Potential role of imaging for assessing acute pancreatitis-induced acute kidney injury.

Affiliation

Wang Y(1), Liu K(2)(3), Xie X(3), Song B(1).
Author information:
(1)Department of Radiology, West China Hospital, Sichuan University, Chengdu, China.
(2)Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People' s Hospital, University of Electronic Science and Technology of China, Chengdu, China.
(3)Department of Nephrology, Nanchong Central Hospital, The Second Affiliated Medical College of North Sichuan Medical College, Nanchong, China.

Abstract

Acute kidney injury (AKI) is a common complication of acute pancreatitis (AP) that is associated with increased mortality. Conventional assessment of AKI is based on changes in serum creatinine concentration and urinary output. However, these examinations have limited accuracy and sensitivity for the diagnosis of early-stage AKI. This review summarizes current evidence on the use of advanced imaging approaches and artificial intelligence (AI) for the early prediction and diagnosis of AKI in patients with AP. CT scores, CT post-processing technology, Doppler ultrasound, and AI technology provide increasingly valuable information for the diagnosis of AP-induced AKI. Magnetic resonance imaging (MRI) also has potential for the evaluation of AP-induced AKI. For the accurate diagnosis of early-stage AP-induced AKI, more studies are needed that use these new techniques and that use AI in combination with advanced imaging technologies.