Advertisement

European Radiology

, Volume 4, Issue 3, pp 243–253 | Cite as

Evaluation of the pancreas by MRI

  • Yoshimasa Imanishi
  • Vivian Y. Hou
  • Alexandra C. Chako
  • Clare M. C. Tempany
  • Christian J. Herold
  • Elias A. Zerhouni
Original Articles Gastrointestinal Radiology

Abstract

Using T1-, P- and T2-weighted images of the upper abdomen obtained on 1.5 T MRI system, 18 items on the pancreas were evaluated in 89 controls. The items included pancreas sizes on T1-weighted image. pancreatic intensity compared with those of renal cortex, subcutaneous fat tissue, liver and spleen, obliteration of pancreas margin, and diameter of pancreatic duct on all images. Normal criteria, which were determined from data in the controls, were applied to images in the 40 patients with pancreatic or peripancreaticdiseases. All 4 patients with an extra-pancrcatic tumor had no abnormality of pancreatic intensity. pancreatic margin, and pancreatic duct on T2-weighted image, except for pancreatic sizes and intensities at tumor sites. In contrast. 34 of 36 patients with pancreatic disease had abnormalities which pathologically depended on acute and/or chronic pancreatitis.

Key words

Pancreatic cancer Pancreatitis Extra-pancreatic mass 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Freeny PC (1988) Radiology of the pancreas. AJR 150: 975Google Scholar
  2. 2.
    Anacker H, Rupp N, Reiser M (1984) Magnetic resonance (MR) in the diagnosis of pancreatic disease. Eur J Radiol 4: 265Google Scholar
  3. 3.
    Frucht H, Doppman JL, Norton JA, et al. (1989) Gastrinomas. Radiology 171: 713Google Scholar
  4. 4.
    Simeone JF, Edelman RR, Stark DD, et al. (1985) Surface coil MR imaging of abdominal viscera. Radiology 157: 437Google Scholar
  5. 5.
    Steiner E, Stark DD, Hahn PF, et al. (1989) Imaging of pancreatic neoplasms. AJR 152: 487Google Scholar
  6. 6.
    Tscholakoff D, Hricak H, Thoeni R, Winkler ML, Margulis AR (1987) MR imaging in the diagnosis of pancreatic disease. AJR 148: 703Google Scholar
  7. 7.
    Deixonne B, Marty-Double C, Pignodel C (1986) Pathological anatomy. In: Baumel H and Deixonne B (eds) Exocrine pancreatic cancer. Springer, Berlin Heidelberg New York, pp 11–44Google Scholar
  8. 8.
    Cohen JM, Weinreb JC, Maravilla KR (1985) Fluid collections in the intraperitoneal and extraperitoneal spaces. Radiology 155: 705Google Scholar
  9. 9.
    Bockman DE (1986) Anatomy of the pancreas. In: Go VLW, Gardner JD, Brooks FD, Lebenthal E, DiMagno EP, Scheele GA, eds The exocrine pancreas: biology, pathobiology, and diseases. Raven Press, New York, pp 1–7Google Scholar
  10. 10.
    Heitz PU, Beglinger C, Gyr K (1984) Anatomy and physiology of the exocrine pancreas. In: Kloeppel G, Heitz PU, (eds) Pancreatic pathology. W. Gepts, Edinburgh, pp 3–21Google Scholar
  11. 11.
    Heuck A, Maubach PA, Reiser M, et al. (1987) Age-related morphology of the normal pancreas on computed tomography. Gastrointest Radiol 12: 18Google Scholar
  12. 12.
    Lammer J, Herlinger H, Zalaudek G, Hofler H (1985) Pseudo tumorous pancreatitis. Gastrointest Radiol 10: 59Google Scholar
  13. 13.
    Luetmer PH, Stephens DH, Ward EM (1989) Chronic pancreatitis. Radiology 171: 353Google Scholar
  14. 14.
    Magnuson JE, Stephens DH (1988) CT demonstration of pancreatic atrophy following acute pancreatitis. J Comput Assist Tomgr 12: 1050Google Scholar
  15. 15.
    Vahey TN, Glazer GM, Francis IR, et al. (1988) MR diagnosis of pancreatic transplant rejection. AJR 150: 557Google Scholar
  16. 16.
    Glazer GM (1988) MR imaging of the liver, kidneys, and adrenal glands. Radiology 166: 303Google Scholar
  17. 17.
    Heitz PU, Oberholzer M, Oetiker RF (1984) Morphologic criteria of pancreatitis. In: Gyr KE, Singer MV, Sarles H eds Pancreatitis: concepts and classification. Excerpta Medica, Amsterdam, pp 25–28Google Scholar
  18. 18.
    Raptopoulos V, Kleinman PK, Marks J Sandy, Snyder M, Silverman PM (1986) Renal fascial pathway. Radiology 158: 367Google Scholar
  19. 19.
    Luetmer PH, Stephens DH, Fischer AP (1989) Obliteration of periarterial retropancreatic fat in pancreatitis. AJR 153: 63Google Scholar
  20. 20.
    Jeffrey RB, Laing FC, Wing VW (1986) Extrapancreatic spread of acute pancreatitis. Radiology 159: 707Google Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • Yoshimasa Imanishi
    • 1
  • Vivian Y. Hou
    • 2
  • Alexandra C. Chako
    • 2
  • Clare M. C. Tempany
    • 2
  • Christian J. Herold
    • 2
  • Elias A. Zerhouni
    • 2
  1. 1.Department of RadiologySt. Marianna University School of MedicineKawasaki, Kanagawa-ken 216Japan
  2. 2.Department of RadiologyJohns Hopkins University School of MedicineBaltimoreUSA

Personalised recommendations