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Prediction and Management of Severe Acute Pancreatitis pp 67–86Cite as

Imaging Predictors

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Abstract

Acute pancreatitis is a highly variable disease that varies in severity from mild interstitial or edematous pancreatitis to severe forms with considerable local and systemic complications that are associated with significant morbidity, mortality, and public health care impact. For more than four decades, several multifactorial scoring systems have been used to assess disease severity and predict the outcome and prognosis of acute pancreatitis. Early disease stratification is deemed important to identify patients at risk for severe acute pancreatitis early in the disease process, to guide patient triage and management, and to improve patient outcome. Scoring systems related to CT are the most studied imaging tests in acute pancreatitis. Since the introduction of CT for diagnosis and severity assessment of acute pancreatitis, many imaging-based systems have been developed. This chapter will review existing radiologic prognostic systems with their respective advantages and limitations and address key findings on cross-sectional imaging of acute pancreatitis, with an emphasis on the prognostic significance of specific findings that impact patient management.

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Authors and Affiliations

  1. Department of Radiology, St. Antonius Hospital, Koekoekslaan 1, Nieuwegein, Utrecht, 3430EM, The Netherlands

    Thomas L. Bollen M.D.

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  1. Division of Gastroenterology Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA

    Chris E. Forsmark

  2. Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth Pancreatic Autoislet Cell Program, Lebanon, New Hampshire, USA

    Timothy B. Gardner

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Bollen, T.L. (2015). Imaging Predictors. In: Forsmark, C., Gardner, T. (eds) Prediction and Management of Severe Acute Pancreatitis. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0971-1_6

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