Current State of Imaging of Pediatric Pancreatitis: AJR Expert Panel Narrative Review

Andrew T Trout, Rama S Ayyala, Michael A Murati, Judy H Squires, Michael J Callahan, Govind B Chavhan, Maisam Abu-El-Haija, Sudha A Anupindi

Research output: Contribution to journalReview articlepeer-review

Abstract

Pancreatitis is as common in children as it is in adults, though causes and accepted imaging strategies differ in children. In this narrative review we discuss the epidemiology of childhood pancreatitis and key imaging features for pediatric acute, acute recurrent, and chronic pancreatitis. We rely heavily on our collective experience in discussing advantages and disadvantages of different imaging modalities; practical tips for optimization of ultrasound, CT, and MRI with MRCP in children; and image interpretation pearls. Challenges and considerations unique to imaging pediatric pancreatitis are discussed, including timing of imaging, role of secretin-enhanced MRCP, utility of urgent MRI, severity prediction, autoimmune pancreatitis, and best methods for serial imaging. We suggest a methodical approach to pancreatic MRI interpretation in children and have included a sample structured report, and we provide consensus statements according to our experience imaging children with pancreatitis.

Original languageEnglish (US)
Pages (from-to)265-277
Number of pages13
JournalAJR. American journal of roentgenology
Volume217
Issue number2
Early online dateJun 23 2021
DOIs
StatePublished - Aug 2021

Bibliographical note

Publisher Copyright:
© American Roentgen Ray Society

Keywords

  • CT
  • MRI
  • Pancreas
  • Pancreatitis
  • Ultrasound
  • Pancreas/diagnostic imaging
  • Pediatrics/methods
  • Diagnostic Imaging/methods
  • Pancreatitis/diagnostic imaging
  • Humans
  • Child
  • Periodicals as Topic

PubMed: MeSH publication types

  • Review
  • Journal Article

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