Department of Radiology, Cincinnati Children's Hospital Medical Center.
Department of Radiology.
J Pediatr Gastroenterol Nutr. 2021 Jan 1;72(1):151-167. doi: 10.1097/MPG.0000000000002964.
The reported incidence of pediatric pancreatitis is increasing. Noninvasive imaging, including ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI), play important roles in the diagnosis, staging, follow-up, and management of pancreatitis in children. In this position paper, generated by members of the Pancreas Committee of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) and the Abdominal Imaging Committee of The Society for Pediatric Radiology (SPR), we review the roles of noninvasive imaging in pediatric acute, acute recurrent, and chronic pancreatitis. We discuss available evidence related to noninvasive imaging, highlighting evidence specific to pediatric populations, and we make joint recommendations for use of noninvasive imaging. Further, we highlight the need for research to define the performance and role of noninvasive imaging in pediatric pancreatitis.
小儿胰腺炎的报告发病率正在上升。包括超声、计算机断层扫描（CT）和磁共振成像（MRI）在内的非侵入性影像学检查在小儿胰腺炎的诊断、分期、随访和治疗中发挥着重要作用。本立场文件由北美小儿胃肠病学、肝病学和营养学学会（NASPGHAN）的胰腺委员会以及小儿放射学会（SPR）的腹部影像学委员会成员制定，我们回顾了非侵入性影像学在小儿急性、复发性和慢性胰腺炎中的作用。我们讨论了与非侵入性影像学相关的现有证据，重点介绍了针对儿科人群的具体证据，并对非侵入性影像学的使用提出了联合建议。此外，我们还强调了需要开展研究来确定非侵入性影像学在小儿胰腺炎中的性能和作用。
