2004
DOI: 10.2214/ajr.183.6.01831637
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MRI of Pancreatitis and Its Complications: Part 1, Acute Pancreatitis

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Cited by 96 publications
(55 citation statements)
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“…The use of MRI for evaluation of Crohn's disease (4,5) and appendicitis is compelling considering that most patients are young and have a greater concern for ionizing radiation-induced malignancies from CT (13)(14)(15)(16). Other intraabdominal inflammatory processes shown to be delineated by T2W FS imaging includes diverticulitis (1,17) pancreatitis (18,19), pyelonephritis (20), cholecystitis (21), and for evaluation of the acute abdomen (8,19,22).…”
Section: Discussionmentioning
confidence: 99%
“…The use of MRI for evaluation of Crohn's disease (4,5) and appendicitis is compelling considering that most patients are young and have a greater concern for ionizing radiation-induced malignancies from CT (13)(14)(15)(16). Other intraabdominal inflammatory processes shown to be delineated by T2W FS imaging includes diverticulitis (1,17) pancreatitis (18,19), pyelonephritis (20), cholecystitis (21), and for evaluation of the acute abdomen (8,19,22).…”
Section: Discussionmentioning
confidence: 99%
“…Thus far, magnetic resonance imaging (MRI) has not been widely used in the care of patients with acute pancreatitis. While CT scan remains the primary imaging technique to evaluate patients with acute pancreatitis, recent reports have indicated that MRI has some advantages: the lack of nephrotoxicity of gadolinium as compared to an iodinated preparation used for contrast-enhanced CT scan, potential concerns regarding radiation exposure, the greater ability of MRI as compared to CT to distinguish necrosis from fluid, and the overall reliability of MRI as compared to CT scan in staging the severity of acute pancreatitis and its complications (36)(37)(38). In one study, secretin-MRCP provided accurate identification of retained bile duct stones and pancreatic duct leaks (38).…”
Section: Level Of Evidence: IIImentioning
confidence: 99%
“…However, signal changes between the pancreas and liver have been reported in a minority of patients with acute interstitial edematous pancreatitis [22] . Pancreatic interlobular septa: Acute pancreatitis can re-sult in pancreatic interlobular septal inflammation, edema, and fluid collections [7,23] . MR T2-weighted with fat-suppression images can accurately depict subtle interlobular septal abnormalities, such as threadlike hyperintense structures ( Figure 3).…”
Section: Pancreatic Patternsmentioning
confidence: 99%
“…Pancreatic hemorrhage: Pancreatic hemorrhage, also called hemorrhagic pancreatitis, is seen in 2%-5% of patients with acute pancreatitis and commonly occurs in the setting of severe forms of pancreatitis [8][9][10]23] . With conversion of hemoglobin to methemalbumin in the hemorrhagic zones, MRI shows the spotted or patchy (like "salt") ( Figure 7) or threadlike or girdle-shaped hyperintensity ( Figure 8) on T1-weighted images with fat suppression.…”
Section: Pancreatic Necrosismentioning
confidence: 99%