| Autor: |
Trout AT; Department of Radiology, Cincinnati Children's Hospital Medical Center, MLC 5031, 3333 Burnet Ave, Cincinnati, OH, 45229.; Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH.; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH., Ayyala RS; Department of Radiology, Cincinnati Children's Hospital Medical Center, MLC 5031, 3333 Burnet Ave, Cincinnati, OH, 45229.; Department of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH., Murati MA; Department of Radiology, M Health Fairview University of Minnesota Masonic Children's Hospital, Minneapolis, MN., Squires JH; Department of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, PA.; Department of Radiology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA., Callahan MJ; Department of Radiology, Boston Children's Hospital, Harvard Medical School, Boston, MA., Chavhan GB; Department of Diagnostic Imaging, Hospital for Sick Children, Toronto, ON, Canada.; Department of Medical Imaging, University of Toronto, Toronto, ON, Canada., Abu-El-Haija M; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.; Division of Pediatric Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH., Anupindi SA; Department of Radiology, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. |
| Abstrakt: |
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. |
