Diseases of the Pancreas, II: Tumors

  • Ruedi F. Thoeni


In the imaging of pancreatic disease and in assessment of the etiology of jaundice, abdominal ultrasound (US) and computed tomography (CT) traditionally have been employed [1]. These two methods are widely available and have the advantages of their familiarity to radiologists and clinicians and their non-invasiveness. With the introduction of magnetic resonance imaging (MRI), magnetic resonance cholangiopancreatography (MRCP), and endoscopic ultrasound (EUS), visualization of the pancreatic and biliary ducts improved, allowing tumors to be more accurately staged and safely sampled [2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12]. This led to a diminishing role for endoscopic retrograde cholangiography in the diagnostic arena but its therapeutic use has remained unchallenged. In recent years, technological advances with multidetector row CT (MDCT) imaging have improved the ability of CT to detect even small lesions in the pancreas and to stage pancreatic tumors more accurately [13]. Microbubble contrast enhancement and secretin stimulation have increased the diagnostic acumen of US and MRI, respectively, and may widen the utility of these techniques [14, 15].


Pancreatic Cancer Pancreatic Duct Cystic Neoplasm Intraductal Papillary Mucinous Neoplasm Islet Cell Tumor 
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© Springer Verlag Italia 2010

Authors and Affiliations

  • Ruedi F. Thoeni
    • 1
  1. 1.Department of Radiology and Biomedical ImagingUniversity of CaliforniaSan FranciscoUSA

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