Grenacher L, Seidensticker M, Schreyer A G, Wessling J, Mayerle J
Conradia Radiologie München, Augustenstr. 115, 80798, München, Deutschland.
Klinik und Poliklinik für Radiologie, Ludwig-Maximilians-Universität München, München, Deutschland.
Radiologe. 2021 Jun;61(6):548-554. doi: 10.1007/s00117-021-00847-x. Epub 2021 Apr 30.
There is currently no S3 guideline that contains statements on the diagnosis and treatment of acute, chronic and autoimmune pancreatitis in a single guideline.
This article presents the most relevant recommendations relating to radiological imaging from the new "S3 guideline for pancreatitis".
The guideline was developed by the DGVS (German Society for Digestive and Metabolic Diseases). After an online-based Delphi survey, the statements were discussed by an interdisciplinary expert team at a 3-day consensus conference and then agreed upon. The level of evidence scheme (version 2) of the Oxford Centre for Evidence-based Medicine was used.
The new German "S3 guideline pancreatitis" comprises for the first time all entities of pancreatitis, acute, chronic and autoimmune pancreatitis and contains a large number of innovations with regard to diagnostic imaging and therapy. In addition to the evidence-based recommendations for diagnosis and therapy, a German-language glossary of the revised Atlanta classification on acute pancreatitis was adopted by consensus of the interdisciplinary guideline expert team. Furthermore, protocol recommendations for the performance of computed tomography (CT) are provided for the first time. In this article we introduce the key recommendations and innovations in the field of diagnostic radiologic imaging for acute, chronic and autoimmune pancreatitis.
In the future, every radiologist should have deep knowledge of the recommended time intervals for radiological imaging in acute pancreatitis and know the German terms for the description of acute pancreatitis; furthermore they should be able to classify the morphologies to the appropriate stages.
目前尚无单一指南包含有关急性、慢性和自身免疫性胰腺炎诊断与治疗的声明。
本文介绍新的“胰腺炎 S3 指南”中与放射影像学最相关的建议。
该指南由德国消化和代谢疾病学会（DGVS）制定。经过在线德尔菲调查后，声明在为期 3 天的共识会议上由跨学科专家团队进行讨论，然后达成一致。采用牛津循证医学中心的证据水平方案（第 2 版）。
新的德国“胰腺炎 S3 指南”首次涵盖了胰腺炎的所有类型，即急性、慢性和自身免疫性胰腺炎，并且在诊断成像和治疗方面有大量创新。除了基于证据的诊断和治疗建议外，跨学科指南专家团队一致通过了德语版修订后的急性胰腺炎亚特兰大分类术语表。此外，首次提供了计算机断层扫描（CT）操作的方案建议。在本文中，我们介绍急性、慢性和自身免疫性胰腺炎诊断放射成像领域的关键建议和创新。
未来，每位放射科医生都应深入了解急性胰腺炎放射成像的推荐时间间隔，知晓描述急性胰腺炎的德语术语；此外，他们应能够将形态学分类到适当阶段。
