Abstract
Imaging techniques for pancreatic cancer have evolved on a broad front over the past decade but the improving ability to reliably answer a variety of questions in a single procedure has made computed tomography (CT) the examination of choice for staging and preoperative planning. This chapter describes the recent advances in CT and the role of magnetic resonance imaging (MRI) in pancreatic cancer.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Freeny PC, Marks WM, Ryan JA, Traverso LW (1988) Pancreatic ductal adenocarcinoma: diagnosis and staging with dynamic CT. Radiology 166:125–133.
Fuhrman GM, Charnsangavej C, Abbruzzese JL et al. (1994) Thin-section contrast-enhanced computed tomography accurately predicts the resectability of malignant pancreatic neoplasms. Am J Surg 167:104–111.
Megibow AJ, Zhou XH, Rotterdam H et al. (1995) Pancreatic adenocarcinoma: CT versus MR imaging in the evaluation of resectability: report of the Radiology Diagnostic Oncology Group. Radiology 195:327–332.
Garber S, Lees WR (1993) Pancreatic malignancy. In: Cosgrove D, Meire H, Dewbury K (eds), Abdominal and general ultrasound, vol 1. Churchill Livingstone, Edinburgh, pp 157–170.
Tomiyama T, Ueno N, Tano S, Wada S, Kimura K (1996) Assessment of arterial invasion in pancreatic cancer using color Doppler ultrasonography. Am J Gastroenterol 91:1410–1416.
Palazzo L, Roseau G, Gayet B et al. (1993) Endoscopic ultrasonography in the diagnosis and staging of pancreatic adenocarcinoma. Results of a prospective study with comparison to ultrasonography and CT scan. Endoscopy 25:143–150.
John TG, Greig JD, Carter DC, Garden OJ (1995) Carcinoma of the pancreatic head and periampullary region. Tumour staging with laparoscopy and laparoscopic ultrasonography. Ann Surg 221:156–164.
Bonaldi VM, Bret PM, Atri M, Garcia P, Reinhold C (1996) A comparison of two injection protocols using helical and dynamic acquisitions in CT examinations of the pancreas. AJR 167:49–55.
Lu DS, Vedantham S, Krasny RM, Kadell B, Berger WL, Reber HA (1996) Two-phase helical CT for pancreatic tumors pancreatic versus hepatic phase enhancement of tumour, pancreas, and vascular structures. Radiology 199:697–701.
Zeman RK, Silverman PM, Ascher SM, Patt RH, Cooper C, Al-Kawas F (1995) Helical (spiral) CT of the pancreas and biliary tract. Radiol Clin North Am 33:887–902.
Bluemke DA, Soyer P, Fishman EK (1995) Helical (spiral) CT of the liver. Radiol Clin North Am 33:863–886.
Johnson PT, Heath DG, Kuszyk BS, Fishman EK (1996) CT angiography with volume rendering: advantages and applications in splanchnic vascular imaging. Radiology 200:564–568.
Raptopoulos V, Steer ML, Sheiman RG, Vrachliotis TG, Gougoutas CA, Movson JS (1997) The use of helical CT angiography to predict vascular involvement from pancreatic cancer: correlation with findings at surgery. AJR 168:971–977.
Coley SC, Strickland NH, Walker JD, Williamson RCN (1997) Spiral CT and the preoperative assessment of pancreatic adenocarcinoma. Clin Radiol 52:24–30.
Bluemke DA, Cameron JL, Hruban RH et al. (1995) Potentially resectable pancreatic adenocarcinoma: spiral CT assessment with surgical and pathological correlation. Radiology 197:381–385.
Furukawa H, Takayasu K, Mukai K, Inoue K, Kosuge T, Ushio K (1996) Computed tomography of pancreatic adenocarcinoma: comparison of tumor size measured by dynamic computed tomography and histopathologic examination. Pancreas 13:231–235.
Cancer of the Pancreas Task Force (1981) Staging cancer of the pancreas. Cancer 47:1631–1642.
Megibow AJ (1992) Pancreatic adenocarcinoma: designing the examination to evaluate the clinical questions. Radiology 183:297–303.
Freeny PC, Traverso LW, Ryan JA (1993) Diagnosis and staging of pancreatic adenocarcinoma with dynamic computed tomography. Am J Surg 165:600–606.
Reznek RH, Stephens DH (1993) The staging of pancreatic adenocarcinoma. Clin Radiol 47:373–381.
Zeman RK, Davros WJ, Berman P et al. (1994) Three-dimensional models of the abdominal vasculature based on helical CT: usefulness in patients with pancreatic neoplasms. AJR 162:1425–1429.
Hommeyer SC, Freeny PC, Crabo LG (1995) Carcinoma of the head of the pancreas: evaluation of the pancreaticoduodenal veins with dynamic CT: potential for improved accuracy in staging. Radiology 96:233–238.
Chambers TP, Fishman EK, Bluemke DA, Urban B, Venbrux AC (1995) Identification of the aberrant hepatic artery with axial spiral CT. J Vase Interv Radiol 6:959–964.
Leach SD, Rose JA, Lowy AM et al. (1995) Significance of peritoneal cytology in patients with potentially resectable adenocarcinoma of the pancreatic head. Surgery 118:472–478.
Hollett MD, Brooke Jeffrey R Jr, Nino-Murcia M, Jorgenson MJ, Harris DP (1995) Dual phase helical CT of the liver; value of arterial phase scans in the detection of small (< 1.5 cm) malignant hepatic neoplasms. AJR 164:879–884.
Redvanly RD, Chezmar JL (1997) CTAP; technique, indications and applications. Clin Radiol 52: 256–268.
Savader BL, Fishman EK, Savader SJ, Cameron JL (1994) CT arterial portography vs pancreatic arteriography in the assessment of vascular involvement in pancreatic and periampullary tumors. J Comput Assist Tomogr 18:916–920.
Soyer P, Lacheheb D, Belkacem A, Levesque M (1994) Involvement of superior mesenteric vessels and portal vein in pancreatic adenocarcinoma: detection with CT during arterial portography. Abdom Imaging 19:413–416.
National Cancer Institute (1991) Annual Cancer Statistics Review 1973–1988. Department of Health and Human Services, Bethesda (NIH publication No 91–2789).
Nghiem HV, Freeny PC (1994) Radiologic staging of pancreatic adenocarcinoma. Radiol Clin North Am 32:71–79.
Gabata T, Matsui O, Kadoya M et al. (1994) Small pancreatic adenocarcinomas: efficacy of MR imaging with fat suppression and gadolinium enhancement. Radiology 193:683–688.
Mergo PJ, Helmberger TK, Buetow PC, Helmberger RC, Ros PR (1997) Pancreatic neoplasms: MR imaging and pathologic correlation. Radiographics 17:281–301.
Pisegna JR, Doppman JL, Norton JA, Metz DC, Jensen RT (1993) Prospective comparative study of the ability of MR and other imaging modalities to localise tumours in patients with Zollinger-Ellison syndrome. Dig Dis Sci 38:1318–1328.
Rodgers PM, Ward J, Baudouin CJ, Ridgeway JP, Robinson PJ (1994) Dynamic contrast-enhanced MR imaging of the portal venous system: comparison with X-ray angiography. Radiology 191:741–745.
Ichikawa T, Haradome H, Hachiya J et al. (1997) Pancreatic ductal adenocarcinoma: assessment with helical CT versus dynamic MR imaging. Radiology 202:655–662.
Paulson EK, Baker ME, Paine SS, Spritzer CE, Meyers WC (1994) Detection of focal hepatic masses: STIR MR vs CT during arterial portography. J Comput Assist Tomogr 18:581–587.
Ishizaki Y, Wakayama T, Okada Y, Kobayashi T (1993) Magnetic resonance cholangiography for evaluation of obstructive jaundice. Am J Gastroenterol 88:2072–2077.
Low RN, Sigeti JS, Francis IR et al. (1994) Evaluation of malignant biliary obstruction: efficacy of fast multiplanar spoiled gradient-recalled MR imaging vs spin-echo MR imaging, CT, and cholangiography. AJR 162:315–323.
Schuster DM, Pedrosa MC, Robbins AH (1995) Magnetic resonance cholangiography. Abdom Imaging 20:353–356.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1999 Springer-Verlag London Limited
About this chapter
Cite this chapter
Heafield, R.J., Hacking, C.N. (1999). Imaging in Pancreatic Cancer: Spiral Computed Tomography (CT), CT Arterial Portography (CTAP) and Magnetic Resonance Imaging (MRI). In: Johnson, C.D., Imrie, C.W. (eds) Pancreatic Disease. Springer, London. https://doi.org/10.1007/978-1-4471-0801-6_31
Download citation
DOI: https://doi.org/10.1007/978-1-4471-0801-6_31
Publisher Name: Springer, London
Print ISBN: 978-1-4471-1205-1
Online ISBN: 978-1-4471-0801-6
eBook Packages: Springer Book Archive