Radiological Assessment of Acute Pancreatitis: A Comprehensive Review.

IF 1.2 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Acta gastro-enterologica Belgica Pub Date : 2026-04-01 DOI:10.51821/89.2.14779

G Buragina, F Di Capua, F Metelli, S Grecuccio, L Bottoni, F Baronchelli, E Chizzoli, L Di Mare, N Pagano, F Sala, E Armellini

{"title":"Radiological Assessment of Acute Pancreatitis: A Comprehensive Review.","authors":"G Buragina, F Di Capua, F Metelli, S Grecuccio, L Bottoni, F Baronchelli, E Chizzoli, L Di Mare, N Pagano, F Sala, E Armellini","doi":"10.51821/89.2.14779","DOIUrl":null,"url":null,"abstract":"<p><p>Acute pancreatitis (AP) is one of the leading causes of emergency department visits and hospital admissions in Western countries. Although numerous aetiologies have been described, up to 90% of cases are attributable to gallstones and chronic alcohol abuse. The clinical presentation of AP is highly variable, ranging from mild, self-limiting disease to severe forms characterised by infected necrotising pancreatitis, systemic complications, and organ failure. Severe cases frequently require prolonged hospitalisation and are associated with increased mortality. Early identification of disease severity and accurate determination of the underlying aetiology are therefore essential to guide appropriate treatment, reduce the risk of complications, and improve patient outcomes. This review discusses the pivotal role of diagnostic radiology in the evaluation and staging of AP, with the aim of optimising patient management, treatment planning, and follow-up. Particular emphasis is placed on transabdominal ultrasound (TA-US), computed tomography (CT), and magnetic resonance imaging (MRI), as well as recent advances in artificial intelligence (AI) and its emerging applications in pancreatic imaging.</p>","PeriodicalId":7322,"journal":{"name":"Acta gastro-enterologica Belgica","volume":"89 2","pages":"355-366"},"PeriodicalIF":1.2000,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta gastro-enterologica Belgica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.51821/89.2.14779","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Acute pancreatitis (AP) is one of the leading causes of emergency department visits and hospital admissions in Western countries. Although numerous aetiologies have been described, up to 90% of cases are attributable to gallstones and chronic alcohol abuse. The clinical presentation of AP is highly variable, ranging from mild, self-limiting disease to severe forms characterised by infected necrotising pancreatitis, systemic complications, and organ failure. Severe cases frequently require prolonged hospitalisation and are associated with increased mortality. Early identification of disease severity and accurate determination of the underlying aetiology are therefore essential to guide appropriate treatment, reduce the risk of complications, and improve patient outcomes. This review discusses the pivotal role of diagnostic radiology in the evaluation and staging of AP, with the aim of optimising patient management, treatment planning, and follow-up. Particular emphasis is placed on transabdominal ultrasound (TA-US), computed tomography (CT), and magnetic resonance imaging (MRI), as well as recent advances in artificial intelligence (AI) and its emerging applications in pancreatic imaging.

查看原文本刊更多论文

急性胰腺炎的影像学评估：一个全面的回顾。

急性胰腺炎（AP）是西方国家急诊科就诊和住院的主要原因之一。虽然有许多病因被描述，但高达90%的病例可归因于胆结石和慢性酒精滥用。AP的临床表现变化很大，从轻度、自限性疾病到以感染性坏死性胰腺炎、全身并发症和器官衰竭为特征的严重形式。严重病例往往需要长期住院治疗，并与死亡率增加有关。因此，早期识别疾病严重程度和准确确定潜在病因对于指导适当治疗、减少并发症风险和改善患者预后至关重要。这篇综述讨论了诊断放射学在AP的评估和分期中的关键作用，目的是优化患者管理、治疗计划和随访。特别强调经腹超声（TA-US），计算机断层扫描（CT）和磁共振成像（MRI），以及人工智能（AI）的最新进展及其在胰腺成像中的新兴应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Acta gastro-enterologica Belgica Medicine-Gastroenterology

CiteScore

2.30

自引率

20.00%

发文量

期刊介绍： The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.