EVALUATION OF THE RELATIONSHIP BETWEEN PANCREATIC STEATOSIS AND BODY ADIPOSIS TISSUE DISTRIBUTION IN COMPUTERIZED TOMOGRAPHY BY QUANTITATIVE METHODS
Journal Title: Kocatepe Medical Journal - Year 2021, Vol 4, Issue 22
Abstract
ABSTRACT OBJECTIVE: Pancreatic steatosis is a condition caused by histopathological infiltration of fat cells in the pancreatic tissue. In this study, we evaluated the relationship between pancreatic steatosis and the amount of subcutaneous adipose tissue, visceral tissue quantity, waist circumference, age, sex, and fatty liver values with quantitative computed tomography. MATERIAL AND METHODS: In this study, images of the patient who underwent unenhanced computed tomography (CT) for urinary stones or trauma were retrospectively analyzed. Patients with known pancreatic disease and a history of diabetes mellitus were not included. A total of 287 adult cases were included in the study. The average densities of the pancreas, liver, and spleen in Hounsfield Units (HU) were calculated from the workstation. Visceral and subcutaneous adipose tissue in cm2 and waist circumference in mm were measured in all patients using Aquarius, Toshiba Medical system software from a single section passing through the mid-level of the lumbar 3 and 4 (L3/4) vertebrae. Correlations of the findings were evaluated using appropriate statistical methods in patients with and without a fatty pancreas. RESULTS: In 70% of the cases included in the study, pancreatic steatosis was detected. When the patients with and without pancreas steatosis were compared, there was no significant difference between the amount of subcutaneous fatty tissue and gender (p = 0.681 and p = 0.070, respectively). The amount of total and visceral fatty tissue was significantly higher in those with pancreatic steatosis. Fatty liver was detected in a total of 40 cases. 16.4% of patients with pancreatic steatosis had liver steatosis. There was no significant relationship between pancreatic and liver steatosis (p=0.064). CONCLUSIONS: Pancreatic density showed a strong negative correlation with the amount of visceral adipose tissue in patients with pancreatic steatosis. The visceral average amount of fatty tissue was observed significantly higher in patients with pancreatic steatosis. The results of our study indicate that the visceral adipose tissue increase may be associated with increased pancreatic steatosis. Therefore, we believe that the quantitative computed tomography method should be used elderly patients with increased waist circumference and visceral adipose tissue with simple quantitative methods in terms of pancreatic steatosis.
Authors and Affiliations
Furkan KAYA, Ahmet Oğuzhan TÜRKER, Ayberk BERAL, Nihan TEZCAN, Ahmet PENBE, Kadir BOZOK, İsmail AKYÜREK
Keywords
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