Autoinflammatory & rare systemic diseases

Assessing IgG4-related autoimmune pancreatitis with contrast-enhanced ultrasonography based on time-intensity curve: a single-centre prospective study

Clin Exp RheumatolPublished Prospective cohort study

Authors' conclusion

CEUS based on TIC holds great potential for assessing response to treatment in patients with IgG4 AIP.

Study context

Population
Patients with active IgG4-related autoimmune pancreatitis, enrolled June 2021 to November 2022
Participants
73 patients
Exposure
Contrast-enhanced ultrasound (CEUS) time-intensity curves (TIC) parameters after treatment vs baseline
Outcome
Changes in CEUS TIC parameters after treatment vs baseline
Follow-up
follow-up
Methodological detailssingle-centre, before-and-after treatment
  • Single-centre
  • Before-and-after treatment

Main finding

As reported in the abstract

Significant increase in peak intensity (PI) in pancreatic head, body and tail after treatment
p<0.001
Significant rise in AUC in pancreatic tail after treatment
p=0.029

Observational data: associations, not effects.

Further findings

OutcomeBaselineP value
Maximum diameter of pancreatic lesion · follow-upAfter treatment vs Baseline4.3 ± 2.0 cmP = 0.01
  • Maximum diameter of pancreatic lesion: After treatment 1.7 ± 1.6 cm

PI in diffuse IgG4-AIP (subgroup, 12 patients) · after treatment

Significant increase of PI following treatment

PI in focal area, focal lesions (subgroup, 12 patients) · after treatment

Significant increase in PI following treatment

Original publication

Assessing IgG4-related autoimmune pancreatitis with contrast-enhanced ultrasonography based on time-intensity curve: a single-centre prospective study. Clin Exp Rheumatol. Published 31 May 2024. doi:10.55563/clinexprheumatol/evg4tn

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