Table 4.
Imaging criteria for chronic pancreatitis[70]
CT criteria | MRI/S-MRCP criteria | |
Moderate chronic pancreatitis | ≥ 2 of the following: | Moderate pancreatogram changes |
Main duct enlarged (2-4 mm) | Main duct abnormal and | |
Slight gland enlargement (up to 2 × normal) | Abnormal side branches, > 3 | |
Heterogeneous parenchyma | ||
Small cavities (< 10 mm) | ||
Irregular ducts | ||
Focal acute pancreatitis | ||
Increased Density of the main pancreatic duct wall | ||
Irregular head/body contour | ||
Marked chronic pancreatitis | with ≥ 1 of the following | Main duct abnormal and |
Large cavities (> 10 mm) | Abnormal side branches, > 3 | |
Gross gland enlargement (2 × normal) | Plus one or more of the following: | |
Intraductal filling defects or pancreatic calculi | Large cavity | |
Duct obstruction, stricture, or gross irregularity | Obstruction | |
Contiguous organ invasion | Filling defects | |
Severe dilatation or irregularity |