Radiologic diagnosis and staging of pancreatic ductal adenocarcinoma

被引:69
作者
Balci, NC [1 ]
Semelka, RC [1 ]
机构
[1] Florence Nightingale Hosp, Dept Radiol, Istanbul, Turkey
关键词
pancreas; adenocarcinoma; radiology;
D O I
10.1016/S0720-048X(01)00295-9
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
This article presents imaging modalities in the diagnosis and staging of pancreatic ductal adenocarcinoma. Magnetic resonance imaging (MRI) and endoscopic ultrasonography (EUS) have the highest accuracy in detection of pancreatic cancer. MRI and EUS have similar accuracy in determining the local extent of pancreatic cancer. Angiography, computed tomography (CT) angiography and EUS are similarly accurate in evaluating peripancreatic vascular involvement. MRI is the superior method for detecting liver metastases and peritoneal implants of pancreatic ductal adenocarcinoma. Endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) are used to assess the biliary tract of patients with pancreatic cancer. Positron emission tomography (PET) is useful in distinguishing pancreatic cancer from focal pancreatic inflammation. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:105 / 112
页数:8
相关论文
共 31 条
[1]   Color Doppler imaging in the assessment of vascular involvement by pancreatic carcinoma? [J].
Angeli, E ;
Venturini, M ;
Vanzulli, A ;
Sironi, S ;
Castrucci, M ;
Salvioni, M ;
Zerbi, A ;
DiCarlo, V ;
DelMaschio, A .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1997, 168 (01) :193-197
[2]  
BALCI NC, 1999, RADIOLOGY DIAGNOSIS, P1
[3]  
Bluemke D A, 1998, Surg Oncol Clin N Am, V7, P103
[4]   Diagnosing and staging of pancreatic carcinoma -: What is necessary? [J].
Böttger, TC ;
Boddin, J ;
Düber, C ;
Heintz, A ;
Küchle, R ;
Junginger, T .
ONCOLOGY, 1998, 55 (02) :122-129
[5]   PANCREATIC AND AMPULLARY CARCINOMA - ULTRASOUND, COMPUTED-TOMOGRAPHY, MAGNETIC-RESONANCE-IMAGING AND ANGIOGRAPHY [J].
BRAMBS, HJ ;
CLAUSSEN, CD .
ENDOSCOPY, 1993, 25 (01) :58-68
[6]   MRI DEMONSTRATION OF PERITONEAL IMPLANTS [J].
CHOU, CK ;
LIU, GC ;
SU, JH ;
CHEN, LT ;
SHEU, RS ;
JAW, TS .
ABDOMINAL IMAGING, 1994, 19 (02) :95-101
[7]   DIAGNOSIS OF PANCREATIC-CANCER AND PREDICTION OF UNRESECTABILITY USING THE TUMOR-ASSOCIATED ANTIGEN CA19-9 [J].
FORSMARK, CE ;
LAMBIASE, L ;
VOGEL, SB .
PANCREAS, 1994, 9 (06) :731-734
[8]   DIAGNOSIS AND STAGING OF PANCREATIC ADENOCARCINOMA WITH DYNAMIC COMPUTED-TOMOGRAPHY [J].
FREENY, PC ;
TRAVERSO, LW ;
RYAN, JA .
AMERICAN JOURNAL OF SURGERY, 1993, 165 (05) :600-606
[9]  
FRIEDMAN AC, 1987, RADIOLOGY LIVER BILI, P749
[10]   SMALL PANCREATIC ADENOCARCINOMAS - EFFICACY OF MR-IMAGING WITH FAT-SUPPRESSION AND GADOLINIUM ENHANCEMENT [J].
GABATA, T ;
MATSUI, O ;
KADOYA, M ;
YOSHIKAWA, J ;
MIYAYAMA, S ;
TAKASHIMA, T ;
NAGAKAWA, T ;
KAYAHARA, M ;
NONOMURA, A .
RADIOLOGY, 1994, 193 (03) :683-688