Skip to main content
SpringerLink
Log in

Soft Organ MDCT Imaging: Pancreas and Spleen

  • Chapter
MDCT

  • 1289 Accesses

Abstract

Imaging is now integral for diagnosing pancreatic disease and neoplasms. The use of multidetector computed tomography (MDCT) scanners has dramatically reduced scan acquisition time, with resultant improvement in patient compliance and image quality. Fast scanning time enables the acquisition of multiple phases of enhancement, which is of paramount importance in imaging the pancreas. The improved Z-axis resolution permits excellent image reconstructions, which play a critical role in diagnosis and staging of pancreatic neoplasms due to the anatomic layout of the pancreas and its vasculature. The cross-sectional imaging of splenic pathology has also improved due to the improvement in MDCT technology. MDCT can rapidly image the spleen and is valuable in the diagnosis of a variety of congenital, neoplastic, inflammatory, and traumatic lesions of the spleen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Tunaci M (2004) Multidetector row CT of the pancreas. Eur J Radiol 52:18–30

    Article  PubMed  Google Scholar 

  2. McNulty NJ, Francis IR, Platt JF et al (2001) Multidetector row helical CT of the pancreas: effect of contrast enhanced multiphasic imaging on enhancement of the pancreas, peripancreatic vasculature, and pancreatic adenocarcinoma. Radiol 220:97–102

    CAS  Google Scholar 

  3. Fenchel S, Boll DT, Fleiter TR (2003) Multislice helical CT of the pancreas and spleen. Eur J Radiol 45:S59–S72

    Article  PubMed  Google Scholar 

  4. Bae KT, Heiken JP, Brink JA (1998) Aortic and hepatic contrast medium enhancement at CT. Part I. Prediction with a computer model. Radiology 207:647–655

    CAS  PubMed  Google Scholar 

  5. Fenchel S, Fleiter TR, Aschoff AJ et al (2004) Effect of iodine concentration of contrast media on contrast enhan cement in multislice CT of the pancreas. Br J Radiol 77:821–830

    Article  CAS  PubMed  Google Scholar 

  6. Elliot K Fishman, Jeffrey RB Jr (2004) Multidetector CT: Principles, techniques and clinical applications. Lippincott Williams & Wilkins, Philadelphia, pp 85

    Google Scholar 

  7. Boland GW, O’Malley ME, Saez M et al (1999) Pancreatic-phase versus portal vein-phase helical CT of the pancreas: optimal temporal window for evaluation of pancreatic adenocarcinoma. AJR Am J Roentgenol 172:605–608

    CAS  PubMed  Google Scholar 

  8. Lu DSK, Vedantham S, Krasny RM et al (1996) Twophase helical CT for pancreatic tumors: pancreatic versus hepatic phase enhancement of tumor, pancreas and vascular structures. Radiology 199: 697–701

    CAS  PubMed  Google Scholar 

  9. Warshaw AL, Fernandez-del-Castillo C (1992) Pancreatic carcinoma. N Engl J Med 326:455–465

    Article  CAS  PubMed  Google Scholar 

  10. Lu DS, Reber HA, Krasny RM et al (1997) Local Staging of pancreatic cancer: criteria for unrectability of major vessels as revealed by pancreatic phase, thin-section helical CT. AJR Am J Roentgenol 168:1439–1443

    CAS  PubMed  Google Scholar 

  11. Nishiharu T, Yamashita Y, Abe Y et al (1999) Local extension of pancreatic carcinoma: assessment with thin-section helical CT versus with breath-hold fast MR imaging — ROC analysis. Radiology 212:445–452

    CAS  PubMed  Google Scholar 

  12. Trede M, Rumstadt B, Wendl K et al (1997) Ultrafast magnetic resonance imaging improves the staging of pancreatic tumors. Ann Surg 226:393–405

    Article  CAS  PubMed  Google Scholar 

  13. Ellsmere J, Mortele K, Sahani D et al (2005) Does multidetector-row CT eliminate the role of diagnostic laparoscopy in assessing the resectability of pancreatic head adenocarcinoma? Surg Endosc 19:369–373

    Article  CAS  PubMed  Google Scholar 

  14. Grenacher L, Klaus M, Dukic L et al (2004) Diagnosis and staging of pancreatic carcinoma: MRI versus multislice CT — a prospective study. Rofo 176: 1624–1633

    CAS  PubMed  Google Scholar 

  15. Kulig J, Popiela T, Zajac A et al (2005) The value of imaging techniques in the staging of pancreatic cancer. Surg Endosc 19:361–365

    Article  CAS  PubMed  Google Scholar 

  16. DeWitt J, Devereaux B, Chriswell M et al (2004) Comparison of endoscopic ultrasonography and multidetector computed tomography for detecting and staging pancreatic cancer. Ann Int Med 141(10):753–763

    PubMed  Google Scholar 

  17. Wiersema MJ (2001) Accuracy of endoscopic ultrasound in diagnosing and staging pancreatic carcinoma. Pancreatology 1:625–632

    Article  CAS  PubMed  Google Scholar 

  18. Sheth S, Hruban R, Fishman E (2002) Helical CT of islet cell tumors of the pancreas: typical and atypical manifestations. AJR Am J Roentgenol 179:725–730

    PubMed  Google Scholar 

  19. Gouya H, Vignaux O, Augui J et al (2003) CT, endoscopic sonography, and a combined protocol for preoperative evaluation of pancreatic insulinomas. AJR Am J Roentgenol 181:987–992

    PubMed  Google Scholar 

  20. Ichikawa T, Peterson M, Federle M et al (2000) Islet cell tumor of pancreas: Biphasic CT versus MR imaging in tumor detection. Radiology 216:163–171

    CAS  PubMed  Google Scholar 

  21. Procacci C, Graziani R, Bicego E et al (1997) Serous cystadenoma of the pancreas: report of 30 cases with emphasis on the imaging findings. J Comput Assist Tomogr 21:373–382

    Article  CAS  PubMed  Google Scholar 

  22. Grogan JR, Saeian K, Taylor AJ et al (2001) Making sense of mucin-producing pancreatic tumors. AJM Am J Roentgenol 176:921–929

    CAS  Google Scholar 

  23. Curry C, John Eng, Karen M et al (2000) CT of primary cystic pancreatic neoplasms: Can CT be used for patient triage and treatment? AJM Am J Roentgenol 175:99–103

    CAS  Google Scholar 

  24. Wilentz RE, Albores-Saavendra J, Zahurak M et al (1999) Pathologic examination accurately predicts prognosis in mucinous cystic neoplasms of the pancreas. Am J Surg Pathol 23:132–137

    Article  Google Scholar 

  25. Sugiyama M, Atomi Y (1998) Intraductal papillary mucino us tumors of the pancreas: imaging studies and treatment strategies. Ann Surg 228:685–691

    Article  CAS  PubMed  Google Scholar 

  26. Sahani D, Kalva SP, Farrell J et al (2004) Autoimmune Pancreatitis: Imaging Features. Radiology 233:345–352

    Article  PubMed  Google Scholar 

  27. Rubin GD (2000) Data explosion: the challenge of multidetector row CT. Eur J Radiol 36:74–80

    Article  CAS  PubMed  Google Scholar 

  28. Nono-Murcia M, Jeffrey JB Jr, Beaulieu CF et al (2001) Multidetecotr CT of the pancreas and bile duct system: Value of curved planar reformations. AJR Am J Roentgenol 176:689–693

    Google Scholar 

  29. Raptopoulos V, Prassopoulos P, Chuttani R et al (1998) Multiplanar CT pancreatography and distal cholangiography with minimum intensity projections. Radiology 207:317–324

    CAS  PubMed  Google Scholar 

  30. Donnelly LF, Foss JN, Frush DP et al (1999) Heterogeno us splenic enhance ments patterns on spiral CT images in children: minimizing misinterpretation. Radiology 210:493–497

    CAS  PubMed  Google Scholar 

  31. Smith VC, Eisenberg BL, McDonald EC (1985) Primary splenic angiosarcoma. Case report and literature review. Cancer 55:1625–1627

    Article  CAS  PubMed  Google Scholar 

  32. Warshauer DM, Koehler RE (1998) Spleen. In: Lee JKT, Sagel SS, Stanley Rj, Heiken JP (eds) Computed body tomography with MRI correlation, 3rded. Lippincott-Raven, 1 New York, pp 845–872

    Google Scholar 

  33. Urrutia M, Mergo PJ, Ros LH et al (1996) Cystic masses of the spleen: radiologic-pathologic correlation. Radiographics 16:107–129

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Massachusetts General Hospital, Boston, MA, USA

    Dushyant V. Sahani

  2. Department of Abdominal Imaging and Intervention, Massachusetts General Hospital, Boston, MA, USA

    Zarine K. Shah

Authors
  1. Dushyant V. Sahani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Zarine K. Shah
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Radiology, Massachusetts General Hospital, Boston, MA, USA

    Mannudeep K. Kalra

  2. Department of Radiology Emory University School of Medicine, Emory University Hospital, Atlanta, GA, USA

    Sanjay Saini

  3. Department of Radiology, Stanford University School of Medicine, Stanford, CA, USA

    Geoffrey D. Rubin

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Italia

About this chapter

Cite this chapter

Sahani, D.V., Shah, Z.K. (2008). Soft Organ MDCT Imaging: Pancreas and Spleen. In: Kalra, M.K., Saini, S., Rubin, G.D. (eds) MDCT. Springer, Milano. https://doi.org/10.1007/978-88-470-0832-8_11

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-0832-8_11

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0831-1

  • Online ISBN: 978-88-470-0832-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation