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Autoimmune pancreatitis MRI

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]

Overview

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

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]
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

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.

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