Preoperative Evaluation of Pancreatic Carcinoma with Multidetector Spiral CT
- VernacularTitle:多排螺旋CT在胰腺癌术前评估中的应用
- Author:
Xiaodong WANG
;
Qing MA
;
Yulin GUO
;
Li ZHU
- Publication Type:Journal Article
- Keywords:
pancreas;
pancreatic carcinoma;
tomography,X-ray computed
- From:
Journal of Practical Radiology
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the value of MDCT in the preoperative assessment of resectability in patients with carcinoma of pancreas.Methods 53 cases of pancreatic carcinomas with intact MDCT materials proved operation and pathology were collected.Combining the transverse images and multiplanar reformation(MPR),maximum intensity projection(MIP),curved planar reconstruction(CPR) and volume rendering(VR),the resectable possibility of tumors were evaluated preoperatively,inclunding the relationship between tumors,vessels and organs,as well as metastases.Results Of 53 cases,16 had underwent radical resection,2 cases believed unresectable preoperatively,which were overestimating the degrees of vessels involved by tumors,37 cases had palliative operation,in which 5 cases were believed resectable preoperatively.Lymph node or liver metastases were missed in 2 cases and 3 cases were underestimating the degrees of vessels involved by tumor.Conclusion In evaluating the resectability of pancreatic carcinoma preoperatively,MDCT plays an important role.
