Assessment of vascular invasion in pancreatic carcinoma by MDCT

Pancreatic cancer is one of the aggressive cancers with poor resectability and survival rates. The relationship to adjacent vessels must be assessed before deciding the choice of treatment. Assessment of the MDCT signs of arterial and venous invasion in pancreatic carcinoma. Total of 179 of the majo...

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Published inEgyptian journal of radiology and nuclear medicine Vol. 45; no. 2; pp. 271 - 277
Main Authors Hassanen, Omar, Ghieda, Usama, Eltomey, Mohamed A.
Format Journal Article
LanguageEnglish
Published Elsevier B.V 01.06.2014
SpringerOpen
Subjects
Carcinoma
Computed tomography
Pancreatic
Vascular invasion
Vascular invasion
Carcinoma
Computed tomography
Pancreatic
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Summary:Pancreatic cancer is one of the aggressive cancers with poor resectability and survival rates. The relationship to adjacent vessels must be assessed before deciding the choice of treatment. Assessment of the MDCT signs of arterial and venous invasion in pancreatic carcinoma. Total of 179 of the major peripancreatic vessels (CA; CHA; SMA; PV; SMV) in 47 patients who underwent surgery for pancreatic cancer after MDCT were assessed at surgery and compared with CT findings. Statistical analysis of the findings was done using Chi square test. 115 vessels were not invaded at surgery, while the remaining 64 vessels were invaded (22 arteries and 42 veins). There was over all statistically significant difference between arterial and venous invasion regarding stenosis, occlusion, infiltration and circumferential involvement of the vessel wall. Assessment of vascular invasion is crucial in the evaluation of resectability for pancreatic cancer. MDCT is an accurate diagnostic tool for peripancreatic vascular invasion in cancer pancreas.
ISSN:0378-603X
DOI:10.1016/j.ejrnm.2014.02.009