Acute pancreatitis: The role of imaging in diagnosis and management

Bharwani, Nishat; Patel, Suresh; Prabhudesai, Shirish G.; Fotheringham, Tim; Power, Niall

doi:10.1016/j.crad.2010.09.003

Cited by 59 publications

(37 citation statements)

References 49 publications

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“…Hem etyolojinin ortaya konulması hem de tedavi takip süreçlerinde radyolojik görüntüleme metodları önemli bir yere sahiptir. Radyolojik modaliteler özellikle tedavi ve takip süreçlerinde ortaya çıkan lokal komplikasyonların değerlendirilmesinde tercih edilmektedir (Tablo 2) [5]. Kontrastlı bilgisayarlı tomografi (BT), (Kronik pankreatit olsun veya olmasın)…”

Section: Resi̇mlerle Bi̇r Konuunclassified

“…Akut pankreatitli hastalarda kontrastlı BT majör endikasyonları [5]; * Tanıyı doğrulamak (özellikle klinik ve laboratuvar bulguları ile kesin tanı konulamıyorsa); BT akut pankreatitin nedenini ortaya koyabilir veya alternatif tanı ortaya konmasında yardımcı olur. * Akut pankreatitin şiddetini belirlemek ve lokal komplikasyon tespiti için kullanılır.…”

Section: Resi̇mlerle Bi̇r Konuunclassified

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Revised Atlanta classification and roadmap of radiologist

Koç¹,

Çam²

2018

Türk Radyoloji Derg

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Section: Resi̇mlerle Bi̇r Konuunclassified

Revised Atlanta classification and roadmap of radiologist

Koç¹,

Çam²

2018

Türk Radyoloji Derg

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“… Erradiologia. Sabelaldeko ekografiak ez du pankrea aztertzeko aukera egokirik ematen gehienetan, hesteetako aireak galarazten duelako (15). Haren balio nagusia etiologia zehaztea da, behazun-bidean kalkulurik baden ala ez adierazten digulako.…”

Section: Pankreatitis Akutua Duen Paziente Baten Arreta Larrialdi Zerunclassified

Pankreatitis akutua duen pazientearen artatzea

Zubia

2017

Osag

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LaburpenaPankreatitis akutua pankrearen gaixotasun onbera eta akutua da. Kasurik gehienetan arina izan ohi da, baina formarik larrienetan hilkortasun-eta konplikazio-tasa handiak izan ditzake. Kasu larri horietarako, oso garrantzitsua da espezialitate anitzeko protokolo bat izatea, maila ezberdinetan eman beharreko arreta hitzartua duena. Berrikuspen-lan honetan maila ezberdin bakoitzean eman beharreko arreta egokia deskribatzen da. Larrialdi Zerbitzuetan: Diagnostikoa egin, Analgesia egokia, Larritasun-mailaren balorazioa, Hidratazio egokia hasi. Ospitaleratze Unitateetan: Ezinbestekoa da pazientearen larritasuna modu kliniko eta analitikoan egiaztatzea, 12 orduan behin, lehen 48 orduetan. Edozein momentutan organo-gutxiegitasun datuak atzematen badira, pazientea Zainketa Intentsiboen Unitatean artatu behar da. Horretaz gain, honako neurri hauek hartuko dira: analgesia mantendu, hidratazio egokia eman, elikadura hasi, sabelalde barneko presioa neurtu, erradiologiaprobak egin. Antibiotiko enpirikoaren erabilera ez da gomendatzen. Kirurgiarako indikazioak: Tratamendu medikoarekin konpontzen ez den sabelalde barneko presioaren igoera larria, nekrosi infektatua (neurri minimoki inbaditzaileez saia liteke lehen urrats moduan, edo step-up estrategia), hesteen zulaketa, hemorragia akutua (erradiologia interbentzionista erabiltzen da normalean). Ondorioak: Pankreatitis akutua gaixotasun arina da gehienetan, baina kasurik larrienetan hilkortasuneta konplikazio-tasa altua ditu. Horiek artatzeko protokolo bat izatea eta parte hartzen duten espezialista ezberdinen elkarlana ezinbestekoa da.Gako-hitzak: pankreatitis akutua, protokolo klinikoa, kirurgia. Abstract Acute pancreatitis is an acute but benign disease of the pancreas. It is usually a mild illness, but in its

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“…CT provides objective images of a wide area of the body without being affected by gas in the gastrointestinal tract or adipose tissue in the abdominal wall or cavity and is suitable for the evaluation of not only pancreatic necrosis and changes around the pancreas, but also complications extending to other parts [95][96][97][98]. CT is used for the severity assessment as well as diagnosis of acute pancreatitis as mentioned below, and contrast-enhanced CT is recommended, if possible.…”

Section: Commentsmentioning

confidence: 99%

“…Sagittal T2-weighted image. The continuity of the anterior cruciate ligament is interrupted in the middle part (rightwards arrow) with its fragments swelling, increased in signal intensity, and luxed (blackup pointing triangle) (95-97) % for the lateral meniscus tears, 94 (92)(93)(94)(95)(96)(97) and 94 (93)(94)(95)(96) % for the anterior cruciate ligament tears, and 91 (83-99) and 99 (99-100) % for the posterior cruciate ligaments tears, respectively. By a meta-analysis by Crawford et al [153], the sensitivity, specificity, and accuracy of MRI were 91.4, 81.1, and 86.3 % for medial meniscus tears, 76.0, 93.3, and 88.8 % for lateral meniscus tears, and 86.5, 95.2, and 93.4 % for anterior cruciate ligament tears, respectively.…”

Section: Commentsmentioning

confidence: 99%

The essence of the Japan Radiological Society/Japanese College of Radiology Imaging Guideline

et al. 2015

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Diagnostic imaging is undoubtedly important in modern medicine, and final clinical decisions are often made based on it. Fortunately, Japan has the highest numbers of diagnostic imaging instruments, such as CT and MRI devices, and boasts easy access to them as well as a high level of diagnostic accuracy. In consequence, a very large number of imaging examinations are performed, but diagnostic instruments are installed in so many medical facilities that expert management of these examinations tends to be insufficient. Particularly, in order to avoid risks, clinicians have recently become indifferent to indications of imaging modalities and tend to rely on CT or MRI resulting in increasing the number of imaging examinations in Japan. This is a serious problem from the viewpoints of avoidance of unnecessary exposure and medical economy. Under these circumstances, the Japan Radiological Society and Japanese College of Radiology jointly initiated the preparation of new guidelines for diagnostic imaging. However, the field of diagnostic imaging is extremely wide, and it is impossible to cover all diseases. Therefore, in drafting the guidelines, we selected important diseases and focused on ''showing evidence and suggestions in the form of clinical questions (CQs)'' concerning clinically encountered questions and ''describing routine imagingThe Japan Radiological Society/Japanese College of Radiology Imaging Guideline was published in 2013.The homepage of the Japan Radiological Society contains information about all CQs of the Japanese Imaging Guideline 2013 as an English version http://www.radiology.jp/english/guideline.html. Radiol (2016) 34:43-79 DOI 10.1007 techniques presently considered to be standards to guarantee the quality of imaging examinations''. In so doing, we adhered to the basic principles of assuming the readers to be ''radiologists specializing in diagnostic imaging'', ''simultaneously respecting the global standards and attending to the situation in Japan'', and ''making the guidelines consistent with those of other scientific societies related to imaging''. As a result, the guidelines became the largest ever, consisting of 152 CQs, nine areas of imaging techniques, and seven reviews, but no other guidelines in the world summarize problems concerning diagnostic imaging in the form of CQs. In this sense, the guidelines are considered to reflect the abilities of diagnostic radiologists in Japan. The contents of the guidelines are essential knowledge for radiologists, but we believe that they are also of use to general clinicians and clinical radiological technicians. While the number and contents of CQs are still insufficient, and while chapters such as those on imaging in children and emergency imaging need to be supplemented, the guidelines will be serially improved through future revisions. Lastly, we would like to extend our sincere thanks to the 153 members of the drafting committee who authored the guidelines, 12 committee chairpersons who coordinated their efforts, six members of the...

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Acute pancreatitis: The role of imaging in diagnosis and management

Cited by 59 publications

References 49 publications

Revised Atlanta classification and roadmap of radiologist

Revised Atlanta classification and roadmap of radiologist

Pankreatitis akutua duen pazientearen artatzea

The essence of the Japan Radiological Society/Japanese College of Radiology Imaging Guideline

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