Abstract
Computed tomography (CT) and magnetic resonance imaging (MRI) are emerging noninvasive techniques for imaging of the pancreas. Based on multislice technology, CT enables multiplanar imaging of the pancreas (multislice-CT, MSCT) with a high contrast between vessels and parenchyma. In addition, MRI of the pancreas including the imaging of the lumina of the biliary tree and the pancreatic duct (magnetic resonance cholangiopancreaticography, MRCP) and the abdominal vessels (MR angiography, MRA) has become available for daily clinical practice in most hospitals. The addition of multiplanar and curved reformations may increase the sensitivity of CT and improves its agreement with surgical findings. Beyond abdominal MR imaging, techniques such as magnetic resonance cholangiopancreaticography (MRCP) and MR angiography should be integrated in the imaging protocol whenever possible.
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References
Baum U, Lell M, Nomayr A (1999) Multiplanar spiral CT in the diagnosis of pancreatic tumors [in German]. Radiologe 39:958–964
Bluemke DA, Cameron JL, Hruban RH, et al. (1995) Potentially resectable pancreatic adenocarcinoma: spiral CT assessment with surgical and pathologic correlation. Radiology 197:381–385
Catalano C, Laghi A, Fraioli F (2003) Pancreatic carcinoma: the role of high-resolution multislice spiral CT in the diagnosis and assessment of resectability. Eur Radiol 13:149–156
Freeny PC (1999) Pancreatic imaging: new modalities. Gastroenterol Clin North Am 28:723–744
Freeny PC, Traverso LW, Ryan JA (1993) Diagnosis and staging of pancreatic adenocarcinoma with dynamic computed tomography. Am J Surg 165:600–606
Fuhrman GM, Charnsangavej C, Abbruzzese JL (1994) Thin-section contrast-enhanced computed tomography accurately predicts the resectability of malignant pancreatic neoplasms. Am J Surg 167:104–111
Fulcher AS, Turner M (1999) MR pancreatography: a useful tool for evaluating pancreatic disorders. Radiographics 19:5–24
Fulcher AS, Turner MA, Capps GW, Zfass AM, Baker KM (1998) Half-Fourier RARE MRCP in 300 subjects. Radiology 207:21–32
Furukawa H, Kosuge T, Mukai K (1998) Helical computed tomography in the diagnosis of portal vein invasion by pancreatic head carcinoma: usefulness for selecting surgical procedures and predicting the outcome. Arch Surg 133:61–65
Gehl HB, Urhahn R, Bohndorf K, Klever P, Hauptmann S, Lodemann KP, Matern S, Schumpelick V, Gunther RW, et al. (1993) Mn-DPDP in MR imaging of pancreatic adenocarcinoma: initial clinical experience. Radiology 186:795–798
Graf O, Boland GW, Warshaw AL, Fernandez-del-Castillo C, Hahn PF, Mueller PR (1997) Arterial versus portal venous helical CT for revealing pancreatic adenocarcinoma: conspicuity of tumor and critical vascular anatomy. AJR Am J Roentgenol 169:119–123
Ichikawa T, Erturk SM, Sou H (2006) MDCT of pancreatic adenocarcinoma: optimal imaging phases and multiplanar reformatted imaging. AJR Am J Roentgenol 187:1513–1520
Irie H, Honda H, Aibe H, et al. (2000) MR cholangiopancreatographic differentiation of benign and malignant intraductal mucin-producing tumors of the pancreas. AJR Am J Roentgenol 174:1403–1408
Kettritz U, Schlund JF, Wilbur K, Eisenberg LB, Semelka RC (1996) Comparison of gadolinium chelates with manganese-DPDP for liver lesion detection and characterization: preliminary results. Magn Reson Imaging 14:1185–1190
Kosmahl M, Pauser U, Peters K, Sipos B, Luttges J, Kremer B, Kloppel G (2004) Cystic neoplasms of the pancreas and tumor-like lesions with cystic features: a review of 418 cases and a classification proposal. Virchows Arch 445:168–178
Lopez Hänninen E, Amthauer H, Hosten N (2002) Prospective evaluation of pancreatic tumours: accuracy of MR imaging with MR cholangiopancreatography and MR angiography. Radiology 224:34–41
Lu DS, Reber HA, Krasny RM, Kadell BM, Sayre J (1997) Local staging of pancreatic cancer: criteria for unresectability of major vessels as revealed by pancreatic-phase, thin-section helical CT. AJR Am J Roentgenol 168:1439–1443
Malka D, Hammel P, Maire F, et al. (2002) Risk of pancreatic adenocarcinoma in chronic pancreatitis. Gut 51:849–852
Martin DR, Semelka RC (2000) MR imaging of pancreatic masses. Magn Reson Imaging Clin N Am 8:787–812
Morakkabati-Spitz N, Willinek WA, von Falkenhausen M (2002) Is a dynamic MRI examination of the pancreas still necessary? Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 174:433–436
Petersein J, Reisinger W, Hamm B (2002) Diagnostic value of secretin injections in dynamic MR pancreatography. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 174:437–443
Richter GM, Simon C, Hoffmann V (1996) Hydrospiral CT of the pancreas in thin section technique [in German]. Radiologe 36:397–405
Robinson PJ, Sheridan MB (2000) Pancreatitis: computed tomography and magnetic resonance imaging. Eur Radiol 10:401–408
Romijn MG, Stoker J, van Eijck CH (2000) MRI with mangafodipir trisodium in the detection and staging of pancreatic cancer. J Magn Reson Imaging 12:261–268
Sahani DV, Kadavigere R, Blake M, Fernandez-Del Castillo C, Lauwers GY, Hahn PF (2006) Intraductal papillary mucinous neoplasm of pancreas: multi-detector row CT with 2D curved reformations—correlation with MRCP. Radiology 238:560–569
Schima W, Ba-Ssalamah A (1999) Radiologic staging of liver and pancreatic malignancies [in German]. Radiologe 39:568–577
Sugiyama M, Atomi Y, Hachiya J (1998) Intraductal papillary tumors of the pancreas: evaluation with magnetic resonance cholangiopancreatography. Am J Gastroenterol 93:156–159
Taoka H, Hauptmann E, Traverso LW, Barnett MJ, Sarr MG, Reber HA (1999) How accurate is helical computed tomography for clinical staging of pancreatic cancer? Am J Surg 177:428–432
Varadhachary G, Tamm E, Abbruzzese J (2006) Borderline resectable pancreatic cancer: definitions, management, and role of preoperative therapy. Ann Surg Oncol 13:1035–1046
Warshaw AL, Gu ZY, Wittenberg J, Waltman AC (1990) Preoperative staging and assessment of resectability of pancreatic cancer. Arch Surg 125:230–233
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Stroszczynski, C., Grützmann, R., Kittner, T. (2008). CT and MR Imaging of Pancreatic Cancer. In: Pancreatic Cancer. Recent Results in Cancer Research, vol 177. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-71279-4_2
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DOI: https://doi.org/10.1007/978-3-540-71279-4_2
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