An International Symposium was held in Atlanta in 1992 to present the
state of th art of diagnostic evaluation and management of acute pancr
eatitis and to agree on an acceptable series of clinical definitions f
or classifying the disease and its complications. The symposium was co
mposed of 40 internationally recognized experts in pancreatic disease
from 15 countries representing six disciplines (anatomy, gastroenterol
ogy, internal medicine, pathology radiology, and surgery). The purpose
of this article is to present the radiologically relevant aspects of
the symposium; to define the state of the art of imaging and intervent
ion in acute pancreatitis, particularly how and when to use computed t
omography and how and when to perform percutaneous therapy versus surg
ery; and to encourage radiologists to use precise and proper nomenclat
ure when describing the morphologic manifestations of acute pancreatit
is as depicted by various imaging modalities.