Preoperative evaluation of pancreaticobiliary tumor using MR multi-imaging techniques
- PMID: 15968734
- PMCID: PMC4316030
- DOI: 10.3748/wjg.v11.i24.3756
Preoperative evaluation of pancreaticobiliary tumor using MR multi-imaging techniques
Abstract
Aim: To evaluate the clinical value of MR multi-imaging techniques in diagnosing and preoperative assessment of pancreaticobiliary tumor.
Methods: MR multi-imaging techniques, including MR cross-sectional imaging, MR cholangiopancreatography (MRCP) and 3D dynamic contrast-enhanced MR angiography (3D DCE MRA), were performed to make prospective diagnosis and preoperative evaluation in 28 patients with suspected pancreaticobiliary tumors. There were 17 cases of pancreatic adenocarcinoma, 8 cases of biliary system carcinoma and 3 cases of non-neoplastic lesions.
Results: Using MR multi-imaging techniques, the accuracy in diagnosing the patients with pancreaticobiliary tumors was 89.3% (25/28). The accuracy in detecting the range of tumor invasion was 80.3% (57/71). The sensitivity, specificity, accuracy, positive and negative predictive value of MR multi-imaging techniques in preoperative assessment of the resectability of pancreaticobiliary tumor were 83.3%, 89.5%, 88.0%, 71.4%, and 94.4%, respectively. There was well diagnostic consistency between MR multi-imaging techniques and CT (kappa = 0.64, P<0.01). The fusion image could be made from MRCP and 3D DCE MRA images.
Conclusion: MR multi-imaging techniques can integrate the advantages of various MR images. The non-invasive "all-in-one" MR imaging protocol is the efficient method in diagnosing, staging and preoperative assessment of pancreaticobiliary tumor.
Figures
Similar articles
-
Clinical role of 18F-FDG PET-CT in suspected and potentially operable cholangiocarcinoma: a prospective study compared with conventional imaging.Am J Gastroenterol. 2008 May;103(5):1145-51. doi: 10.1111/j.1572-0241.2007.01710.x. Epub 2008 Jan 2. Am J Gastroenterol. 2008. PMID: 18177454
-
MR imaging and MR cholangiopancreatography in the preoperative evaluation of hilar cholangiocarcinoma: correlation with surgical and pathologic findings.Eur Radiol. 2008 Oct;18(10):2213-21. doi: 10.1007/s00330-008-1004-z. Epub 2008 May 8. Eur Radiol. 2008. PMID: 18463877
-
Navigator-triggered isotropic three-dimensional magnetic resonance cholangiopancreatography in the diagnosis of malignant biliary obstructions: comparison with direct cholangiography.J Magn Reson Imaging. 2008 Jan;27(1):94-101. doi: 10.1002/jmri.21038. J Magn Reson Imaging. 2008. PMID: 18050328
-
MRCP and 3D LAVA imaging of extrahepatic cholangiocarcinoma at 3 T MRI.Clin Radiol. 2012 Jun;67(6):579-86. doi: 10.1016/j.crad.2011.10.016. Epub 2011 Dec 3. Clin Radiol. 2012. PMID: 22137873 Review.
-
Hilar cholangiocarcinoma: MRI/MRCP in staging and treatment planning.Abdom Imaging. 2008 Jul-Aug;33(4):444-51. doi: 10.1007/s00261-007-9281-6. Abdom Imaging. 2008. PMID: 17638040 Review.
Cited by
-
Borderline resectable pancreatic cancer.Indian J Surg Oncol. 2015 Mar;6(1):63-68. doi: 10.1007/s13193-014-0374-8. Epub 2015 Jan 4. Indian J Surg Oncol. 2015. PMID: 25937766 Free PMC article. Review.
-
Comparison of preoperative evaluation of malignant low-level biliary obstruction using plain magnetic resonance and coronal liver acquisition with volume acceleration technique alone and in combination.Eur J Med Res. 2015 Nov 25;20:92. doi: 10.1186/s40001-015-0188-3. Eur J Med Res. 2015. PMID: 26607835 Free PMC article. Clinical Trial.
-
Rectal cancer: 3D dynamic contrast-enhanced MRI; correlation with microvascular density and clinicopathological features.Radiol Med. 2011 Apr;116(3):366-74. doi: 10.1007/s11547-011-0628-2. Epub 2011 Feb 1. Radiol Med. 2011. PMID: 21298356
-
Diagnostic accuracy of different imaging modalities following computed tomography (CT) scanning for assessing the resectability with curative intent in pancreatic and periampullary cancer.Cochrane Database Syst Rev. 2016 Sep 15;9(9):CD011515. doi: 10.1002/14651858.CD011515.pub2. Cochrane Database Syst Rev. 2016. PMID: 27631326 Free PMC article. Review.
-
Controversies in the management of borderline resectable proximal pancreatic adenocarcinoma with vascular involvement.HPB Surg. 2008;2008:839503. doi: 10.1155/2008/839503. Epub 2009 Mar 11. HPB Surg. 2008. PMID: 19283083 Free PMC article.
References
-
- Kalra MK, Maher MM, Sahani DV, Digmurthy S, Saini S. Current status of imaging in pancreatic diseases. J Comput Assist Tomogr. 2002;26:661–675. - PubMed
-
- Zeman RK, Silverman PM, Ascher SM, Patt RH, Cooper C, al-Kawas F. Helical (spiral) CT of the pancreas and biliary tract. Radiol Clin North Am. 1995;33:887–902. - PubMed
-
- Szklaruk J, Tamm E, Charnsangavej C. Preoperative imaging of biliary tract cancers. Surg Oncol Clin N Am. 2002;11:865–876. - PubMed
-
- Vahldiek G, Broemel T, Klapdor R. MR-cholangiopancreaticography (MRCP) and MR-angiography: morphologic changes with magnetic resonance imaging. Anticancer Res. 1999;19:2451–2458. - PubMed
-
- Ferrucci JT. Advances in abdominal MR imaging. Radiographics. 1998;18:1569–1586. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical