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Current State of Imaging of Pediatric Pancreatitis: AJR Expert Panel Narrative Review

Andrew T Trout1,2,3, Rama S Ayyala1,2, Michael A Murati4

  • 1Department of Radiology, Cincinnati Children's Hospital Medical Center, MLC 5031, 3333 Burnet Ave, Cincinnati, OH, 45229.

AJR. American Journal of Roentgenology
|March 17, 2021
PubMed

Insights

Pediatric pancreatitis diagnosis requires tailored imaging approaches. This review details ultrasound, CT, and MRI/MRCP techniques for diagnosing acute, recurrent, and chronic pancreatitis in children.

Area of Science:

  • Pediatric Gastroenterology
  • Medical Imaging
  • Pancreatic Diseases

Background:

  • Pancreatitis affects children and adults, but causes and imaging differ.
  • Pediatric pancreatitis requires specific diagnostic considerations.

Purpose of the Study:

  • To review the epidemiology of childhood pancreatitis.
  • To outline key imaging features for pediatric pancreatitis.
  • To provide practical guidance on imaging modalities for pediatric pancreatitis.

Main Methods:

  • Narrative review of existing literature and collective expert experience.
  • Discussion of advantages and disadvantages of ultrasound, CT, and MRI with MRCP.
  • Focus on optimization and interpretation of pediatric pancreatic imaging.

Main Results:

  • Key imaging features for acute, acute recurrent, and chronic pancreatitis in children are presented.
  • Practical tips for optimizing and interpreting pediatric pancreatic imaging are provided.
  • Challenges unique to pediatric pancreatic imaging are discussed, including timing and specific techniques like secretin-enhanced MRCP.

Conclusions:

  • A methodical approach to pancreatic MRI interpretation in children is suggested.
  • Consensus statements based on expert experience in imaging pediatric pancreatitis are offered.
  • The review aims to guide optimal imaging strategies for childhood pancreatitis.

Keywords:
CTMRIpancreaspancreatitisultrasound

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