Department of Radiology, M Health Fairview University of Minnesota Masonic Children's Hospital, Mayo Memorial Building, 420 Delaware St. SE, Minneapolis, MN, 55455, USA.
Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Pediatr Radiol. 2022 Feb;52(2):189-199. doi: 10.1007/s00247-021-05017-8. Epub 2021 May 12.
While still uncommon, the incidence of acute pancreatitis in children has been increasing over the last two decades. The Atlanta classification for acute pancreatitis, developed for adults, stratifies cases of acute pancreatitis based on imaging and clinical criteria. This classification scheme allows for standardized use of terminology to facilitate treatment and prognostication. Although US and CT should be used in critical or unstable patients, MRI is an ideal imaging modality in pediatric patients with acute pancreatitis because of its ability to characterize tissue without ionizing radiation. We review MRI examples specific to Atlanta classification terminology in pediatric patients. Chronic pancreatitis has also been increasingly diagnosed in children, and imaging plays a key role in the diagnosis and management of this insidious disease. MRI with magnetic resonance cholangiopancreatography is the optimal modality for assessing the pancreas in a child with known or suspected chronic pancreatitis because it provides tissue characterization and high-contrast imaging of the pancreatic duct without the use of invasive instrumentation or ionizing radiation. We also review and demonstrate accepted MRI findings of chronic pancreatitis.
虽然在过去的二十年中，儿童胰腺炎的发病率仍不常见，但一直在增加。为成人制定的亚特兰大急性胰腺炎分类根据影像学和临床标准对急性胰腺炎病例进行分层。这种分类方案允许标准化使用术语，以促进治疗和预后。虽然在危急或不稳定的患者中应使用 US 和 CT，但 MRI 是急性胰腺炎儿科患者的理想影像学方式，因为它能够在不使用电离辐射的情况下对组织进行特征描述。我们回顾了针对儿科患者亚特兰大分类术语的 MRI 示例。慢性胰腺炎在儿童中的诊断也越来越多，影像学在这种隐匿性疾病的诊断和管理中起着关键作用。对于已知或疑似慢性胰腺炎的儿童，具有磁共振胰胆管成像的 MRI 是评估胰腺的最佳方式，因为它提供了组织特征描述和高对比度的胰腺管成像，而无需使用侵入性仪器或电离辐射。我们还回顾并展示了慢性胰腺炎的公认 MRI 发现。
