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 | |
| State | Published - 2010 |
| Externally published | Yes |
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Keywords
- Adenocarcinoma
- Cancer imaging
- Head of the pancreas
- MRI
- Pancreas
- Pancreatic cancer
- Pancreaticoduodenectomy
ASJC Scopus subject areas
- Surgery
- Gastroenterology
- Medicine(all)
Cite this
An MRI-driven practice : A new perspective on MRI for the evaluation of adenocarcinoma of the head of the pancreas. / Tapper, Elliot B.; Martin, Diego R; Adsay, N. Volkan; Kooby, David; Kalb, Bobby T; Sarmiento, Juan M.
In: Journal of Gastrointestinal Surgery, Vol. 14, No. 8, 2010, p. 1292-1297.Research output: Contribution to journal › Article
}
TY - JOUR
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 R
AU - Adsay, N. Volkan
AU - Kooby, David
AU - Kalb, Bobby T
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
UR - http://www.scopus.com/inward/record.url?scp=77954957704&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77954957704&partnerID=8YFLogxK
U2 - 10.1007/s11605-010-1221-z
DO - 10.1007/s11605-010-1221-z
M3 - Article
C2 - 20467829
AN - SCOPUS:77954957704
VL - 14
SP - 1292
EP - 1297
JO - Journal of Gastrointestinal Surgery
JF - Journal of Gastrointestinal Surgery
SN - 1091-255X
IS - 8
ER -