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Erschienen in:
01.08.2010 | SSAT Poster Presentation
An MRI-Driven Practice: a New Perspective on MRI for the Evaluation of Adenocarcinoma of the Head of the Pancreas
Erschienen in: Journal of Gastrointestinal Surgery | Ausgabe 8/2010
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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.