Gastrointestinal tract involvement in acute pancreatitis: initial findings and follow-up by magnetic resonance imaging

Ji, Yi-Fan; Zhang, Xiaoming; Mitchell, Don G.; Li, Xinghui; Chen, Tianwu; Li, Yong; Bao, Zhiguo; Tang, Wei; Xiao, Bo; Xiao-hua, Huang; Yang, Lin

doi:10.21037/qims.2017.12.03

Cited by 10 publications

(10 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Magnetic resonance imaging (MRI) is sensitive to the mild and edematous AP and clearly shows necrotic areas even without enhancement and assesses the inflammatory changes accurately, offering complementary information for CT in the assessment of pancreatic and peripancreatic changes. MRI has become a more and more important tool in evaluating the pancreas and peripancreas changes (11)(12)(13). Furthermore, the intravoxel incoherent motion (IVIM) MRI can help to assess the functional properties of tissues, reflecting the random microscopic motion that occurs in voxels on the MR images of water molecule (either intracellular or extracellular) and the microcirculation of blood.…”

Section: Original Articlementioning

confidence: 99%

Spleen and splenic vascular involvement in acute pancreatitis: an MRI study

Xie¹,

Zhang²,

Chen³

et al. 2018

Quant. Imaging Med. Surg.

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Original Articlementioning

confidence: 99%

Spleen and splenic vascular involvement in acute pancreatitis: an MRI study

Xie¹,

Zhang²,

Chen³

et al. 2018

Quant. Imaging Med. Surg.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Studies show that approximately 63% of patients with AP have gastrointestinal abnormalities (47). neoplastic lesions.…”

Section: Gastrointestinal Tract Involvementmentioning

confidence: 99%

“…The middle wall shows high signals, and the internal and external ring show hypointensity; together, these form the so-called "target sign" on T2WI, and the post-contrast scan also shows stratified enhancement (48) (Figure 13). Ji et al (47) hypothesized that the closer to the pancreas, the more serious the abnormalities in the tissues and organs; they found that the colon and duodenum were the most vulnerable organs. Gastrointestinal tract involvement plays an important role in assessing the severity and monitoring the efficacy of treatment (47).…”

Section: Gastrointestinal Tract Involvementmentioning

confidence: 99%

“…Ji et al (47) hypothesized that the closer to the pancreas, the more serious the abnormalities in the tissues and organs; they found that the colon and duodenum were the most vulnerable organs. Gastrointestinal tract involvement plays an important role in assessing the severity and monitoring the efficacy of treatment (47). If attention is not paid to intestinal injuries in the early stage of the disease, with the progression of the disease a large number of toxins and inflammatory mediators can be released, and bacteria can even be translocated.…”

Section: Gastrointestinal Tract Involvementmentioning

confidence: 99%

See 1 more Smart Citation

MR imaging for acute pancreatitis: the current status of clinical applications

Sun¹,

Zuo²,

Lin³

et al. 2019

Ann. Transl. Med

Self Cite

View full text Add to dashboard Cite

Acute pancreatitis is a common clinical acute abdomen. Imaging examinations play an important role in the management of acute pancreatitis. MR imaging is a noninvasive examination with high tissue contrast and a variety of acquisition sequences that can help determine the diagnosis, complications and severity of acute pancreatitis. The acute pancreatitis classification working group modified the Atlanta classification in 2012 to improve clinical evaluations and standardize the radiologic nomenclature for acute pancreatitis. In particular, the redefinition of necrotizing pancreatitis offers a new understanding of this disease. In clinical practice, there is still a lack of unifying standards between radiologists and physicians, such as for the imaging features of pseudocysts, walled-off necrosis, peripancreatic necrosis and especially for the MR imaging features of acute pancreatitis. In this article, we review the 2012 revised Atlanta classification of acute pancreatitis and recent advances in the clinical applications of MR imaging (MRI) in acute pancreatitis by showing how MRI can provide more optimized information for clinical diagnosis and treatment plan.

show abstract

“…MR imaging is a noninvasive and nonionizing radiation imaging modality with high spatial resolution and excellent tissue identification through multi-parameter sequences. The broad field of view and multiplanar imaging allow MR imaging to survey the whole pelvis, which can facilitate the evaluation of lesion extension (8)(9)(10). In present pictorial review, we will exhibit DIE at different anatomic sites with surgical correlation.…”

Section: Introductionmentioning

confidence: 99%

Deep infiltrating endometriosis MR imaging with surgical correlation

Tang

Ling

Gong

et al. 2018

Quant. Imaging Med. Surg.

View full text Add to dashboard Cite

In this pictorial review, MR imaging findings of deep infiltrating endometriosis (DIE) are illustrated together with surgical correlation. DIE can appear as irregular nodules or plaques with similar signal intensity to muscle on both T1-weighted and T2-weighted images. Hemorrhage foci and strands or stellate margins are also often noted. Restriction of diffusion can be seen on diffusion-weighted image. Fibrosis and adhesions often result in morphologic changes, such as alimentary tract tortuosity, irregular or nodular thickening of uterosacral ligaments, and partial or complete obliteration of the pouch of Douglas. After intravenous gadolinium contrast agent administration, homo- or heterogeneous mild to moderate enhancement can be observed. MR imaging can depict endometriosis lesions and extension of DIE at different anatomic locations, which is well consistent with surgical findings. Combining signal and morphological abnormalities, MR imaging can diagnose and assess the extension of DIE with high accuracy. MR imaging findings of DIE facilitate surgeons at treatment decision making and patient communication.

show abstract

Gastrointestinal tract involvement in acute pancreatitis: initial findings and follow-up by magnetic resonance imaging

Abstract: Gastrointestinal tract abnormalities on MRI are common in AP and they are positively correlated with the severity of AP. It may add value for determining the severity of AP.

Cited by 10 publications

References 46 publications

Spleen and splenic vascular involvement in acute pancreatitis: an MRI study

Spleen and splenic vascular involvement in acute pancreatitis: an MRI study

MR imaging for acute pancreatitis: the current status of clinical applications

Deep infiltrating endometriosis MR imaging with surgical correlation

Contact Info

Product

Resources

About