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Comparative Study
. 2010 Aug;14(8):1292-7.
doi: 10.1007/s11605-010-1221-z. Epub 2010 May 14.

An MRI-driven practice: a new perspective on MRI for the evaluation of adenocarcinoma of the head of the pancreas

Elliot B Tapper  1 , Diego Martin, N Volkan Adsay, David Kooby, Bobby Kalb, Juan M Sarmiento
Affiliations
Comparative Study

An MRI-driven practice: a new perspective on MRI for the evaluation of adenocarcinoma of the head of the pancreas

Elliot B Tapper et al. J Gastrointest Surg. 2010 Aug.

Abstract

Objectives: The purpose of the study was to describe the MRI-driven management of masses at the head of the pancreas.

Main outcome measures: The main outcome measure was tumor resectability.

Methods: A retrospective review of prospective radiographic diagnoses was undertaken.

Results: Between 2004 and 2008, we have treated 124 patients for a radiographic diagnosis of adenocarcinoma of the head of the pancreas. This diagnosis was correct in 96.0% of the time. MRI was 100% sensitive in determining resectability, 73.2-78.9% specific, and had an overall accuracy of 86.3-87.5%. MRI could detect venous and arterial involvement with 95% and 95.9% accuracy, respectively, and missed only six metastases.

Conclusion: MRI is a useful tool in the preoperative imaging of pancreatic head lesions that is highly sensitive and very specific for resectable disease. Prospective trials of MRI in this setting are indicated.

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