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

Authors：

 毛宁 ¹ , 孙天会 ² , 徐聪 ¹ , 姜兴岳 ¹ ,  王滨 ¹

1. ;
2. ;

Corresponding author：

王滨, Email: binwang001@aliyun.com

Keywords：

自身免疫性胰腺炎; 影像学诊断; 回顾性分析

DOI：

10.7507/1007-9424.20140204

Video：

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目的总结自身免疫性胰腺炎（AIP）的影像学特点。方法回顾性分析13例经手术病理学检查或糖皮质激素治疗证实的AIP患者的临床资料。结果 13例均行CT检查，7例同时行MRI检查、DWI扫描及磁共振胰胆管造影（MRCP）检查，2例同时行超声检查。8例表现为胰腺弥漫性肿大，4例表现为胰腺局限性肿大，1例表现为胰腺混合型肿大。CT动态增强扫描结果提示，胰腺病变呈“雪花状”渐进性强化，T1WI信号减低，T2WI信号略高，DWI信号增高；MRCP检查可见胆总管胰内段呈“鸟嘴样”狭窄；超声检查显示胰腺病变部位肿大，回声减低。结论 AIP具有典型的影像学特征，影像学检查是发现和诊断AIP的重要手段。

Citation： 毛宁, 孙天会, 徐聪, 姜兴岳, 王滨. 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

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.	窦娅芳.自身免疫性胰腺炎影像诊断[J].中国医学计算机成像杂志, 2010, 16(3):260-264.
7.	王光宪, 邹利光, 张冬, 等. CT对胰腺转移瘤与胰腺癌的鉴别诊断价值[J].临床放射学杂志, 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.磁共振扩散张量成像慢性胰腺炎及胰腺癌的诊断价值分析[J].临床放射学杂志, 2009, 28(5):644-647.
10.	李雪丹, 刘屹, 关立明, 等.自身免疫性胰腺炎3例误诊分析[J].中国医学影像技术, 2009, 25(9):1724-1725.
11.	杨正汉, 张骏, 何淑蓉, 等.自身免疫性胰腺炎的影像特征[J].中华放射学杂志, 2007, 41(1):47-50.
12.	顾俊平, 王劭伟.自身免疫性胰腺炎的临床研究[J].中国中西医结合外科杂志, 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. 窦娅芳.自身免疫性胰腺炎影像诊断[J].中国医学计算机成像杂志, 2010, 16(3):260-264.
7. 王光宪, 邹利光, 张冬, 等. CT对胰腺转移瘤与胰腺癌的鉴别诊断价值[J].临床放射学杂志, 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.磁共振扩散张量成像慢性胰腺炎及胰腺癌的诊断价值分析[J].临床放射学杂志, 2009, 28(5):644-647.
10. 李雪丹, 刘屹, 关立明, 等.自身免疫性胰腺炎3例误诊分析[J].中国医学影像技术, 2009, 25(9):1724-1725.
11. 杨正汉, 张骏, 何淑蓉, 等.自身免疫性胰腺炎的影像特征[J].中华放射学杂志, 2007, 41(1):47-50.
12. 顾俊平, 王劭伟.自身免疫性胰腺炎的临床研究[J].中国中西医结合外科杂志, 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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