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Journal of Gastrointestinal Surgery

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01-08-2010 | SSAT Poster Presentation

An MRI-Driven Practice: a New Perspective on MRI for the Evaluation of Adenocarcinoma of the Head of the Pancreas

Authors: Elliot B. Tapper, Diego Martin, N. Volkan Adsay, David Kooby, Bobby Kalb, Juan M. Sarmiento

Published in: Journal of Gastrointestinal Surgery | Issue 8/2010

Abstract

Objectives

The purpose of the study was to describe the MRI-driven management of masses at the head of the pancreas.

Main outcome measures

The main outcome measure was tumor resectability.

Methods

A retrospective review of prospective radiographic diagnoses was undertaken.

Results

Between 2004 and 2008, we have treated 124 patients for a radiographic diagnosis of adenocarcinoma of the head of the pancreas. This diagnosis was correct in 96.0% of the time. MRI was 100% sensitive in determining resectability, 73.2–78.9% specific, and had an overall accuracy of 86.3–87.5%. MRI could detect venous and arterial involvement with 95% and 95.9% accuracy, respectively, and missed only six metastases.

Conclusion

MRI is a useful tool in the preoperative imaging of pancreatic head lesions that is highly sensitive and very specific for resectable disease. Prospective trials of MRI in this setting are indicated.

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Title: An MRI-Driven Practice: a New Perspective on MRI for the Evaluation of Adenocarcinoma of the Head of the Pancreas
Authors: Elliot B. Tapper
Diego Martin
N. Volkan Adsay
David Kooby
Bobby Kalb
Juan M. Sarmiento
Publication date: 01-08-2010
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 8/2010
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-010-1221-z

At a glance: The STEP trials

Springer Medicine

An MRI-Driven Practice: a New Perspective on MRI for the Evaluation of Adenocarcinoma of the Head of the Pancreas

Abstract

Objectives

Main outcome measures

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Main outcome measures

Methods

Results

Conclusion

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