Diagnostic accuracy for neoplastic IPMN: does the contrast make the difference?
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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) .
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...
KeywordsDiagnostic Accuracy Interobserver Agreement Biliary Drainage Cystic Neoplasm Intraductal Papillary Mucinous Neoplasm
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No funding was received for this study.
Conflict of interest
The authors declare that they have no conflict of interest.
This article does not contain any studies with human participants performed by any of the authors.
Statement of informed consent was not applicable since the manuscript does not contain any patient data.
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