{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:22:00Z","timestamp":1740108120147,"version":"3.37.3"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T00:00:00Z","timestamp":1621209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T00:00:00Z","timestamp":1621209600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005788","name":"Medical University of Vienna","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005788","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Radiologe"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Klinisches\/methodisches Problem<\/jats:title>\n                <jats:p>Bei der chronischen Pankreatitis (CP) handelt es sich um eine langanhaltende Entz\u00fcndung der Bauchspeicheldr\u00fcse, welche die normale Struktur und Funktion des Organs sch\u00e4digt. Das breite Spektrum an entz\u00fcndlichen Pankreaserkrankungen umfasst einzelne Entit\u00e4ten, wie die fokale Pankreatitis (FP) oder den Pseudotumor (\u201emass-forming pancreatitis\u201c), welche radiomorphologisch ein Adenokarzinom der Bauchspeicheldr\u00fcse (PDAC) nachahmen k\u00f6nnen. In weiterer Folge kann eine Fehldiagnose zu einem vermeidbaren und unn\u00f6tigen operativen Eingriff oder zu einer Therapieverz\u00f6gerung f\u00fchren.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Radiologische Standardverfahren<\/jats:title>\n                <jats:p>Der Ultraschall (US) ist das prim\u00e4re bildgebende Verfahren zur Abkl\u00e4rung von Pankreaserkrankungen, gefolgt von kontrastmittelverst\u00e4rkter Computertomographie (KM-CT), die als meistverwendete Methode bei der diagnostischen Abkl\u00e4rung von Bauchspeicheldr\u00fcsenerkrankungen gilt. Die Magnetresonanztomographie (MRT) und\/oder die MR-Cholangiopankreatographie (MRCP) k\u00f6nnen als Probleml\u00f6ser eingesetzt werden, um zwischen soliden und zystischen L\u00e4sionen zu unterscheiden sowie auch Anomalien der Pankreasg\u00e4nge auszuschlie\u00dfen, welche bei rezidivierender akuter Pankreatitis (AP) vorhanden sein k\u00f6nnen, oder um fr\u00fche Anzeichen einer CP zu visualisieren. Die MRCP hat dabei die diagnostische endoskopische retrograde Cholangiopankreatographie (ERCP) in der Abkl\u00e4rung von therapeutischen Interventionen im Wesentlichen ersetzt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Empfehlung f\u00fcr die Praxis<\/jats:title>\n                <jats:p>Folgender \u00dcbersichtsartikel fasst die relevanten Merkmale in der Computertomographie (CT) und MRT zusammen, um eine akkurate, fr\u00fchzeitige Diagnose einer CP zu stellen und eine Differenzierung zwischen FP und Pankreaskarzinom zu erm\u00f6glichen, um somit \u2013 auch in schwierigen F\u00e4llen \u2013 ein ad\u00e4quates Therapiemanagement zu gew\u00e4hrleisten.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00117-021-00857-9","type":"journal-article","created":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T16:04:54Z","timestamp":1621267494000},"page":"563-571","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Chronische Pankreatitis","Chronic pancreatitis"],"prefix":"10.1007","volume":"61","author":[{"given":"Antonia","family":"Kristic","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Bastati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Poetter-Lang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Messner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Herold","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Tamandl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Ba-Ssalamah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,5,17]]},"reference":[{"key":"857_CR1","doi-asserted-by":"publisher","first-page":"S178","DOI":"10.21037\/gs.2019.04.06","volume":"8","author":"G Addeo","year":"2019","unstructured":"Addeo\u00a0G, Beccani\u00a0D, Cozzi\u00a0D et\u00a0al (2019) Groove pancreatitis: a\u00a0challenging imaging diagnosis. 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Das hat mit der jetzigen Publikation jedoch keinen Einfluss. A.\u00a0Kristic, N.\u00a0Bastati, S.\u00a0Poetter-Lang, A.\u00a0Messner, A.\u00a0Herold, und D.\u00a0Tamandl geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}