Clinical, Radiologic and Biochemical Factors Related to Diabetes Development after Acute Pancreatitis

摘要 近40%的患者在急性胰腺炎(AP)首次发作后发展为糖尿病。各种研究都有 评估了糖尿病发展的风险因素，但他们的结果不一致，表明 方法上的缺陷。目前的提议包括三个具体目标，我们将在这些目标中尝试 确定与AP后糖尿病发展相关的生化、放射学和临床因素。目标 1：在AP后患者中使用大量的自身抗体来确定与1型糖尿病进展相关的自身抗体 人类蛋白质组阵列。目标2：研究成像的作用，更具体地说，定量质地分析 预测AP后1型糖尿病的发展。目标3是建立一个机器学习模型来预测类型 1使用患者相关危险因素对AP后糖尿病进行成像和自身抗体的质构分析 在疾病的发展过程中。我们的建议将帮助我们更好地了解AP后的糖尿病。成功完成 这项研究的成果有可能改善AP的管理。

Abstract Nearly 40% of patients develop diabetes after an initial episode of acute pancreatitis (AP). Various studies have evaluated risk factors for the development of diabetes but they have shown inconsistent findings, suggesting methodologic shortcomings. The present proposal consists of three specific aims where we will attempt to determine the biochemical, radiologic and clinical factors related to the development of diabetes after AP. Aim 1: To identify autoantibodies associated with the progression of type 1 diabetes in patients after AP using a large human proteome array. Aim 2: To study the role of imaging, more specifically quantitative textural analysis to predict the development of type 1 diabetes after AP. Aim 3 is to build a machine learning model to predict type 1 diabetes after AP using patient-related risk factors, textural analysis on imaging and autoantibodies involved in disease progression. Our proposal will help us better understand diabetes after AP. Successful completion of this study has the potential to improve management for AP.