Share：
Share this content in WeChat
X
[Chinese][PDF]89286
• Academic Debate •
Dynamic changes of necrotizing pancreatitis: "Transmural pancreatic necrosis-Pancreatic duct disruption-Walled-off necrosis" trilogy
XIAO Bo 

Cite this article as: Xiao B. Dynamic changes of necrotizing pancreatitis: "Transmural pancreatic necrosis-Pancreatic duct disruption-Walled-off necrosis" trilogy[J]. Chin J Magn Reson Imaging, 2021, 12(12): 96-98. DOI:10.12015/issn.1674-8034.2021.12.022.


[Abstract] Necrotizing pancreatitis is a critically pathological type of acute pancreatitis (AP). Initially, the pancreatic necrosis is solid or semi-solid state. And then, the necrotic lesion would gradually become soften, thereafter followed by liquefied necrosis. Classically, the CT severity index or MRI severity index can be usually regarded as a favorite imaging marker for predicting the prognosis of AP. In fact, like the clinical significance of necrotic areas, the depth of pancreatic necrosis also influences the outcome of patients. Indeed, dynamic processes of necrotizing pancreatitis can be tracked clearly on CT or MRI. This article mainly introduces the values of imaging on the AP dynamic followings. And a novel academic opinion is given as "Transmural pancreatic necrosis-Pancreatic duct disruption-Walled-off necrosis" trilogy.
[Keywords] acute pancreatitis；necrotizing pancreatitis；walled-off necrosis；pancreatic necrosis；magnetic resonance imaging

XIAO Bo1, 2*  

1 Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China

2 Medical Imaging College, North Sichuan Medical College, Nanchong 637000, China

Xiao B, E-mail: xiaoboimaging@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS Sichuan Key Laboratory of Medical Imaging (No. MIKLSP202008); Nanchong Authority College Cooperation Special Funding (No. 19SXHZ0282).
Received  2021-06-17
Accepted  2021-11-10
DOI: 10.12015/issn.1674-8034.2021.12.022
Cite this article as: Xiao B. Dynamic changes of necrotizing pancreatitis: "Transmural pancreatic necrosis-Pancreatic duct disruption-Walled-off necrosis" trilogy[J]. Chin J Magn Reson Imaging, 2021, 12(12): 96-98. DOI:10.12015/issn.1674-8034.2021.12.022.

[1]
Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis—2012: revision of the Atlanta classification and definitions by international consensus[J]. Gut, 2013, 62(1): 102-111. DOI: 10.1136/gutjnl-2012-302779.
[2]
Thoeni RF. The revised Atlanta classification of acute pancreatitis: its importance for the radiologist and its effect on treatment[J]. Radiology, 2012, 262(3): 751-764. DOI: 10.1148/radiol.11110947.
[3]
Jiang ZQ, Xiao B, Zhang XM, et al. Early-phase vascular involvement is associated with acute pancreatitis severity: a magnetic resonance imaging study[J]. Quant Imaging Med Surg, 2021, 11(5): 1909-1920. DOI: 10.21037/qims-20-280.
[4]
Manrai M, Kochhar R, Gupta V, et al. Outcome of Acute Pancreatic and Peripancreatic Collections Occurring in Patients With Acute Pancreatitis[J]. Ann Surg, 2018, 267(2): 357-363. DOI: 10.1097/SLA.0000000000002065.
[5]
Xiao B, Xu HB, Jiang ZQ, et al. Acute Pancreatitis in Patients With a Medical History of Type 2 Diabetes Mellitus: Clinical Findings and Magnetic Resonance Imaging Characteristics[J]. Pancreas, 2020, 49(4): 591-597. DOI: 10.1097/MPA.0000000000001530.
[6]
Xiao B. Pancreatic duct bypass sign: An important MRI sign for pancreatic neuroendocrine tumor[J]. Chin J Magn Reson Imaging, 2015, 5(3): 194-198. DOI: 10.3969/j.issn.1674-8034.2015.03.007.
[7]
Vacca G, Reginelli A, Urraro F, et al. Magnetic resonance severity index assessed by T1-weighted imaging for acute pancreatitis: correlation with clinical outcomes and grading of the revised Atlanta classification-a narrative review[J]. Gland Surg, 2020, 9(6): 2312-2320. DOI: 10.21037/gs-20-554.
[8]
Hu X, Wei W, Zhang L. The value of a dual-energy spectral CT quantitative analysis technique in acute pancreatitis[J]. Clin Radiol, 2021, 76(7): 551.e11-551.e15. DOI: 10.1016/j.crad.2021.02.025.
[9]
Çakar İ, Keven A, Eseroğlu E, et al. Role of extrapancreatic necrosis volume in determining early prognosis in patients with acute pancreatitis[J]. Abdom Radiol (NY), 2020, 45(5): 1507-1516. DOI: 10.1007/s00261-019-02188-9.
[10]
Gupta P, Rana P, Bellam BL, et al. Site and size of extrapancreatic necrosis are associated with clinical outcomes in patients with acute necrotizing pancreatitis[J]. Pancreatology, 2020, 20(1): 9-15. DOI: 10.1016/j.pan.2019.11.010.
[11]
Pamies-Guilabert J, Del Val Antoñana A, Collado JJ, et al. Pancreatic necrosis volume - A new imaging biomarker of acute pancreatitis severity[J]. Eur J Radiol, 2020, 130: 109193. DOI: 10.1016/j.ejrad.2020.109193.
[12]
Alberti P, Pando E, Mata R, et al. Evaluation of the modified computed tomography severity index (MCTSI) and computed tomography severity index (CTSI) in predicting severity and clinical outcomes in acute pancreatitis[J]. J Dig Dis, 2021, 22(1): 41-48. DOI: 10.1111/1751-2980.12961.
[13]
Ghandili S, Shayesteh S, Fouladi DF, et al. Emerging imaging techniques for acute pancreatitis[J]. Abdom Radiol (NY), 2020, 45(5): 1299-1307. DOI: 10.1007/s00261-019-02192-z.
[14]
Sun H, Zuo HD, Lin Q, et al. MR imaging for acute pancreatitis: the current status of clinical applications[J]. Ann Transl Med, 2019, 7(12): 269. DOI: 10.21037/atm.2019.05.37.
[15]
Xiao B, Zhang XM, Huang XH, et al. Acute Pancreatitis: Radiology Structured Reporting Template[J]. Chin J Magn Reson Imaging, 2020, 11(2): 149-154. DOI: 10.12015/issn.1674-8034.2020.02.015.2020.02.015.
[16]
Fung C, Svystun O, Fouladi DF, et al. CT imaging, classification, and complications of acute pancreatitis[J]. Abdom Radiol (NY), 2020, 45(5): 1243-1252. DOI: 10.1007/s00261-019-02236-4.
[17]
Wessling J, Peitz U, Hoffmann M, et al. Acute pancreatitis: Typical findings in computed tomography and magnetic resonance imaging[J]. Radiology, 2021, 61(6): 532-540. DOI: 10.1007/s00117-021-00854-y.
[18]
Sandrasegaran K, Heller MT, Panda A, et al. MRI in acute pancreatitis[J]. Abdom Radiol (NY), 2020, 45(5): 1232-1242. DOI: 10.1007/s00261-019-02141-w.
[19]
Dubasz K, Misbahuddin M, Graeb C, et al. Interventions for pancreatitis[J]. Radiology, 2021, 61(6): 555-562. DOI: 10.1007/s00117-021-00856-w.
[20]
Yamamiya A, Kitamura K, Yoshida H, et al. Prediction of the progression of walled-off necrosis in patients with acute pancreatitis on whole pancreatic perfusion CT[J]. J Hepatobiliary Pancreat Sci, 2020, 27(10): 739-746. DOI: 10.1002/jhbp.803.

PREV MRI findings of spinal epidural angiolipoma: A case report
NEXT Research progress of magnetic resonance imaging in predicting postoperative recurrence patterns of high-grade gliomas
  


LINK


Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn