Autoimmune pancreatitis MRI: Difference between revisions
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{{Autoimmune pancreatitis}} | {{Autoimmune pancreatitis}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}}{{IQ}} | ||
==Overview== | ==Overview== | ||
[[Magnetic resonance imaging|MRI]] findings suggestive of autoimmune pancreatitis may include diffusely enlarged [[pancreas]] with featureless borders and delayed enhancement with or without a capsule-like rim. | |||
[ | |||
==MRI== | ==MRI== | ||
MRI findings suggestive of autoimmune pancreatitis may include:<ref name="pmid15459324">{{cite journal |vauthors=Sahani DV, Kalva SP, Farrell J, Maher MM, Saini S, Mueller PR, Lauwers GY, Fernandez CD, Warshaw AL, Simeone JF |title=Autoimmune pancreatitis: imaging features |journal=Radiology |volume=233 |issue=2 |pages=345–52 |year=2004 |pmid=15459324 |doi=10.1148/radiol.2332031436 |url=}}</ref><ref name="pmid14687819">{{cite journal |vauthors=Kamisawa T, Egawa N, Nakajima H, Tsuruta K, Okamoto A, Kamata N |title=Clinical difficulties in the differentiation of autoimmune pancreatitis and pancreatic carcinoma |journal=Am. J. Gastroenterol. |volume=98 |issue=12 |pages=2694–9 |year=2003 |pmid=14687819 |doi=10.1111/j.1572-0241.2003.08775.x |url=}}</ref><ref name="pmid11519549">{{cite journal |vauthors=Eerens I, Vanbeckevoort D, Vansteenbergen W, Van Hoe L |title=Autoimmune pancreatitis associated with primary sclerosing cholangitis: MR imaging findings |journal=Eur Radiol |volume=11 |issue=8 |pages=1401–4 |year=2001 |pmid=11519549 |doi=10.1007/s003300000742 |url=}}</ref><ref name="pmid9574610">{{cite journal |vauthors=Irie H, Honda H, Baba S, Kuroiwa T, Yoshimitsu K, Tajima T, Jimi M, Sumii T, Masuda K |title=Autoimmune pancreatitis: CT and MR characteristics |journal=AJR Am J Roentgenol |volume=170 |issue=5 |pages=1323–7 |year=1998 |pmid=9574610 |doi=10.2214/ajr.170.5.9574610 |url=}}</ref><ref name="pmid16333694">{{cite journal |vauthors=Yang DH, Kim KW, Kim TK, Park SH, Kim SH, Kim MH, Lee SK, Kim AY, Kim PN, Ha HK, Lee MG |title=Autoimmune pancreatitis: radiologic findings in 20 patients |journal=Abdom Imaging |volume=31 |issue=1 |pages=94–102 |year=2006 |pmid=16333694 |doi=10.1007/s00261-005-0047-8 |url=}}</ref><ref name="pmid17185087">{{cite journal |vauthors=Nakazawa T, Ohara H, Sano H, Ando T, Imai H, Takada H, Hayashi K, Kitajima Y, Joh T |title=Difficulty in diagnosing autoimmune pancreatitis by imaging findings |journal=Gastrointest. Endosc. |volume=65 |issue=1 |pages=99–108 |year=2007 |pmid=17185087 |doi=10.1016/j.gie.2006.03.929 |url=}}</ref> | [[MRI]] findings suggestive of autoimmune pancreatitis may include:<ref name="pmid15459324">{{cite journal |vauthors=Sahani DV, Kalva SP, Farrell J, Maher MM, Saini S, Mueller PR, Lauwers GY, Fernandez CD, Warshaw AL, Simeone JF |title=Autoimmune pancreatitis: imaging features |journal=Radiology |volume=233 |issue=2 |pages=345–52 |year=2004 |pmid=15459324 |doi=10.1148/radiol.2332031436 |url=}}</ref><ref name="pmid14687819">{{cite journal |vauthors=Kamisawa T, Egawa N, Nakajima H, Tsuruta K, Okamoto A, Kamata N |title=Clinical difficulties in the differentiation of autoimmune pancreatitis and pancreatic carcinoma |journal=Am. J. Gastroenterol. |volume=98 |issue=12 |pages=2694–9 |year=2003 |pmid=14687819 |doi=10.1111/j.1572-0241.2003.08775.x |url=}}</ref><ref name="pmid11519549">{{cite journal |vauthors=Eerens I, Vanbeckevoort D, Vansteenbergen W, Van Hoe L |title=Autoimmune pancreatitis associated with primary sclerosing cholangitis: MR imaging findings |journal=Eur Radiol |volume=11 |issue=8 |pages=1401–4 |year=2001 |pmid=11519549 |doi=10.1007/s003300000742 |url=}}</ref><ref name="pmid9574610">{{cite journal |vauthors=Irie H, Honda H, Baba S, Kuroiwa T, Yoshimitsu K, Tajima T, Jimi M, Sumii T, Masuda K |title=Autoimmune pancreatitis: CT and MR characteristics |journal=AJR Am J Roentgenol |volume=170 |issue=5 |pages=1323–7 |year=1998 |pmid=9574610 |doi=10.2214/ajr.170.5.9574610 |url=}}</ref><ref name="pmid16333694">{{cite journal |vauthors=Yang DH, Kim KW, Kim TK, Park SH, Kim SH, Kim MH, Lee SK, Kim AY, Kim PN, Ha HK, Lee MG |title=Autoimmune pancreatitis: radiologic findings in 20 patients |journal=Abdom Imaging |volume=31 |issue=1 |pages=94–102 |year=2006 |pmid=16333694 |doi=10.1007/s00261-005-0047-8 |url=}}</ref><ref name="pmid17185087">{{cite journal |vauthors=Nakazawa T, Ohara H, Sano H, Ando T, Imai H, Takada H, Hayashi K, Kitajima Y, Joh T |title=Difficulty in diagnosing autoimmune pancreatitis by imaging findings |journal=Gastrointest. Endosc. |volume=65 |issue=1 |pages=99–108 |year=2007 |pmid=17185087 |doi=10.1016/j.gie.2006.03.929 |url=}}</ref> | ||
*Diffusely enlarged pancreas with featureless borders. | *Diffusely enlarged [[pancreas]] with featureless borders. | ||
*Delayed enhancement with or without a capsule-like rim.<ref name="pmid19410017">{{cite journal |vauthors=Chari ST, Takahashi N, Levy MJ, Smyrk TC, Clain JE, Pearson RK, Petersen BT, Topazian MA, Vege SS |title=A diagnostic strategy to distinguish autoimmune pancreatitis from pancreatic cancer |journal=Clin. Gastroenterol. Hepatol. |volume=7 |issue=10 |pages=1097–103 |year=2009 |pmid=19410017 |doi=10.1016/j.cgh.2009.04.020 |url=}}</ref> | *Delayed enhancement with or without a capsule-like rim.<ref name="pmid19410017">{{cite journal |vauthors=Chari ST, Takahashi N, Levy MJ, Smyrk TC, Clain JE, Pearson RK, Petersen BT, Topazian MA, Vege SS |title=A diagnostic strategy to distinguish autoimmune pancreatitis from pancreatic cancer |journal=Clin. Gastroenterol. Hepatol. |volume=7 |issue=10 |pages=1097–103 |year=2009 |pmid=19410017 |doi=10.1016/j.cgh.2009.04.020 |url=}}</ref> | ||
[[Image:Autoimmune-pancreatitis-3.JPG|500 px|thumb|center|Case courtesy of Dr Sigmund Stuppner, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/40166">rID: 40166</a>]] | |||
==References== | ==References== | ||
Latest revision as of 18:07, 5 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]
Overview
MRI findings suggestive of autoimmune pancreatitis may include diffusely enlarged pancreas with featureless borders and delayed enhancement with or without a capsule-like rim.
MRI
MRI findings suggestive of autoimmune pancreatitis may include:[1][2][3][4][5][6]
- Diffusely enlarged pancreas with featureless borders.
- Delayed enhancement with or without a capsule-like rim.[7]
References
- ↑ Sahani DV, Kalva SP, Farrell J, Maher MM, Saini S, Mueller PR, Lauwers GY, Fernandez CD, Warshaw AL, Simeone JF (2004). "Autoimmune pancreatitis: imaging features". Radiology. 233 (2): 345–52. doi:10.1148/radiol.2332031436. PMID 15459324.
- ↑ Kamisawa T, Egawa N, Nakajima H, Tsuruta K, Okamoto A, Kamata N (2003). "Clinical difficulties in the differentiation of autoimmune pancreatitis and pancreatic carcinoma". Am. J. Gastroenterol. 98 (12): 2694–9. doi:10.1111/j.1572-0241.2003.08775.x. PMID 14687819.
- ↑ Eerens I, Vanbeckevoort D, Vansteenbergen W, Van Hoe L (2001). "Autoimmune pancreatitis associated with primary sclerosing cholangitis: MR imaging findings". Eur Radiol. 11 (8): 1401–4. doi:10.1007/s003300000742. PMID 11519549.
- ↑ Irie H, Honda H, Baba S, Kuroiwa T, Yoshimitsu K, Tajima T, Jimi M, Sumii T, Masuda K (1998). "Autoimmune pancreatitis: CT and MR characteristics". AJR Am J Roentgenol. 170 (5): 1323–7. doi:10.2214/ajr.170.5.9574610. PMID 9574610.
- ↑ Yang DH, Kim KW, Kim TK, Park SH, Kim SH, Kim MH, Lee SK, Kim AY, Kim PN, Ha HK, Lee MG (2006). "Autoimmune pancreatitis: radiologic findings in 20 patients". Abdom Imaging. 31 (1): 94–102. doi:10.1007/s00261-005-0047-8. PMID 16333694.
- ↑ Nakazawa T, Ohara H, Sano H, Ando T, Imai H, Takada H, Hayashi K, Kitajima Y, Joh T (2007). "Difficulty in diagnosing autoimmune pancreatitis by imaging findings". Gastrointest. Endosc. 65 (1): 99–108. doi:10.1016/j.gie.2006.03.929. PMID 17185087.
- ↑ Chari ST, Takahashi N, Levy MJ, Smyrk TC, Clain JE, Pearson RK, Petersen BT, Topazian MA, Vege SS (2009). "A diagnostic strategy to distinguish autoimmune pancreatitis from pancreatic cancer". Clin. Gastroenterol. Hepatol. 7 (10): 1097–103. doi:10.1016/j.cgh.2009.04.020. PMID 19410017.