Current State of Imaging of Pediatric Pancreatitis: AJR Expert Panel Narrative Review.
Current State of Imaging of Pediatric Pancreatitis: AJR Expert Panel Narrative Review.
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DOI：
10.2214/ajr.21.25508
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发表时间：
2021-08
期刊：
影响因子：
--
通讯作者：
Anupindi SA
中科院分区：
文献类型：
--
作者：
Trout AT;Ayyala RS;Murati MA;Squires JH;Callahan MJ;Chavhan GB;Abu-El-Haija M;Anupindi SA
胰腺炎在儿童中与成人中一样常见，但儿童的病因和公认的影像学检查策略有所不同。在这篇叙述性综述中，我们讨论了儿童胰腺炎的流行病学以及儿科急性、急性复发性和慢性胰腺炎的关键影像学特征。我们在很大程度上依靠我们的集体经验来讨论不同成像方式的优缺点；儿童 MRCP 优化超声、CT 和 MRI 的实用技巧；和图像诠释珍珠。讨论了小儿胰腺炎成像所特有的挑战和注意事项，包括成像时机、促胰液素增强 MRCP 的作用、紧急 MRI 的实用性、严重程度预测、自身免疫性胰腺炎以及连续成像的最佳方法。我们建议对儿童胰腺 MRI 解读采取系统化的方法，并提供一份结构化报告样本，并根据我们对患有胰腺炎的儿童进行成像的经验提供共识声明。
Pancreatitis is as common in children as it is in adults, though causes and accepted imaging strategies differ in children. In this narrative review we discuss the epidemiology of childhood pancreatitis and key imaging features for pediatric acute, acute recurrent, and chronic pancreatitis. We rely heavily on our collective experience in discussing advantages and disadvantages of different imaging modalities; practical tips for optimization of ultrasound, CT, and MRI with MRCP in children; and image interpretation pearls. Challenges and considerations unique to imaging pediatric pancreatitis are discussed, including timing of imaging, role of secretin-enhanced MRCP, utility of urgent MRI, severity prediction, autoimmune pancreatitis, and best methods for serial imaging. We suggest a methodical approach to pancreatic MRI interpretation in children and have included a sample structured report, and we provide consensus statements according to our experience imaging children with pancreatitis.
影响因子：
0.9
作者：
Hong MJ;Porter LM;Esernio-Jenssen DD;Miller AC;Greenberg MR
通讯作者：
Greenberg MR