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.
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.
Authors: Shandra Bipat; Saffire S K S Phoa; Otto M van Delden; Patrick M M Bossuyt; Dirk J Gouma; Johan S Laméris; Jaap Stoker Journal: J Comput Assist Tomogr Date: 2005 Jul-Aug Impact factor: 1.826
Authors: Gauri R Varadhachary; Eric P Tamm; James L Abbruzzese; Henry Q Xiong; Christopher H Crane; Huamin Wang; Jeffrey E Lee; Peter W T Pisters; Douglas B Evans; Robert A Wolff Journal: Ann Surg Oncol Date: 2006-07-24 Impact factor: 5.344
Authors: Rebekah White; Corrine Winston; Mithat Gonen; Michael D'Angelica; William Jarnagin; Yuman Fong; Kevin Conlon; Murray Brennan; Peter Allen Journal: J Am Coll Surg Date: 2007-11-26 Impact factor: 6.113
Authors: Wolfgang Schima; Reinhold Függer; Ewald Schober; Claudia Oettl; Peter Wamser; Florian Grabenwöger; J Mark Ryan; Gottfried Novacek Journal: AJR Am J Roentgenol Date: 2002-09 Impact factor: 3.959
Authors: Elliot Tapper; Bobby Kalb; Diego R Martin; David Kooby; N Volkan Adsay; Juan M Sarmiento Journal: HPB (Oxford) Date: 2011-08-19 Impact factor: 3.647