A Comparison of Single Dimension and Volume Measurements in the Risk Stratification of Pancreatic Cystic Lesions

The incidence of pancreatic cystic lesions (PCLs) has been rising due to improvements in imaging. Of these, intraductal papillary mucinous neoplasms (IPMNs) are the most common and are thought to contribute to almost 20% of pancreatic adenocarcinomas. All major society guidelines for the management...

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Published inJournal of clinical medicine Vol. 12; no. 18; p. 5871
Main Authors Ryoo, Da Yeon, Koehler, Bryn, Rath, Jennifer, Shah, Zarine K, Chen, Wei, Esnakula, Ashwini K, Hart, Phil A, Krishna, Somashekar G
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 01.09.2023
MDPI
Subjects
Clinical medicine
Comparative analysis
CT imaging
Cysts
Diagnosis
Electrons
Endoscopic ultrasonography
Family medical history
Magnetic resonance imaging
Measurement
Measurement techniques
Methods
Pancreatic cancer
Pancreatic tumors
Pathology
Radiation
Review
Surveillance
Tumors
Japan
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Summary:The incidence of pancreatic cystic lesions (PCLs) has been rising due to improvements in imaging. Of these, intraductal papillary mucinous neoplasms (IPMNs) are the most common and are thought to contribute to almost 20% of pancreatic adenocarcinomas. All major society guidelines for the management of IPMNs use size defined by maximum diameter as the primary determinant of whether surveillance or surgical resection is recommended. However, there is no consensus on how these measurements should be obtained or whether a single imaging modality is superior. Furthermore, the largest diameter may fail to capture the complexity of PCLs, as most are not perfectly spherical. This article reviews current PCL measurement techniques in CT, MRI, and EUS and posits volume as a possible alternative to the largest diameter.
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These authors contributed equally to this work.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm12185871