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ECR 2019 / C-0763
Pancreatic and Biliary Involvement in IgG4-Related Disease: What the Radiologist Needs to Know
Congress: ECR 2019
Poster No.: C-0763
Type: Educational Exhibit
Keywords: Education and training, Diagnostic procedure, MR-Cholangiography, MR, CT, Pancreas, Biliary Tract / Gallbladder, Abdomen
Authors: J. Miguez Gonzalez, P. LOZANO ARRANZ, R. Oliveira Caiafa, F. Calaf Forn, A. Thomas, J. Catala Forteza; Barcelona/ES


1. Vlachou PA, Khalili K, Jang HJ, et al. IgG4-related sclerosing disease: autoimmune pancreatitis and extrapancreatic manifestations.  RadioGraphics 2011; 31:1379–1402


2.  A. Martínez-de-Alegría, S. Baleato-González et al. IgG4-related Disease from Head to Toe. RadioGraphics 2015; 35:2007–2025


3. Shimosegawa T, Chari ST, Frulloni L, Kamisawa T, Kawa S, MinoKenudson M, et al. International consensus diagnostic criteria for autoimmune pancreatitis: guidelines of the International Association of Pancreatology. Pancreas 2011; 40:352-8. [PMID: 21412117] 


4. Sahani DV, Sainani NI, Deshpande V, et al. Autoimmune pancreatitis: disease evolution, staging, response assessment, and CT features that predict response to corticosteroid therapy. Radiology 2009; 250:118–129


5. Chari ST, Smyrk T, Levy M et al. Diagnosis of autoimmune pancreatitis: the Mayo Clinic experience. Clin Gastroenterol Hepatol. 2006;4:1010-6 


6. Chari ST. Diagnosis of autoimmune pancreatitis using its five cardinal features: introducing the Mayo Clinic's HISORt criteria. J Gastroenterol 2007;42 (suppl 18):39–41.  


7. Hart PA, Zen Y, Chari ST. Recent Advances in Autoimmune Pancreatitis. Gastroenterology 2015; 149:39


8. Okazaki K, Kawa S, Kamisawa T et al. “Clinical diagnostic criteria of autoimmune pancreatitis: revised proposal”. J Gastroenterol. 2006;41:626-31.


9. Manfredi R, Graziani R, Cicero C et al. Autoimmune pancreatitis: CT patterns and their changes after steroid treatment. Radiology 2008;247(2):435–443. 


10. Frulloni L, Scattolini C, Falconi M et al. Autoimmune pancreatitis: differences between the focal and diffuse forms in 87 patients. Am J Gastroenterol 2009;104(9):2288–2294.


11. Manfredi R, Frulloni L, Mantovani W, et al. Autoimmune pancreatitis: pancreatic and extrapancreatic MR imaging-MR cholangiopancreatography findings at diagnosis, after steroid therapy, and at recurrence. Radiology 2011 260:428–436


12. Negrelli, R., Manfredi, R., Pedrinolla, B. et al. Pancreatic duct abnormalities in focal autoimmune pancreatitis: MR/MRCP imaging findings. Eur Radiol (2015) 25: 359. 


13. Kawa S, Hamano H, Umemura T, et al. Sclerosing cholangitis associated with autoimmune pancreatitis. Hepatol Res 2007; 37(suppl 3):S487–S495


14. Dechoux S, Arrive L (2011) IgG4-related sclerosing disease: autoimmune pancreatitis (AIP) and IgG4-related cholangitis. Clin Res Hepatol Gastroenterol 35:601


15. Kim JH, Byun JH, Kim SY et al (2013) Sclerosing cholangitis with autoimmune pancreatitis versus primary sclerosing cholangitis: comparison on endoscopic retrograde cholangiography, MR cholangiography, CT, and MRI. Acta Radiol 54:601–607


16. Ohara H, Okazaki K, Tsubouchi H, Inui K, Kawa S, Kamisawa T, et al. Clinical diagnostic criteria of IgG4-related sclerosing cholangitis. J Hepatobiliary Pancreat Sci 2012;19:536–42


17. Nieun Seo, Jin Hee Kim, Jae Ho Byun et al. Immunoglobulin G4-Related Kidney Disease: A Comprehensive Pictorial Review of the Imaging Spectrum, Mimickers, and Clinicopathological Characteristics. Korean J Radiol 2015;16(5):1056-1067


18. Takahashi N, Kawashima A, Fletcher JG, Chari ST (2007) Renal involvement in patients with autoimmune pancreatitis: CT and MR imaging findings. Radiology 242:791–801


19. Tabata T, Kamisawa T, Hara S et al. Differentiating Immunoglobulin G4-Related Sclerosing Cholangitis from Hilar Cholangiocarcinoma. Gut and Liver, Vol. 7, No. 2, March 2013, pp. 234-238


20. Mittelstaedt A, Meier PN, Dankoweit-Timpe E et al. IgG4-related sclerosing cholangitis mimicking hilar cholangiocarcinoma (Klatskin tumor): a case report of a challenging disease and review of the literature. Innov Surg Sci 2018; 3(2): 157–163



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