Abdominal US for Diagnosis of Pancreatic Tumor: Prospective Cohort Analysis

Karlson, Britt‐Marie; Ekbom, Anders; Lindgren, P. G.; Källskog, Vendela; Rastad, Jonas

doi:10.1148/radiology.213.1.r99oc25107

Cited by 110 publications

(58 citation statements)

References 22 publications

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“…USG is the first line diagnostic tool in patient having pancreatic tumor. It is 90% sensitive in diagnosing pancreatic cancer 14 . In our study, USG was able to diagnose 42 patients (84%) with pancreatic cancer and missed 8 (16%) patients which was confirmed in laparotomy.…”

Section: Discussionmentioning

confidence: 99%

Unresectable Carcinoma Pancreas : Efficacy of Imaging in Diagnosing and Labeling them as Unresectable

Farooq¹,

Rahman

Tajreen³

et al. 2013

Chatt Maa Shi Hosp Med Coll J

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Background: Carcinoma pancreas is being diagnosed increasingly with the help of conventional imaging like ultrasonography (USG), computerized tomography (CT) scan and magnetic resonance imaging (MRI).Imaging also gives the opportunity to assess resectability. In our country MRI and CT scan are not widely available and most of the pancreatic carcinoma is too advanced for curative surgical resection when diagnosed. These are unresectable carcinoma pancreas (UCP). Objectives: To evaluate the efficacy of imaging in diagnosing carcinoma pancreas and to assess resectability after comparing them with peroperative findings. Methods: This retrospective study was carried out in the department of Hepato-Biliary-Pancreatic Surgery in Bangladesh Institute for Research and Rehabilitation in Diabetic Endocrine and Metabolic disorders (BIRDEM) hospital, Dhaka, Bangladesh from July 2004 to June 2006 (2 years). After laparotomy findings and histopathological confirmation 50 patients were labeled as UCP. Among 50 patients male were 28 & female patients were 22. Imaging modalities used before surgery was assessed and compared with per operative findings. USG were done in all patients and CTscan in 45 patients. MRI was done in 08 patients suspected clinically as pancreatic carcinoma where USG /CT scan had failed to reach a conclusion. Findings of the various imaging studies regarding diagnosis and unresectability were compared with per operative findings. Results: USG was able to diagnose 42 (84%) pancreatic carcinoma patients with unresectibility in 29 (69%). Forty five patients (90%) were diagnosed by CT scan and could label 38 (84.44%) as unresectable. MRI was 100% accurate to diagnose and label the entire 08 patient as unresectable carcinoma pancreas. Cumulative multimodal preoperative imaging was 91.33% accurate in diagnosing carcinoma pancreas and could tell the features of unresectibility in 73.59% patients. Conclusion: CT scan should be the primary imaging modality for diagnosing pancreatic carcinoma and its resectability. MRI is very promising for diagnosing and assessing UCP. Multimodal imaging is better than single imaging.

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Section: Discussionmentioning

confidence: 99%

Unresectable Carcinoma Pancreas : Efficacy of Imaging in Diagnosing and Labeling them as Unresectable

Farooq¹,

Rahman

Tajreen³

et al. 2013

Chatt Maa Shi Hosp Med Coll J

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“…Trans-abdominal ultrasound (US) is a safe and cheap diagnostic modality that can be used to diagnose PCLs, however, its sensitivity and specificity are often affected by the operator's experience and the technical characteristics of the machine 89 . In addition, the deep position of the pancreas and the interposition of other organs such as the stomach and the transverse colon limit the capacity of US to identify small PCLs.…”

Section: Limitations Of Radiological Imaging Modalities For the Diagnmentioning

confidence: 99%

Endoscopic Ultrasound for Solid and Cystic Neoplasms of the Pancreas

Eltawil¹,

Molinari²

2011

Advances in Endoscopic Surgery

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“…First, as many as 15-20% of ultrasound examinations are technically suboptimal as a result of bowel gas interference, obesity or previous operations, with the sensitivity of completed examinations highly dependent on the experience of the ultrasonographer [41] . Moreover, anatomical considerations make complete visualization of the distal pancreas somewhat diffi cult.…”

Section: Transabdominal Ultrasonographymentioning

confidence: 99%

An evidence-based approach to the diagnosis and staging of pancreatic cancer

et al. 2005

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Abdominal US for Diagnosis of Pancreatic Tumor: Prospective Cohort Analysis

Abstract: Study results support the use of US as a first-line diagnostic examination in patients suspected of having pancreatic tumor. Dependency on the investigator's experience with US mandates continuous evaluation of its performance.

Cited by 110 publications

References 22 publications

Unresectable Carcinoma Pancreas : Efficacy of Imaging in Diagnosing and Labeling them as Unresectable

Unresectable Carcinoma Pancreas : Efficacy of Imaging in Diagnosing and Labeling them as Unresectable

Endoscopic Ultrasound for Solid and Cystic Neoplasms of the Pancreas

An evidence-based approach to the diagnosis and staging of pancreatic cancer

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Abdominal US for Diagnosis of Pancreatic Tumor: Prospective Cohort Analysis

Abstract: Study results support the use of US as a first-line diagnostic examination in patients suspected of having pancreatic tumor. Dependency on the investigator's experience with US mandates continuous evaluation of its performance.

Cited by 110 publications

References 22 publications

Unresectable Carcinoma Pancreas : Efficacy of Imaging in Diagnosing and Labeling them as Unresectable

Unresectable Carcinoma Pancreas : Efficacy of Imaging in Diagnosing and Labeling them as Unresectable

Endoscopic Ultrasound for Solid and Cystic Neoplasms of the Pancreas

An evidence-based approach to the diagnosis and staging of pancreatic cancer

Contact Info

Product

Resources

About

Unresectable Carcinoma Pancreas : Efficacy of Imaging in Diagnosing and Labeling them as Unresectable

Unresectable Carcinoma Pancreas : Efficacy of Imaging in Diagnosing and Labeling them as Unresectable