The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Abdom Radiol (NY). 2020 May;45(5):1299-1307. doi: 10.1007/s00261-019-02192-z.
Acute pancreatitis (AP) is caused by acute inflammation of the pancreas and adjacent tissue and is a common source of abdominal pain. The current CT and MRI evaluation of AP is mostly based on morphologic features. Recent advances in image acquisition and analysis offer the opportunity to go beyond morphologic features. Advanced MR techniques such as diffusion-weighted imaging, as well as T1 and T2 mapping, can potentially quantify signal changes reflective of underlying tissue abnormalities. Advanced analytic techniques such as radiomics and artificial neural networks (ANNs) offer the promise of uncovering imaging biomarkers that can provide additional classification and prognostic information. The purpose of this article is to review recent advances in imaging acquisition and analytic techniques in the evaluation of AP.
急性胰腺炎(AP)是由胰腺和邻近组织的急性炎症引起的,是腹痛的常见原因。目前对 AP 的 CT 和 MRI 评估主要基于形态学特征。图像采集和分析的最新进展提供了超越形态学特征的机会。扩散加权成像等先进的磁共振技术以及 T1 和 T2 映射,有可能定量分析反映潜在组织异常的信号变化。放射组学和人工神经网络(ANNs)等先进的分析技术有望发现成像生物标志物,提供额外的分类和预后信息。本文旨在综述 AP 评估中成像采集和分析技术的最新进展。