosemont criteria. The same group of patients was assessed by the ARFI technology using ACUSON S2000™ equipment with Virtual Touch™ Quantification software for the assessment of pancreatic stiffness by obtaining the shear wave velocity (SWV) in the head, body and tail of the pancreas. Data were analyzed using ANOVA and nonparametric correlation methods. Diagnostic accuracy was obtained by analyzing receiver operating characteristic (ROC) curve.Results: A total of thirty-three patients were studied (45.5% women); mean age was 58.3 ± 11.8 years. Seventeen with a diagnosis of chronic pancreatitis and sixteen classified as normal according to standard criteria. A significant difference was detected between the means of SWV in pancreatic body of patients without (SWV: 1.27 m/s) and with chronic pancreatitis (SWV 1.57 m/s), p = 0.037. The area under the ROC curve was 71.3% (95% CI 0.532-0.895) and the accuracy of ARFI for diagnosing chronic pancreatitis was 69.7% for a SWV of 1.4 m/s in the pancreatic body. The SWV means in head (r = 0.421, p < 0.05) and body (r = 0.455, p < 0.05) of the pancreas showed a significant correlation with the number of EUS criteria for chronic pancreatitis.Conclusion: Quantification of pancreatic stiffness with ARFI elastography technique has proven to be useful for the non-invasive diagnosis of chronic pancreatitis.

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Section: Introductionmentioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Usefulness of percutaneous elastography by acoustic radiation force impulse for the non-invasive diagnosis of chronic pancreatitis

et al. 2016

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“…A second limitation is the known poor interobserver agreement described in the EUS studies for CP (1,12) but not analyzed in this study.…”

Section: Discussionmentioning

confidence: 74%

“…In contrast, the last multicenter study concerning EUS for CP diagnosis, Stevens et al, demonstrates lower detection rates with Rosemont scoring compared with standard scoring (12).…”

Section: Discussionmentioning

confidence: 90%

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Standard criteria versus Rosemont classification for EUS-diagnosis of chronic pancreatitis

Jimeno-Ayllón

Pérez-García

Gómez-Ruiz

et al. 2011

Rev. esp. enferm. dig.

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Aim: to study the possible differences in the final diagnosis of chronic pancreatitis by using standard classification described by Wiersema et al. and the new classification proposed recently by Rosemont.Material and methods: forty-seven patients with the diagnosis of chronic pancreatitis were included in this study. The parenchymal and ductal criteria were studied, the patients were divided in two groups for Wiersema criteria: < 4 criteria, non-diagnostic for chronic pancreatitis and ≥ 4 criteria, diagnosis of chronic pancreatitis. The same patients were divided in four groups according to Rosemont classification: normal pancreas, indeterminate, suggestive and consistent with chronic pancreatitis. We analyzed these data with Chi-square test reported with 95% confidence intervals (CI).Results: in patients with chronic pancreatitis the most frequent criteria observed were lobularity in 66% of cases and pancreatic duct dilatation and calcifications in 57.4% of cases each. We found a significant statistical association between the results of both classifications (p < 0.05). The highest association is found in patients with more than 4 standard criteria and definitive diagnostic of chronic pancreatitis according to Rosemont classification. In patients who have less than 4 standard criteria the diagnosis is suggestive of chronic pancreatitis by using the Rosemont classification in 27.66% (p < 0.05).Conclusion: these results show that no significant statistical differences are found for patients with > 4 criteria diagnosis by standard criteria. But 27.66% patients with less than 4 standard criteria would be suggestive according to Rosemont classification (p < 0.05). Hence, the new classification would be useful in patients with high suspicion of chronic pancreatitis with < 4 standard criteria but with more significance such as parenchymal lithiasis, lobularity or ductal calcifications.

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Laboratory, Endoscopic, and Radiologic Diagnostics of Chronic Pancreatitis with Inflammatory Mass in the Head

Domínguez‐Muñoz

Iglesias‐García

Lariño‐Noia

2015

Pancreatic Cancer, Cystic Neoplasms and Endocrine Tumors

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Multicenter comparison of the interobserver agreement of standard EUS scoring and Rosemont classification scoring for diagnosis of chronic pancreatitis

Cited by 107 publications

References 21 publications

Usefulness of percutaneous elastography by acoustic radiation force impulse for the non-invasive diagnosis of chronic pancreatitis

Usefulness of percutaneous elastography by acoustic radiation force impulse for the non-invasive diagnosis of chronic pancreatitis

Standard criteria versus Rosemont classification for EUS-diagnosis of chronic pancreatitis

Laboratory, Endoscopic, and Radiologic Diagnostics of Chronic Pancreatitis with Inflammatory Mass in the Head

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