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Multimodality imaging of diseases of the duodenum

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Abstract

The duodenum is a unique segment of intestine, occupying both intra and extra-peritoneal locations. There is a wide spectrum of abnormalities of the duodenum that range from congenital anomalies to traumatic, inflammatory, and neoplastic entities. The duodenum may be overlooked on cross-sectional imaging due to its location and small size. Duodenal pathologies may, therefore, be missed or wrongly diagnosed. Knowledge about duodenal pathologies and optimal imaging techniques can increase diagnostic yield and permit optimal patient management. Conventionally, the duodenum was evaluated with upper GI studies on fluoroscopy; however, endoluminal evaluation is better performed with endoscopy. Additionally, a broad array of cross-sectional imaging modalities permits comprehensive assessment of the duodenum and surrounding viscera. While endoscopic sonography is increasingly used to locally stage duodenal malignancies, MDCT remains the primary modality widely used in the detection and characterization of duodenal abnormalities. MRI is used as a "problem solving" modality in select conditions. We present a comprehensive review of duodenal abnormalities with an emphasis on accurate diagnosis and management.

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Acknowledgments

The authors sincerely thank Charles A. Rohrmann, Jr, M.D. and Joel E. Lichtenstein, M.D., for their valuable contributions.

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Authors and Affiliations

  1. Department of Radiology, University of Washington, Seattle, WA, USA

    Michael F. McNeeley, Neeraj Lalwani, Jeffery Maki, Manjiri K. Dighe & Bruce Lehnert

  2. University of Texas M. D. Anderson Cancer Center, Houston, TX, USA

    Ganeshan Dhakshina Moorthy & Srinivasa R. Prasad

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  1. Michael F. McNeeley
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McNeeley, M.F., Lalwani, N., Dhakshina Moorthy, G. et al. Multimodality imaging of diseases of the duodenum. Abdom Imaging 39, 1330–1349 (2014). https://doi.org/10.1007/s00261-014-0157-2

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