Dipartimento di diagnostica per immagini, Radioterapia, Oncologia ed Ematologia, Fondazione Universitaria "A. Gemelli", IRCCS - Università Cattolica del Sacro Cuore, Largo Agostino Gemelli, 8, 00168, Rome, Italy.
Radiol Med. 2021 Aug;126(8):1017-1029. doi: 10.1007/s11547-021-01359-3. Epub 2021 May 12.
Acute pancreatitis is one of the most commonly encountered etiologies in the emergency setting, with a broad spectrum of findings that varies in severity from mild interstitial pancreas to severe forms with significant local and systemic complications that are associated with a substantial degree of morbidity and mortality. In this article the radiological aspect of the terminology and classification of acute pancreatitis are reviewed. The roles of ultrasound, computed tomography, and magnetic resonance imaging in the diagnosis and evaluation of acute pancreatitis and its complications are discussed. The authors present a practical image-rich guide, applying the revised Atlanta classification system, with the goal of facilitating radiologists to write a correct report, and reinforcing the radiologist's role as a key member of a multidisciplinary team in treating patients with acute pancreatitis. Computed tomography is the most performed imaging test for acute pancreatitis. Nevertheless, MRI is useful in many specific situations, due to its superiority soft tissue contrast resolution and better assessment of biliary and pancreatic duct, for example in the ductal disconnection. The purpose if this article is to review recent advances in imaging acquisition and analytic techniques in the evaluation of AP.
急性胰腺炎是急诊中最常见的病因之一，其影像学表现范围广泛，从轻度间质胰腺炎到伴有严重局部和全身并发症的严重形式，其发病率和死亡率都很高。本文回顾了急性胰腺炎的影像学术语和分类。讨论了超声、计算机断层扫描和磁共振成像在急性胰腺炎及其并发症的诊断和评估中的作用。作者提出了一个实用的、富含图像的指南，应用修订后的亚特兰大分类系统，旨在帮助放射科医生写出正确的报告，并加强放射科医生作为多学科团队治疗急性胰腺炎患者的关键成员的作用。计算机断层扫描是急性胰腺炎最常进行的影像学检查。然而，由于其具有优越的软组织对比度分辨率和更好的胆管和胰管评估能力，例如在导管分离方面，磁共振成像在许多特定情况下也很有用。本文旨在回顾评估急性胰腺炎的成像采集和分析技术的最新进展。
