UNDERSTANDING THE INTERNATIONAL CONSENSUS FOR ACUTE PANCREATITIS: CLASSIFICATION OF ATLANTA 2012

Area of Science:

• Radiology
• Gastroenterology
• Medical Imaging

Background:

• Contrast computed tomography and magnetic resonance imaging are crucial for evaluating pancreatic and peripancreatic morphology in acute pancreatitis.
• Effective multidisciplinary team communication relies on a shared understanding of disease subtypes and potential complications.
• Existing terminology presented inconsistencies, hindering uniform diagnosis and management.

Purpose of the Study:

• To demonstrate the terminology and parameters for classifying acute pancreatitis findings according to the Atlanta Classification 2012.
• To highlight the importance of standardized radiological descriptions for improved patient outcomes.

Main Methods:

• A literature search and analysis of articles on acute pancreatitis and the Atlanta Review were conducted.
• Radiological diagnostic criteria from the American College of Radiology were adopted.
• Data from Datasus and the 2010 Population Census supplemented the analysis.

Main Results:

• Twenty-three articles with radiological, management, or statistical data were selected.
• The Atlanta Classification 2012 aims to standardize radiological findings, particularly fluid collections.
• Outdated terms like 'pancreatic abscess' and 'phlegmon' are replaced by precise descriptions such as 'acute peripancreatic collections', 'acute necrotic collections', 'pseudocyst', and 'necrosis pancreatic walled or isolated'.

Conclusions:

• Computed tomography and magnetic resonance imaging are the premier imaging modalities for diagnosing acute pancreatitis.
• Standardizing terminology is critical for enhancing patient management, risk stratification, and treatment efficacy among healthcare professionals.