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胰腺炎的磁共振成像:最新进展

Magnetic resonance imaging of pancreatitis: an update.

作者信息

Manikkavasakar Sriluxayini, AlObaidy Mamdoh, Busireddy Kiran K, Ramalho Miguel, Nilmini Viragi, Alagiyawanna Madhavi, Semelka Richard C

机构信息

Sriluxayini Manikkavasakar, Mamdoh AlObaidy, Kiran K Busireddy, Miguel Ramalho, Viragi Nilmini, Madhavi Alagiyawanna, Richard C Semelka, Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7510, United States.

出版信息

World J Gastroenterol. 2014 Oct 28;20(40):14760-77. doi: 10.3748/wjg.v20.i40.14760.

Abstract

Magnetic resonance (MR) imaging plays an important role in the diagnosis and staging of acute and chronic pancreatitis and may represent the best imaging technique in the setting of pancreatitis due to its unmatched soft tissue contrast resolution as well as non-ionizing nature and higher safety profile of intravascular contrast media, making it particularly valuable in radiosensitive populations such as pregnant patients, and patients with recurrent pancreatitis requiring multiple follow-up examinations. Additional advantages include the ability to detect early forms of chronic pancreatitis and to better differentiate adenocarcinoma from focal chronic pancreatitis. This review addresses new trends in clinical pancreatic MR imaging emphasizing its role in imaging all types of acute and chronic pancreatitis, pancreatitis complications and other important differential diagnoses that mimic pancreatitis.

摘要

磁共振(MR)成像在急慢性胰腺炎的诊断和分期中发挥着重要作用,由于其无与伦比的软组织对比分辨率、非电离特性以及血管内造影剂更高的安全性,它可能是胰腺炎诊断中最佳的成像技术,这使其在孕妇等放射敏感人群以及需要多次随访检查的复发性胰腺炎患者中具有特别的价值。其他优势包括能够检测慢性胰腺炎的早期形式,并能更好地鉴别腺癌与局灶性慢性胰腺炎。本综述探讨了临床胰腺MR成像的新趋势,强调其在各类急慢性胰腺炎、胰腺炎并发症以及其他类似胰腺炎的重要鉴别诊断成像中的作用。

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