Radiology of acute pancreatitis today: the Atlanta classification and the current role of imaging in its diagnosis and treatment

被引:30
作者
Ortiz Morales, C. M. [1 ]
Girela Baena, E. L. [1 ]
Olalla Munoz, J. R. [1 ]
Parlorio de Andres, E. [1 ]
Lopez Corbalan, J. A. [1 ]
机构
[1] Hosp JM Morales Meseguer, Serv Radiodiagnost, Murcia, Spain
来源
RADIOLOGIA | 2019年 / 61卷 / 06期
关键词
Pancreatitis; Classification; Muttidetector computed tomography; Fine-needle aspiration; Percutaneous drainage; INFECTED NECROTIZING PANCREATITIS; DETERMINANT-BASED CLASSIFICATION; STEP-UP APPROACH; CATHETER DRAINAGE; FLUID COLLECTIONS; SEVERITY; NECROSECTOMY; NECROSIS; CT; MANAGEMENT;
D O I
10.1016/j.rx.2019.04.001
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Acute pancreatitis is common and requires multidisciplinary management. The revised Atlanta classification, published in 2012, defines the terminology necessary to enable specialists from different backgrounds to discuss the morphological and clinical types of acute pancreatitis. Radiologists' role depends fundamentally on computed tomography (CT), which makes it possible to classify the morphology of this disease and to predict its clinical severity by applying imaging severity indices. Furthermore, CT- or ultrasound-guided drainage is, together with endoscopy, the current technique of choice in the initial approach to collections that appear as a complication. This paper aims to disseminate the concepts coined in the revised Atlanta classification and to describe the current role of radiologists in the diagnosis and treatment of acute pancreatitis. (C) 2019 SERAM. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:453 / 466
页数:14
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