An MRI-driven practice: A new perspective on MRI for the evaluation of adenocarcinoma of the head of the pancreas

Elliot B. Tapper; Diego Martin; N. Volkan Adsay; David Kooby; Bobby Kalb; Juan M. Sarmiento

doi:10.1007/s11605-010-1221-z

An MRI-driven practice: A new perspective on MRI for the evaluation of adenocarcinoma of the head of the pancreas

Elliot B. Tapper, Diego Martin, N. Volkan Adsay, David Kooby, Bobby Kalb, Juan M. Sarmiento

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

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.

Original language	English (US)
Pages (from-to)	1292-1297
Number of pages	6
Journal	Journal of Gastrointestinal Surgery
Volume	14
Issue number	8
DOIs	https://doi.org/10.1007/s11605-010-1221-z
State	Published - 2010
Externally published	Yes

Keywords

Adenocarcinoma
Cancer imaging
Head of the pancreas
MRI
Pancreas
Pancreatic cancer
Pancreaticoduodenectomy

ASJC Scopus subject areas

Surgery
Gastroenterology

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title = "An MRI-driven practice: A new perspective on MRI for the evaluation of adenocarcinoma of the head of the pancreas",

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.",

keywords = "Adenocarcinoma, Cancer imaging, Head of the pancreas, MRI, Pancreas, Pancreatic cancer, Pancreaticoduodenectomy",

author = "Tapper, {Elliot B.} and Diego Martin and Adsay, {N. Volkan} and David Kooby and Bobby Kalb and Sarmiento, {Juan M.}",

year = "2010",

doi = "10.1007/s11605-010-1221-z",

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T1 - An MRI-driven practice

T2 - A new perspective on MRI for the evaluation of adenocarcinoma of the head of the pancreas

AU - Tapper, Elliot B.

AU - Martin, Diego

AU - Adsay, N. Volkan

AU - Kooby, David

AU - Kalb, Bobby

AU - Sarmiento, Juan M.

PY - 2010

Y1 - 2010

N2 - 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.

AB - 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.

KW - Adenocarcinoma

KW - Cancer imaging

KW - Head of the pancreas

KW - MRI

KW - Pancreas

KW - Pancreatic cancer

KW - Pancreaticoduodenectomy

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ER -

An MRI-driven practice: A new perspective on MRI for the evaluation of adenocarcinoma of the head of the pancreas

Abstract

Keywords

ASJC Scopus subject areas

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