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An MRI-Driven Practice: a New Perspective on MRI for the Evaluation of Adenocarcinoma of the Head of the Pancreas

  • SSAT Poster Presentation
  • Published:
Journal of Gastrointestinal Surgery

Abstract

Objectives

The purpose of the study was to describe the MRI-driven management of masses at the head of the pancreas.

Main outcome measures

The main outcome measure was tumor resectability.

Methods

A retrospective review of prospective radiographic diagnoses was undertaken.

Results

Between 2004 and 2008, we have treated 124 patients for a radiographic diagnosis of adenocarcinoma of the head of the pancreas. This diagnosis was correct in 96.0% of the time. MRI was 100% sensitive in determining resectability, 73.2–78.9% specific, and had an overall accuracy of 86.3–87.5%. MRI could detect venous and arterial involvement with 95% and 95.9% accuracy, respectively, and missed only six metastases.

Conclusion

MRI is a useful tool in the preoperative imaging of pancreatic head lesions that is highly sensitive and very specific for resectable disease. Prospective trials of MRI in this setting are indicated.

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Author information

Authors and Affiliations

  1. Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA

    Elliot B. Tapper

  2. Department of Radiology, School of Medicine, Emory University, Atlanta, GA, USA

    Diego Martin & Bobby Kalb

  3. Department of Pathology, School of Medicine, Emory University, Atlanta, GA, USA

    N. Volkan Adsay

  4. Department of Surgery, School of Medicine, Emory University, Atlanta, GA, USA

    David Kooby & Juan M. Sarmiento

  5. Department of Surgery, Emory University Hospital, 1364 Clifton Road, NE, Suite H-124-C, Atlanta, GA, 30322, USA

    Juan M. Sarmiento

Authors
  1. Elliot B. Tapper
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  2. Diego Martin
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  3. N. Volkan Adsay
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  4. David Kooby
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  5. Bobby Kalb
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  6. Juan M. Sarmiento
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Corresponding author

Correspondence to Juan M. Sarmiento.

Additional information

This paper is the manuscript of a poster presentation at SSAT 2009 (DDW, Chicago, IL, USA).

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Tapper, E.B., Martin, D., Adsay, N.V. et al. An MRI-Driven Practice: a New Perspective on MRI for the Evaluation of Adenocarcinoma of the Head of the Pancreas. J Gastrointest Surg 14, 1292–1297 (2010). https://doi.org/10.1007/s11605-010-1221-z

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  • DOI: https://doi.org/10.1007/s11605-010-1221-z

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