TAILIEUCHUNG - Pancreatic Disease in Children and Young Adults : Evaluation with CT

There is no obvious reason why both types of programmes—shorter-termeradicationinitiatives and longer-termdevelopmentalprogrammes—shouldnot coexist. If funding is available, if personnel and other non-monetary resources are sufficient to support both kinds of efforts as well as other programmes for which health ministries are responsible, and if demonstrable benefits to the target populations can be shown, eradication programmes—which appeal topoliticians, donors, and the public—could not only contribute to reducingmortality but couldalso serve as a leading edge to prepare countries for longer-term programmes. However, it might be important to make develop- mental goals more explicit in order to ensure that eradication-type programmes are held accountable for their achievements in all countries, both richer and poorer. Thismight be accomplished by setting. | SCIENTIFIC EXHIBIT Pancreatic Disease in Children and Young Adults Evaluation with CT1 D. Darrell Vaughn MD Amal A. Jabra MD Elliot K. Fishman MD In children with pancreatic disease computed tomography CT has a primary role in the evaluation of pancreatitis trauma and malignancy. At CT pancreatic abnormalities may mantfest as pancreatic enlargement tumor acute pancreatitis pancreatic atrophy cystic fibrosis chronic pancreatitis cystic lesions pseudocysts congenital simple cysts autosomal dominant polycystic kidney disease von Hippel-Lindau disease cystic fibrosis cystic neoplasms or fatty replacement cystic fibrosis Shwachman-Diamond syndrome history of steroid therapy Cushing syndrome Johanson-Blizzard syndrome obesity . CT is the best modality for evaluation of pancreatitis allowing detection of pancreatic abnormalities as well as abnormal extrapancreatic fluid collections. In children who have undergone blunt abdominal trauma CT has been shown to be the best initial imaging study being more sensitive than ultrasound for detection of pancreatic injury. In neoplastic conditions CT demonstrates the extent of disease enables characterization of the tissue components of the tumor and allows accurate posttreatment follow-up. Although the various diseases of the pancreas may have overlapping appearances at CT the coưect diagnosis can often be made on the basis of the CT findings in combination with the clinical history laboratory data and the patient s age. Index terms Computed tomography CT in infants and children Pancreas abnormalities Pancreas CT Pancreas cysts Pancreas injuries Pancreas neoplasms Pancreatitis RadioGraphics 1998 18 1171 -1187 From the Russell H. Morgan Department of Radiology and Radiological Science The Johns Hopkins Medical Institutions 600 N Wolfe St Baltimore MD 21287 . . and the Department of Radiology University of Miami School of Medicine Miami Fla . . Presented as a .

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