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Acute Pancreatitis

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Magnetic Resonance Cholangiopancreatography (MRCP)

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Abstract

Acute pancreatitis is defined as an acute inflammatory process of the pancreas.

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References

  1. Balthazar EJ (2002) Acute pancreatitis: assessment of severity with clinical and CT evaluation. Radiology 223:603–613

    Article  PubMed  Google Scholar 

  2. Lecesne R, Taourel P, Bret PM et al (1999) Acute pancreatitis: interobserver agreement and correlation of CT and MR cholangiopancreatography with outcome. Radiology 211:727–735

    Article  PubMed  CAS  Google Scholar 

  3. Gillams AR, Kurzawinski T, Lees WR (2006) Diagnosis of duct disruption and assessment of pancreatic leak with dynamic secretin-stimulated MR cholangiopancreatography. AJR Am J Roentgenol 186:499–506

    Article  PubMed  CAS  Google Scholar 

  4. Soto JA, Velez SM, Guzman J (1999) Choledocholithiasis: diagnosis with oral-contrast-enhanced CT cholangiography. AJR Am J Roentgenol 172:943–948

    Article  PubMed  CAS  Google Scholar 

  5. Banks PA (1994) A new classification system for acute pancreatitis. Am J Gastroenterol 89:151–152

    PubMed  CAS  Google Scholar 

  6. Bradley EL 3rd (1993) A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, Ga, September 11 through 13, 1992. Arch Surg 128:586–590

    Article  PubMed  Google Scholar 

  7. Morgan DE (2008) Imaging of acute pancreatitis and its complications. Clin Gastroenterol Hepatol 6:1077–1085

    Article  PubMed  Google Scholar 

  8. Kiriyama S, Gabata T, Takada T et al (2010) New diagnostic criteria of acute pancreatitis. J Hepatobiliary Pancreat Sci 17:24–36

    Article  PubMed  Google Scholar 

  9. Arvanitakis M, Delhaye M, {paDe} Maertelaere V et al (2004) Computed tomography and magnetic resonance imaging in the assessment of acute pancreatitis. Gastroenterology 126:715–723

    Google Scholar 

  10. Irie H, Honda H, Baba S et al (1998) Autoimmune pancreatitis: CT and MR characteristics. AJR Am J Roentgenol 170:1323–1327

    Article  PubMed  CAS  Google Scholar 

  11. Arvanitakis M, Delhaye M, Bali MA et al (2007) Pancreatic-fluid collections: a randomized controlled trial regarding stent removal after endoscopic transmural drainage. Gastrointest Endosc 65:609–619

    Article  PubMed  Google Scholar 

  12. Stimac D, Krznarié Zrnié I et al (2007) Outcome of the biliary acute pancreatitis is not associated with body mass index. Pancreas 34:165–166; author reply 166-167

    Article  PubMed  Google Scholar 

  13. Viremouneix L, Monneuse O, Gautier G et al (2007) Prospective evaluation of nonenhanced MR imaging in acute pancreatitis. J Magn Reson Imaging 26:331–338

    Article  PubMed  Google Scholar 

  14. Amano Y, Oishi T, Takahashi M, Kumazaki T (2001) Nonenhanced magnetic resonance imaging of mild acute pancreatitis. Abdom Imaging 26:59–63

    Article  PubMed  CAS  Google Scholar 

  15. Gryspeerdt S, {paVan} Hoe L, Baert AL (1998) MRI of pancreatitis. In: Heuck RM (ed) Magnetic resonance imaging of the abdomen and pelvis. Springer, Berlin, Heidelberg, New York, p 91–108

    Google Scholar 

  16. Balthazar EJ, Robinson DL, Megibow AJ, Ranson JH (1990) Acute pancreatitis: value of CT in establishing prognosis. Radiology 174:331–336

    PubMed  CAS  Google Scholar 

  17. Miller FH, Keppke AL, Dalal K et al (2004) MRI of pancreatitis and its complications: part 1, acute pancreatitis. AJR Am J Roentgenol 183:1637–1644

    Article  PubMed  Google Scholar 

  18. Piironen A, Kivisaari R, Pitkäranta P et al (1997) Contrast-enhanced magnetic resonance imaging for the detection of acute haemorrhagic necrotizing pancreatitis. Eur Radiol 7:17–20

    Article  PubMed  CAS  Google Scholar 

  19. Ranson JH, Balthazar E, Caccavale R, Cooper M (1985) Computed tomography and the prediction of pancreatic abscess in acute pancreatitis. Ann Surg 201:656–665

    Article  PubMed  CAS  Google Scholar 

  20. Saifuddin A, Ward J, Ridgway J, Chalmers AG (1993) Comparison of MR and CT scanning in severe acute pancreatitis: initial experiences. Clin Radiol 48:111–116

    Article  PubMed  CAS  Google Scholar 

  21. Balthazar EJ (1994) Pancreatitis. In: Gore RM, Laufer I (eds) Textbook of gastrointestinal radiology. Saunders, Philadelphia, p 2132–2160

    Google Scholar 

  22. Balthazar EJ, Ranson JH, Naidich DP et al (1985) Acute pancreatitis: prognostic value of CT. Radiology 156:767–772

    PubMed  CAS  Google Scholar 

  23. Morgan DE, Baron TH, Smith JK et al (1997) Pancreatic fluid collections prior to intervention: evaluation with MR imaging compared with CT and US. Radiology 203:773–778

    PubMed  CAS  Google Scholar 

  24. Bollen TL, Singh VK, Maurer R et al (2012) A comparative evaluation of radiologic and clinical scoring systems in the early prediction of severity in acute pancreatitis. Am J Gastroenterol 107:612–619

    Article  PubMed  Google Scholar 

  25. Telem DA, Bowman K, Hwang J et al (2009) Selective management of patients with acute biliary pancreatitis. J Gastrointest Surg 13:2183–2188

    Article  PubMed  Google Scholar 

  26. Morgan DE, Baron TH (1998) Practical imaging in acute pancreatitis. Semin Gastrointest Dis 9:41–50

    PubMed  CAS  Google Scholar 

  27. Tsay DG, Niederau C, Schmidt H et al (1987) Experimental acute pancreatitis. In vitro magnetic resonance characteristics. Invest Radiol 22:556–561

    Article  PubMed  CAS  Google Scholar 

  28. Piironen A, Kivisaari R, Pitkäranta P et al (1995) Dynamic high-field MR imaging in experimental porcine acute pancreatitis. Acta Radiol 36:182–187

    PubMed  CAS  Google Scholar 

  29. Semelka RC, Kroeker MA, Shoenut JP et al (1991) Pancreatic disease: prospective comparison of CT, ERCP, and 1,5-T MR imaging with dynamic gadolinium enhancement and fat suppression. Radiology 181:785–791

    PubMed  CAS  Google Scholar 

  30. Ward J, Chalmers AG (1997) T2-weighted and dynamic enhanced MRI in acute pancreatitis: comparison with contrast-enhanced CT. Clin Radiol 52:109–114

    Article  PubMed  CAS  Google Scholar 

  31. Pedrosa I, Rofsky NM (2003) MR imaging in abdominal emergencies. Radiol Clin North Am 41:1243–1273

    Article  PubMed  Google Scholar 

  32. Soto JA, Barish MA, Yucel EK et al (1996) MR cholangiopancreatography after unsuccessful or incomplete ERCP. Radiology 199:91–98

    PubMed  CAS  Google Scholar 

  33. Reinhold C, Bret PM (1996) Current status of MR cholangiopancreatography. AJR Am J Roentgenol 166:1285–1295

    Article  PubMed  CAS  Google Scholar 

  34. Makary MA, Duncan MD, Harmon JW et al (2005) The role of magnetic resonance cholangiography in the management of patients with gallstone pancreatitis. Ann Surg 241:119–124

    PubMed  Google Scholar 

  35. Kim TK, Han JK, Kim SJ et al (1998) MR cholangiopancreatography: comparison between half-Fourier acquisition single-shot turbo spin-echo and two-dimensional turbo spin-echo pulse sequences. Abdom Imaging 23:398–403

    Article  PubMed  CAS  Google Scholar 

  36. Romagnuolo J, Currie G (2005) Noninvasive vs. selective invasive biliary imaging for acute biliary pancreatitis: an economic evaluation by using decision tree analysis. Gastrointest Endosc 61:86–97

    Article  PubMed  Google Scholar 

  37. Feliciano DV, Martin TD, Cruse PA et al (1987) Management of combined pancreatoduodenal injuries. Ann Surg 205:673–680

    Article  PubMed  CAS  Google Scholar 

  38. Sica GT, Braver J, Cooney MJ et al (1999) Comparison of endoscopic retrograde cholangiopancreatography with MR cholangiopancreatography in patients with pancreatitis. Radiology 210:605–610

    Article  PubMed  CAS  Google Scholar 

  39. Fulcher AS, Turner MA, Capps GW et al (1998) Half-fourier RARE MR cholangiopancreatography in 300 subjects. Radiology 207:21–32

    PubMed  CAS  Google Scholar 

  40. Schaarschmidt BF, Goldberg HI, Schmid R et al (1983) Current concpets in diagnosis. Approach to the patient with cholestatic jaundice. N Engl J Med 308:1515–1519

    Article  Google Scholar 

  41. Fulcher AS, Turner MA, Yelon JA et al (2000) Magnetic resonance cholangiopancreatography (MRCP) in the assessment of pancreatic duct trauma and its sequelae: preliminary findings. J Trauma 48:1001–1007

    Article  PubMed  CAS  Google Scholar 

  42. Retter J, Dinter D, Bersch C et al (2007) Acute recurrent pancreatitis curtaining an intraductal papillary mucinous tumor of the pancreas. J Gastrointestin Liver Dis 16:445–447

    PubMed  Google Scholar 

  43. Madura JA, Wiebke EA, Howard TJ et al (1997) Mucin-hypersecreting intraductal neoplasms of the pancreas: a precursor to cystic pancreatic malignancies. Surgery 122(4):786–792; discussion 792-793

    Article  PubMed  CAS  Google Scholar 

  44. Tibayan F, Vierra M, Mindelzun B et al (2000) Clinical presentation of mucin-secreting tumors of the pancreas. Am J Surg 179:349–351

    Article  PubMed  CAS  Google Scholar 

  45. Loftus EV Jr, Olivares-Pakzad BA, Batts KP et al (1996) Intraductal papillary-mucinous tumors of the pancreas: clinicopathologic features, outcome, and nomenclature. Members of the Pancreas Clinic, and Pancreatic Surgeons of Mayo Clinic. Gastroenterology 110:1909–1918

    Article  PubMed  Google Scholar 

  46. Santini D, Campione O, Salerno A et al (1995) Intraductal papillary-mucinous neoplasm of the pancreas. A clinicopathologic entity. Arch Pathol Lab Med 119:209–213

    CAS  Google Scholar 

  47. Venkatesh PG, Navaneethan U, Vege SS (2011) Intraductal papillary mucinous neoplasm and acute pancreatitis. J Clin Gastroenterol 45:755–758

    Article  PubMed  Google Scholar 

  48. Koito K, Namieno T, Ichimura T et al (1998) Mucinproducing pancreatic tumors: comparison of MR cholangiopancreatography with endoscopic retrograde cholangiopancreatography. Radiology 208:231–237

    PubMed  CAS  Google Scholar 

  49. Kim YH, Saini S, Sahani D et al (2005) Imaging diagnosis of cystic pancreatic lesions: pseudocyst versus nonpseudocyst. Radiographics 25:671–685

    Article  PubMed  Google Scholar 

  50. Klein SD, Affronti JP (2004) Pancreas divisum, an evidence-based review: part I, pathophysiology. Gastrointest Endosc 60:419–425

    Article  PubMed  Google Scholar 

  51. Mortele KJ, Wiesner W, Zou KH et al (2004) Asymptomatic nonspecific serum hyperamylasemia and hyperlipasemia: spectrum of MRCP findings and clinical implications. Abdom Imaging 29:109–114

    Article  PubMed  CAS  Google Scholar 

  52. Manfredi R, Lucidi V, Gui B et al (2002) Idiopathic chronic pancreatitis in children: MR cholangiopancreatography after secretin administration. Radiology 224:675–682

    Article  PubMed  Google Scholar 

  53. Manfredi R, Costamagna G, Brizi MG et al (2000) Pancreas divisum and “santorinicele”: diagnosis with dynamic MR cholangiopancreatography with secretin stimulation. Radiology 217:403–408

    Article  PubMed  CAS  Google Scholar 

  54. Asayama Y, Fang W, Stolpen A, Kuehn D (2012) Detectability of pancreas divisum in patients with acute pancreatitis on multi-detector row computed tomography. Emerg Radiol 19:121–125

    Article  PubMed  Google Scholar 

  55. Matos C, Metens T, Devière J et al (2001) Pancreas divisum: evaluation with secretin-enhanced magnetic resonance cholangiopancreatography. Gastrointest Endosc 53:728–733

    Article  PubMed  CAS  Google Scholar 

  56. Ahearne PM, Baillie JM, Cotton PB et al (1992) An endoscopic retrograde cholangiopancreatography (ERCP)-based algorithm for the management of pancreatic pseudocysts. Am J Surg 163:111–115; discussion 115–116

    Article  PubMed  CAS  Google Scholar 

  57. Gaa J, Georgi M (1997) Breath-hold three dimensional gadolinium-enhanced dual-phase MR angiography in the abdomen: first clinical results. In: Oudkerk M (ed) High-power gradient MR-imaging. Blackwell Science, Berlin, p 334–339

    Google Scholar 

  58. Mandel SR, Jaques PF, Sanofsky S, Mauro MA (1987) Nonoperative management of peripancreatic arterial aneurysms. A 10-year experience. Ann Surg 205:126–128

    Article  PubMed  CAS  Google Scholar 

  59. Vujic I (1989) Vascular complications of pancreatitis. Radiol Clin North Am 27:81–91

    PubMed  CAS  Google Scholar 

  60. Chavhan GB, Babyn PS, Manson D, Vidarsson L (2008) Pediatric MR cholangiopancreatography: principles, technique, and clinical applications. Radiographics 28:1951–1962

    Article  PubMed  Google Scholar 

  61. Bosboom D, Braam AW, Blickman JG, Wijnen RM (2006) The role of imaging studies in pancreatic injury due to blunt abdominal trauma in children. Eur J Radiol 59:3–7

    Article  PubMed  CAS  Google Scholar 

  62. Nievelstein RA, {pavan} Dam IM, {pavan der} Molen AJ (2010) Multidetector CT in children: current concepts and dose reduction strategies. Pediatr Radiol 40:1324–1344

    Google Scholar 

  63. Sutherland I, Ledder O, Crameri J et al (2010) Pancreatic trauma in children. Pediatr Surg Int 26:1201–1206

    Article  PubMed  Google Scholar 

  64. Jacombs AS, Wines M, Holland AJ et al (2004) Pancreatic trauma in children. J Pediatr Surg 39:96–99

    Article  PubMed  CAS  Google Scholar 

  65. Holland AJ, Davey RB, Sparnon AL et al (1999) Traumatic pancreatitis: long-term review of initial non-operative management in children. J Paediatr Child Health 35:78–81

    Article  PubMed  CAS  Google Scholar 

  66. Nadler EP, Gardner M, Schall LC et al (1999) Management of blunt pancreatic injury in children. J Trauma 47:1098–1103

    Article  PubMed  CAS  Google Scholar 

  67. Houben CH, Ade-Ajayi N, Patel S et al (2007) Traumatic pancreatic duct injury in children: minimally invasive approach to management. J Pediatr Surg 42:629–635

    Article  PubMed  Google Scholar 

  68. Stringer MD (2005) Pancreatic trauma in children. Br J Surg 92:467–470

    Article  PubMed  CAS  Google Scholar 

  69. Burnweit C, Wesson D, Stringer D, Filler R (1990) Percutaneous drainage of traumatic pancreatic pseudocysts in children. J Trauma 30:1273–1277

    Article  PubMed  CAS  Google Scholar 

  70. Shilyansky J, Sena LM, Kreller M et al (1998) Nonoperative management of pancreatic injuries in children. J Pediatr Surg 33:343–349

    Article  PubMed  CAS  Google Scholar 

  71. Al-Shanafey S, Shun A, Williams S (2004) Endoscopic drainage of pancreatic pseudocysts in children. J Pediatr Surg 39:1062–1065

    Article  PubMed  Google Scholar 

  72. Wind P, Tiret E, Cunningham C et al (1999) Contribution of endoscopic retrograde pancreatography in management of complications following distal pancreatic trauma. Am Surg 65:777–783

    PubMed  CAS  Google Scholar 

  73. Firstenberg MS, Malangoni MA (1998) Gastrointestinal surgery during pregnancy. Gastroenterol Clin North Am 27:73–88

    Article  PubMed  CAS  Google Scholar 

  74. Moon JH, Cho YD, Cha SW et al (2005) The detection of bile duct stones in suspected biliary pancreatitis: comparison of MRCP, ERCP, and intraductal US. Am J Gastroenterol 100:1051–1057

    Article  PubMed  Google Scholar 

  75. Shellock FG, Kanal E (1991) Policies, guidelines, and recommendations for MR imaging safety and patient management. SMRI Safety Committee. J Magn Reson Imaging 1:97–101

    Article  PubMed  CAS  Google Scholar 

  76. ACOG Committee on Obstetric Practice (2004) ACOG Committee Opinion. Number 299, September 2004 (replaces No. 158, September 1995). Guidelines for diagnostic imaging during pregnancy. Obstet Gynecol 104:647–651

    Google Scholar 

  77. Oto A, Ernst R, Ghulmiyyah L et al (2009) The role of MR cholangiopancreatography in the evaluation of pregnant patients with acute pancreaticobiliary disease. Br J Radiol 82:279–285

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, G.B. Rossi University Hospital, Verona, Italy

    Riccardo Manfredi

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  1. Riccardo Manfredi
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  2. Francesco Principe
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  3. Riccardo De Robertis Lombardi
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  4. Lucia Camera
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  5. Roberto Pozzi Mucelli
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Correspondence to Riccardo Manfredi .

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Manfredi, R., Principe, F., De Robertis Lombardi, R., Camera, L., Mucelli, R.P. (2013). Acute Pancreatitis. In: Magnetic Resonance Cholangiopancreatography (MRCP). Springer, Milano. https://doi.org/10.1007/978-88-470-2844-9_6

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  • DOI: https://doi.org/10.1007/978-88-470-2844-9_6

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