胰腺影像学检查在临床决策中的意义及鉴别诊断

Significance and differential diagnosis of pancreatic imaging examination in clinical decision-making

胰腺疾病的多样性决定了治疗方式的多样性,影像学精确诊断是临床精准治疗的前提。影像学诊断关系到不同临床治疗方法的选择,尤其是多种影像学检查易误诊的疾病,易使患者错失最佳治疗方法和时间。精确诊断与治疗,需要多学科共同努力。笔者结合相关临床经验,对常见多种易被误诊且治疗方法不同的胰腺疾病相关影像学检查表现、临床表现、治疗策略进行分析总结,旨在提高影像学医师和临床医师对胰腺疾病的全面认识,为制订合理的治疗决策指明方向。

The diversity of pancreatic diseases determines the diversity of treatments.Precision imaging diagnosis is a prerequisite for precision clinical treatment.Imaging diagnosis is related to the choice of different clinical treatments.Diseases which are easily misdiagnosed by imaging examinations will lead patients to miss the best treatment and time.Precision diagnosis and treatments require the combined efforts of radiologists and multidisciplinary team.Based on the relevant clinical experiences,the authors summarize the imaging findings,clinical manifestations and treatments of pancreatic diseases which are commonly misdiagnosed and treated with different methods in order to improve the comprehensive understanding of pancreatic diseases to the radiologists and clinicians and to guide treatment decision reasonably.