Magnetic resonance imaging of pancreatitis: an update

World J Gastroenterol. 2014 Oct 28;20(40):14760-77. doi: 10.3748/wjg.v20.i40.14760.

Abstract

Magnetic resonance (MR) imaging plays an important role in the diagnosis and staging of acute and chronic pancreatitis and may represent the best imaging technique in the setting of pancreatitis due to its unmatched soft tissue contrast resolution as well as non-ionizing nature and higher safety profile of intravascular contrast media, making it particularly valuable in radiosensitive populations such as pregnant patients, and patients with recurrent pancreatitis requiring multiple follow-up examinations. Additional advantages include the ability to detect early forms of chronic pancreatitis and to better differentiate adenocarcinoma from focal chronic pancreatitis. This review addresses new trends in clinical pancreatic MR imaging emphasizing its role in imaging all types of acute and chronic pancreatitis, pancreatitis complications and other important differential diagnoses that mimic pancreatitis.

Keywords: Acute pancreatitis; Autoimmune pancreatitis; Chronic pancreatitis; Magnetic resonance imaging; Motion-resistant imaging; Revised Atlanta classification.

Publication types

  • Review

MeSH terms

  • Adenocarcinoma / pathology
  • Cholangiopancreatography, Magnetic Resonance
  • Diagnosis, Differential
  • Early Diagnosis
  • Humans
  • Magnetic Resonance Imaging*
  • Pancreatic Neoplasms / pathology
  • Pancreatitis, Acute Necrotizing / complications
  • Pancreatitis, Acute Necrotizing / pathology*
  • Pancreatitis, Chronic / complications
  • Pancreatitis, Chronic / pathology*
  • Predictive Value of Tests
  • Prognosis