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Scholars Journal of Applied Medical Sciences | Volume-5 | Issue-09
Study of Pancreatic Steatosis in Diabetics Patients Using Multi detectors Computed Tomography
Alaa Ibrahim, Caroline Edward, Ahlam Asiri, Hamid Osman, K. Sherrif, Yasen
Published: Sept. 30, 2017 | 152 135
DOI: 10.36347/sjams.2017.v05i09.029
Pages: 3625-3633
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Abstract
The accumulation of fat in the pancreas has been referred to as fatty infiltration, fatty pancreas, fat non-alcoholic pancreatic disease and pancreatic steatosis. Pancreatic steatosis is the best description of fat accumulation in the pancreatic gland without fat replacement, and this term also describes the possibility that the fat accumulation is a reversible process. Pancreatic steatosis is an increasing problem due to the increasing incidence of obesity, aging, diabetes and metabolic syndrome. We aim to evaluate the diagnostic capacity of abdominal computed tomography in the assessment of pancreatic steatosis in diabetic patients. High-resolution MDCT scans of 44 patients (26 diabetic patients) that underwent CT examinations of the abdomen CT was performed with conventional sequences of unenhanced examination. Attenuation in CT of the pancreas and spleen were measured in Hounsfield units and scored by two blinded radiologist. The study shows the age group distribution in the diabetic patients with significant different in the age group between (60 years and more) with p value (.054). The percentage between the male and female were no significant differences in respect to gender in the presence of diabetes. the main findings of this study for the diabetic patients images comparing to the control group were found that, highly significant CT number (p=0.000)and hypodense signal compared to spleen with significant value (p=.054) distribution of the pancreas head CT number with highest percentage in the diabetic patient in (25 HU) compared to highest percentage of non-diabetic patient in (35 HU).and no significant different in the other part of the pancreas. Pancreatic steatosis is a common, benign pancreatic condition observed in clinical practice. The study concluded that axial CT scan is considered as an appreciable radiological method for characterizing the pancreas structure using CT number (Hounsfield). Pancreatic steatosis is not due to the presence of diabet