2008
DOI: 10.1007/s11605-007-0367-9
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CT vs MRCP: Optimal Classification of IPMN Type and Extent

Abstract: CT falls short of MRCP in detecting a ductal connection, estimating main duct involvement, and identification of small branch duct cysts. These factors influence diagnostic accuracy, cancer risk stratification and operative strategy. MRCP should be employed for optimal management of patients with IPMN.

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Cited by 204 publications
(117 citation statements)
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“…IPMN represents 21%-33% [2] of all pancreatic cystic neoplasms, although it is likely that its prevalence is greater because of an increase in the diagnosis of small branch duct lesions, particularly in elderly patients. IPMN can involve the main pancreatic duct (MD-IPMN), the branch pancreatic duct (BD-IPMN) or both (MIX-IPMN), although in about 20% of cases such a distinction is not possible [13][14][15] . In the differential diagnosis of other pancreatic cystic lesions, however, we have to take BD-IPMN into consideration because the classic aspects of MD-IPMN do not require a differential diagnosis with other pancreatic cysts but rather with chronic pancreatitis.…”
Section: Epidemiological and Clinical Aspectsmentioning
confidence: 99%
“…IPMN represents 21%-33% [2] of all pancreatic cystic neoplasms, although it is likely that its prevalence is greater because of an increase in the diagnosis of small branch duct lesions, particularly in elderly patients. IPMN can involve the main pancreatic duct (MD-IPMN), the branch pancreatic duct (BD-IPMN) or both (MIX-IPMN), although in about 20% of cases such a distinction is not possible [13][14][15] . In the differential diagnosis of other pancreatic cystic lesions, however, we have to take BD-IPMN into consideration because the classic aspects of MD-IPMN do not require a differential diagnosis with other pancreatic cysts but rather with chronic pancreatitis.…”
Section: Epidemiological and Clinical Aspectsmentioning
confidence: 99%
“…However, magnetic resonance imaging (MrI) seems superior to CT in terms of characterizing the lesion (28). endoscopic retrograde cholangiopancreatography (erCP) also usually reveals a dilated pancreatic duct with filling defects (12,29,30).…”
Section: Diagnostic Imaging Techniquesmentioning
confidence: 99%
“…The software package STATISTICA 10.0 was used for analyzing the real data [16]. The impact of Periampullary duodenal diverticulum (PDD) for the formation of gallstones in the bile duct is widely accepted [3,4,6,7]. Scientific publications on these issues began to appear in the late 70s with the introduction of endoscopic methods, in particular endoscopic retrograde cholangiopancreatography (ERCP).…”
Section: Introductionmentioning
confidence: 99%