Imaging Features of Autoimmune Pancreatitis in 13 Cases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 毛寧 ¹ , 孫天會 ² , 徐聰 ¹ , 姜興岳 ¹ ,  王濱 ¹

1. ;
2. ;

Corresponding?author：

王濱, Email: binwang001@aliyun.com

Keywords：

自身免疫性胰腺炎; 影像學診斷; 回顧性分析

DOI：

10.7507/1007-9424.20140204

Video：

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目的總結自身免疫性胰腺炎（AIP）的影像學特點。方法回顧性分析13例經手術病理學檢查或糖皮質激素治療證實的AIP患者的臨床資料。結果 13例均行CT檢查，7例同時行MRI檢查、DWI掃描及磁共振胰膽管造影（MRCP）檢查，2例同時行超聲檢查。8例表現為胰腺彌漫性腫大，4例表現為胰腺局限性腫大，1例表現為胰腺混合型腫大。CT動態增強掃描結果提示，胰腺病變呈“雪花狀”漸進性強化，T1WI信號減低，T2WI信號略高，DWI信號增高；MRCP檢查可見膽總管胰內段呈“鳥嘴樣”狹窄；超聲檢查顯示胰腺病變部位腫大，回聲減低。結論 AIP具有典型的影像學特征，影像學檢查是發現和診斷AIP的重要手段。

Citation： 毛寧, 孫天會, 徐聰, 姜興岳, 王濱. Imaging Features of Autoimmune Pancreatitis in 13 Cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(7): 866-868. doi: 10.7507/1007-9424.20140204 Copy

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3.	Kamisawa T, Kim MH, Liao WC, et al. Clinical characteristics of 327 Asian patients with autoimmune pancreatitis based on asian diagnostic criteria[J]. Pancreas, 2011, 40(2):200-205.
4.	Khosroshahi A, Stone JH. A clinical overview of IgG4-relatedsystemic disease[J]. Curr Opin Rheumatol, 2011, 23(12):57-66.
5.	Bodily KD, Takahashi N, Fletcher JG, et al. Autoimmune pancreatitis:pancreatic and extrapancreatie imaing findings[J]. AJR Am J Roentgenol, 2009, 192(2):431-437.
6.	竇婭芳.自身免疫性胰腺炎影像診斷[J].中國醫學計算機成像雜志, 2010, 16(3):260-264.
7.	王光憲, 鄒利光, 張冬, 等. CT對胰腺轉移瘤與胰腺癌的鑒別診斷價值[J].臨床放射學雜志, 2013, 32(3):356-360.
8.	Taniguchi T, Kobayashi H, Nishikawa K, et al. Diffusionweighted magnetic resonance imaging in autoimmune pancreatitis[J]. Jpn J Radiol, 2009, 27(3):138-142.
9.	章瑜, 靳二虎.磁共振擴散張量成像慢性胰腺炎及胰腺癌的診斷價值分析[J].臨床放射學雜志, 2009, 28(5):644-647.
10.	李雪丹, 劉屹, 關立明, 等.自身免疫性胰腺炎3例誤診分析[J].中國醫學影像技術, 2009, 25(9):1724-1725.
11.	楊正漢, 張駿, 何淑蓉, 等.自身免疫性胰腺炎的影像特征[J].中華放射學雜志, 2007, 41(1):47-50.
12.	顧俊平, 王劭偉.自身免疫性胰腺炎的臨床研究[J].中國中西醫結合外科雜志, 2009, 15(3):332-334.

1. ?Frulloni L, Gabbrielli A, Pezzilli R, et al. Chronic pancreatitis: report from a multicenter italian survey (pancroinfaisp) on 893 patients[J]. Dig Liver Dis, 2009, 41(4):311-317.
2. Otsuki M, Chung JB, Okazaki K, et al. Asian diagnostic criteria for autoimmune pancreatitis:consensus of the Japan-Korea Symposium on Autoimmune Pancreatitis[J]. J Gastroenterol, 2008, 43(6):403-408.
3. Kamisawa T, Kim MH, Liao WC, et al. Clinical characteristics of 327 Asian patients with autoimmune pancreatitis based on asian diagnostic criteria[J]. Pancreas, 2011, 40(2):200-205.
4. Khosroshahi A, Stone JH. A clinical overview of IgG4-relatedsystemic disease[J]. Curr Opin Rheumatol, 2011, 23(12):57-66.
5. Bodily KD, Takahashi N, Fletcher JG, et al. Autoimmune pancreatitis:pancreatic and extrapancreatie imaing findings[J]. AJR Am J Roentgenol, 2009, 192(2):431-437.
6. 竇婭芳.自身免疫性胰腺炎影像診斷[J].中國醫學計算機成像雜志, 2010, 16(3):260-264.
7. 王光憲, 鄒利光, 張冬, 等. CT對胰腺轉移瘤與胰腺癌的鑒別診斷價值[J].臨床放射學雜志, 2013, 32(3):356-360.
8. Taniguchi T, Kobayashi H, Nishikawa K, et al. Diffusionweighted magnetic resonance imaging in autoimmune pancreatitis[J]. Jpn J Radiol, 2009, 27(3):138-142.
9. 章瑜, 靳二虎.磁共振擴散張量成像慢性胰腺炎及胰腺癌的診斷價值分析[J].臨床放射學雜志, 2009, 28(5):644-647.
10. 李雪丹, 劉屹, 關立明, 等.自身免疫性胰腺炎3例誤診分析[J].中國醫學影像技術, 2009, 25(9):1724-1725.
11. 楊正漢, 張駿, 何淑蓉, 等.自身免疫性胰腺炎的影像特征[J].中華放射學雜志, 2007, 41(1):47-50.
12. 顧俊平, 王劭偉.自身免疫性胰腺炎的臨床研究[J].中國中西醫結合外科雜志, 2009, 15(3):332-334.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Imaging Features of Autoimmune Pancreatitis in 13 Cases

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