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Abdominal Radiology

, Volume 42, Issue 11, pp 2698–2699 | Cite as

Diagnostic accuracy for neoplastic IPMN: does the contrast make the difference?

  • Andrea Lisotti
  • Pietro FusaroliEmail author
Commentary
  • 263 Downloads

Dear Editor,

We have read with great interest Dr. Choi’s article comparing the diagnostic performance of computed tomography (CT), magnetic resonance imaging (MRI), and endoscopic ultrasound (EUS) for the detection of neoplastic features in patients undergoing pancreatic surgery for intraductal papillary mucinous neoplasms (IPMN) [1].

As stated by the authors, available evidence from the literature reported higher accuracy for EUS than for other imaging techniques (CT and MRI) in differential diagnosis of IPMN. Accordingly, guidelines have recommended EUS as the preferred second-level diagnostic technique [2, 3].

Interestingly, Choi et al. observed that contrast-enhanced CT, contrast-enhanced MRI, and EUS showed similar diagnostic accuracy for the differential diagnosis between benign and malignant IPMN. Moreover, they found even higher sensitivity and specificity for the two radiologic imaging techniques when the presence of enhancing solid component was taken into account. The...

Keywords

Diagnostic Accuracy Interobserver Agreement Biliary Drainage Cystic Neoplasm Intraductal Papillary Mucinous Neoplasm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with ethical standards

Funding

No funding was received for this study.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.

Informed consent

Statement of informed consent was not applicable since the manuscript does not contain any patient data.

References

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    Choi SY, Kim JH, Yu MH, et al. (2017) Diagnostic performance and imaging features for predicting the malignant potential of intraductal papillary mucinous neoplasm of the pancreas: a comparison of EUS, contrast-enhanced CT and MRI. Abdom Radiol (NY) 42(5):1449–1458. doi: 10.1007/s00261-017-1053-3 CrossRefGoogle Scholar
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    Harima H, Kaino S, Shinoda S, et al. (2015) Differential diagnosis of benign and malignant branch duct intraductal papillary mucinous neoplasm using contrast-enhanced endoscopic ultrasonography. World J Gastroenterol 21(20):6252–6260. doi: 10.3748/wjg.v21.i20.6252 CrossRefPubMedPubMedCentralGoogle Scholar
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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Gastroenterology Unit, Department of Medical and Surgical Science, Hospital of ImolaUniversity of BolognaImolaItaly

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