Imaging of the pancreas: Recent advances

Chaudhary, Vikas; Bano, Shahina

doi:10.4103/2230-8210.83060

Cited by 34 publications

(30 citation statements)

References 35 publications

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“…Post contrast a characteristic peripheral enhancement is seen. High-Signal intensity T1 weighted images showing hypointense fibrous capsule is the characteristic MRI feature of these neoplasms [16] . Biopsy and immunohistochemistry may further confirm the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Solid pseudopapillary epithelial neoplasm of pancreas in pregnancy: Case Report of a Rare Co-Occurrence

Chhabra¹

2017

JMSCR

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Section: Discussionmentioning

confidence: 99%

Solid pseudopapillary epithelial neoplasm of pancreas in pregnancy: Case Report of a Rare Co-Occurrence

Chhabra¹

2017

JMSCR

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“…Of these most patients were of age 41-50 of being 17 (34%) patients' findings like that of Silverstein et al of 65 among 102 patients. 6 Alcohol and gall stones are major etiological agents in pancreatitis. O'Connor et al study approximates 70% etiology of pancreatitis due to gall stones and alcohol.…”

Section: Discussionmentioning

confidence: 99%

USG and CT scan evaluation of patients of acute and chronic pancreatitis- a cross-sectional, comparative study

et al. 2017

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INTRODUCTIONPancreas is a soft, lobulated and elongated organ. It lies transversely over the posterior abdominal wall, at the level of vertebrae L1 and L2. The entire organ lies posterior to the stomach, separated from it by the lesser sac. It lies anterior to the inferior vena cava, aorta, splenic vein and left adrenal gland.1,2 Pancreas is in anterior pararenal space of the retro peritoneum, just anterior to peri renal (gerota fascia) and posterior to parietal peritoneum. ABSTRACTBackground: Pancreatitis is a condition of inflammation of pancreas with high rate of morbidity and mortality. USG provides the initial radiological assessment of the organ, clue of the extent of involvement and an opportunity to evaluate other abdominal organs. CT scan provides a cross-sectional anatomy of the organ, its internal structure, focal or diffuse involvement and involvement of adjacent structures. This study is done to evaluate the role of USG and CT scan in patients of pancreatitis admitted to Sir Takhtsinhji hospital, government medical college, Bhavnagar, Gujarat, India. Aim was to understand the role of CT and USG in determination of diagnosis of pancreatitis and to highlight and evaluate the cases in which USG failed to diagnose the cases which were helped through by CT. Methods: This study was done in department of radio diagnosis at Sir Takhtsinhji hospital, government medical college, Bhavnagar, Gujarat, India, over a period of one year from June 2015 to June 2016. Each patient was studied taking into consideration relevant clinical and laboratory factors. USG of patients was done using My Lab 40 or My Lab 20 plus machine. CT scan was done using GE 16 Slice CT scan machine. Results: Ultrasound by non-invasiveness, lack of radiation hazard and by ability to demonstrate structural changes in organ is first investigation of choice in pancreatitis. However, USG fails imaging in conditions with excess of bowel gas or fatty patient. It lacks in detailed characterization of the inflammatory process and does not delineate extent of necrosis of the gland. CT is superior to ultrasound for precise detection of size, parenchyma, MPD, calcification, pseudocyst, ascites, pleural effusion, necrosis and peri pancreatic region and hence helps to determine exact extent of inflammation of the organ, multi-system involvement and prognosis. Conclusions: Ultrasound by non-invasiveness, easy availability, cost parameters, lack of radiation hazard and by ability to demonstrate structural changes in organ is first investigation of choice in pancreatitis. However, ultrasonography lacks in detailed characterization of the extent of involvement of the organ and adjacent structures. CT is superior to ultrasound for precise detection and extension of the pancreatitis and it has better sensitivity and specificity than ultrasonography.

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“…Konvansiyonel BT ile inflamatuar ve neoplastik lezyonları ayırt etmek her zaman mümkün olmamakta ve ayrıca 2 cm den küçük çaplı lezyonların saptanması da zor olabilmektedir. Ancak 64 kesitli multidedektör BT gibi gelişen teknikler pankreatik mass lezyonların ayırımında çok daha başarılı bulunmuştur 7 . Trifazik BT incelemelerinde normal pankreas ilk fazda erken "washout" gösterirken, kronik pankreatitde gecikmiş "washout" gözlen-mektedir.…”

Section: Sonuçunclassified

Malignant Appearance of Pancreatic Benign Lesion: Focal Chronic Pancreatitis

Yağmurkaya¹,

Toka²,

Eminler³

et al. 2016

Sakarya Med J

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Kronik pankreatit ve pankreas kanseri benzer klinik ve laboratuar bulguları ile zaman zaman birbirinden ayrımı oldukça zor olabilen iki ayrı pankreas patolojisidir. Ultrasonografi (USG), Bilgisayarlı Tomografi (BT), Manyetik Rezonans Görüntümele (MRI) gibi klasik radyolojik yöntemlerin yetersiz kaldığı durumlarda Fuorodeoksiglukoz-Pozitron Emisyon Tomografisi (FDG-PET), Endoskopik Ultrasonografi (EUS) ve EUS eşliğinde İnce İğne Aspirasyon Biyopsisi ayırıcı tanıda yararlı olabilmektedir. Bu yazıda pankreas başında inflamasyona sekonder genişleme ile karakterize, pankreas kanseri ile karışan bir fokal pankreatit olgusunu sunmaktayız.

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Imaging of the pancreas: Recent advances

Cited by 34 publications

References 35 publications

Solid pseudopapillary epithelial neoplasm of pancreas in pregnancy: Case Report of a Rare Co-Occurrence

Solid pseudopapillary epithelial neoplasm of pancreas in pregnancy: Case Report of a Rare Co-Occurrence

USG and CT scan evaluation of patients of acute and chronic pancreatitis- a cross-sectional, comparative study

Malignant Appearance of Pancreatic Benign Lesion: Focal Chronic Pancreatitis

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