Helical CT evaluation of arterial invasion in pancreatic tumors: Comparison with angiography

K. Kaneko, H. Honda, T. Hayashi, T. Fukuya, T. Ro, H. Irie, K. Masuda

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    23 Citations (Scopus)

    Abstract

    Background: Although helical computed tomography (HCT) has been widely employed for the evaluation of pancreatic tumors, its capability in the diagnosis of peripancreatic arterial invasion has not been established. Methods: HCT with a sequential cine-display was carried out in 34 patients with solid pancreatic tumors and 28 control subjects without angiographic abnormality. The HCT scans were compared with angiograms. Results: All major arteries (celiac, superior mesenteric, splenic, gastroduodenal) and superoanterior pancreaticoduodenal arteries were well demonstrated by HCT in control subjects. However, posterior pancreaticoduodenal arcades and other smaller arteries were poorly identified. Although 19 major arterial invasions were equally diagnosed by HCT and angiography in patients with pancreatic tumors, only 4 of 11 minor arterial invasions were correctly diagnosed by HCT. Conclusions: Although HCT has some limitations in the evaluation of minor peripancreatic arteries, it can provide enough information for making a decision about conducting pancreatic surgery.

    Original languageEnglish
    Pages (from-to)204-207
    Number of pages4
    JournalAbdominal imaging
    Volume22
    Issue number2
    DOIs
    Publication statusPublished - Mar 4 1997

    All Science Journal Classification (ASJC) codes

    • Radiological and Ultrasound Technology
    • Radiology Nuclear Medicine and imaging
    • Gastroenterology
    • Urology

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    Kaneko, K., Honda, H., Hayashi, T., Fukuya, T., Ro, T., Irie, H., & Masuda, K. (1997). Helical CT evaluation of arterial invasion in pancreatic tumors: Comparison with angiography. Abdominal imaging, 22(2), 204-207. https://doi.org/10.1007/s002619900173