关键词: 急性胰腺炎, 诊断, 规范, 报告, CT, MRI

Abstract: Imaging evaluation standards and structured report of acute pancreatitis        WANG Tie-gong, GUO Yi-fei, BIAN Yun. Department of Radiology, the First Affiliated Hospital of PLA Naval Medical University (Changhai Hospital), Shanghai 200433, China
Corresponding author: BIAN Yun, E-mail:bianyun2012@
foxmail.com
Abstract    Acute pancreatitis (AP) is characterized by a complex course with numerous complications, challenging treatment, and varied prognosis. Therefore, standardized, comprehensive, and accurate imaging reports not only play an important role in diagnosis, classification, and severity assessment but also facilitate the mutual recognition of examinations among different institutions and enhance the scientific value of data. However, at present, most AP imaging reports are still free language reports with limited value. Enhanced CT and/or MRI can comprehensively evaluate the extent of pancreatic and peripancreatic necrosis and fluid collection in patients with AP. Choosing the appropriate imaging modality is beneficial for evaluating the severity of AP. Structured imaging reports for AP should include pancreatic volume, parenchymal necrosis, extrapancreatic necrosis, local complications, other complications, comorbidities, and imaging diagnosis. The severity of acute pancreatitis can be assessed based on the modified CT severity index.

Key words: acute pancreatitis, diagnosis, standards, report, CT, MRI