Skip to main content
Log in

The revised Atlanta classification for acute pancreatitis: a CT imaging guide for radiologists

  • Pictorial Essay
  • Published:
Emergency Radiology Aims and scope Submit manuscript

Abstract

Accurate diagnosis and description of the various findings in acute pancreatitis is important for treatment. The original Atlanta classification for acute pancreatitis sought to create a uniform system for classifying the severity of acute pancreatitis as well as common language to describe the various events that can occur in acute pancreatitis. The goal was to allow accurate communication between physicians using standardized language so correct treatment options could be used. Since that time, advances in the understanding of acute pancreatitis as well as improvements in both interventions and imaging have led to criticisms of the system and its abandonment by physicians. A 2007 revision of the Atlanta classifications sought to address many of these issues. This article will explain the changes to the Atlanta classification system and provide pictorial examples of the findings in acute pancreatitis as described by the Atlanta classification system.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12

Similar content being viewed by others

References

  1. Besselink MG et al (2006) Describing computed tomography findings in acute necrotizing pancreatitis with the Atlanta classification: an interobserver agreement study. Pancreas 33(4):331–335

    Article  PubMed  Google Scholar 

  2. Bollen TL et al (2007) Toward an update of the atlanta classification on acute pancreatitis: review of new and abandoned terms. Pancreas 35(2):107–113

    Article  PubMed  Google Scholar 

  3. Acute Pancreatitis Classification Working Group, Revision of the Atlanta classification of acute pancreatitis. 2007

  4. Koo BC, Chinogureyi A, Shaw AS (2010) Imaging acute pancreatitis. Br J Radiol 83(986):104–112

    Article  PubMed  CAS  Google Scholar 

  5. Morgan DE (2008) Imaging of acute pancreatitis and its complications. Clin Gastroenterol Hepatol 6(10):1077–1085

    Article  PubMed  Google Scholar 

  6. Balthazar EJ et al (1990) Acute pancreatitis: value of CT in establishing prognosis. Radiology 174(2):331–336

    PubMed  CAS  Google Scholar 

  7. De Waele JJ et al (2007) Extrapancreatic inflammation on abdominal computed tomography as an early predictor of disease severity in acute pancreatitis: evaluation of a new scoring system. Pancreas 34(2):185–190

    Article  PubMed  Google Scholar 

  8. Hill MC et al (1982) Acute pancreatitis: clinical vs. CT findings. AJR Am J Roentgenol 139(2):263–269

    PubMed  CAS  Google Scholar 

  9. Knoepfli AS et al (2007) Prospective study of 310 patients: can early CT predict the severity of acute pancreatitis? Abdom Imaging 32(1):111–115

    Article  PubMed  Google Scholar 

  10. Thomas S. et al. Diffusion MRI of acute pancreatitis and comparison with normal individuals using ADC values. Emerg Radiol

  11. Werner J et al (2005) Management of acute pancreatitis: from surgery to interventional intensive care. Gut 54(3):426–436

    Article  PubMed  CAS  Google Scholar 

  12. Valek V, Kala Z, Dite P (2010) Role of imaging methods in diagnosis of acute pancreatitis. Dig Dis 28(2):317–323

    Article  PubMed  CAS  Google Scholar 

  13. Sakorafas GH, Tsiotos GG, Sarr MG (1999) Extrapancreatic necrotizing pancreatitis with viable pancreas: a previously under-appreciated entity. J Am Coll Surg 188(6):643–648

    Article  PubMed  CAS  Google Scholar 

  14. Harrison S et al (2010) Characteristics and outcomes of patients undergoing debridement of pancreatic necrosis. J Gastrointest Surg 14(2):245–251

    Article  PubMed  Google Scholar 

  15. Trout AT et al (2010) Imaging of acute pancreatitis: prognostic value of computed tomographic findings. J Comput Assist Tomogr 34(4):485–495

    Article  PubMed  Google Scholar 

  16. Morgan DE et al (1997) Pancreatic fluid collections prior to intervention: evaluation with MR imaging compared with CT and US. Radiology 203(3):773–778

    PubMed  CAS  Google Scholar 

  17. Lenhart DK, Balthazar EJ (2008) MDCT of acute mild (nonnecrotizing) pancreatitis: abdominal complications and fate of fluid collections. AJR Am J Roentgenol 190(3):643–649

    Article  PubMed  Google Scholar 

  18. Mortele KJ et al (2001) Splenic and perisplenic involvement in acute pancreatitis: determination of prevalence and morphologic helical CT features. J Comput Assist Tomogr 25(1):50–54

    Article  PubMed  CAS  Google Scholar 

  19. Bollen TL et al (2007) Intense adrenal enhancement in patients with acute pancreatitis and early organ failure. Emerg Radiol 14(5):317–322

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Y. Sheu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sheu, Y., Furlan, A., Almusa, O. et al. The revised Atlanta classification for acute pancreatitis: a CT imaging guide for radiologists. Emerg Radiol 19, 237–243 (2012). https://doi.org/10.1007/s10140-011-1001-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10140-011-1001-4

Keywords

Navigation