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) |
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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 -