Pancreatic adenocarcinoma

CT versus MR imaging in the evaluation of resectability - Report of the radiology diagnostic oncology group

A. J. Megibow, X. H. Zhou, H. Rotterdam, I. R. Francis, Elias Zerhouni, D. M. Balfe, J. C. Weinreb, A. Aisen, J. Kuhlman, J. P. Heiken, C. Gatsonis, B. J. McNeil

Research output: Contribution to journalArticle

Abstract

PURPOSE: To compare findings with computed tomography (CT) and magnetic resonance (MR) imaging in pancreatic adenocarcinoma and to determine optimal pulse sequences for MR imaging. MATERIALS AND METHODS: CT scans and MR images were compared of 189 adult patients with known or suspected adenocarcinoma of the pancreas. Levels of confidence were correlated with surgical and pathologic results. RESULTS: The accuracy of CT was 0.73 and of MR imaging was 0.70. The negative predictive value of CT was 0.28 and of MR imaging was 0.23. The positive predictive value of CT was 0.89 and of MR imaging was 0.88. Gradient-echo and T1-weighted spin-echo sequences ranked equally in evaluation of vascular invasion, T1-weighted spin-echo sequences were preferred for assessing lymphadenopathy, and T2-weighted spin-echo sequences were preferred for detecting hepatic metastases. CONCLUSIONS: Cross-sectional imaging modalities are useful in the identification of unresectable pancreatic carcinoma. CT is recommended for initial imaging assessment.

Original languageEnglish (US)
Pages (from-to)327-332
Number of pages6
JournalRadiology
Volume195
Issue number2
StatePublished - 1995

Fingerprint

Radiology
Adenocarcinoma
Tomography
Magnetic Resonance Imaging
Blood Vessels
Pancreas
Magnetic Resonance Spectroscopy
Neoplasm Metastasis
Liver

Keywords

  • Computed tomography (CT), comparative studies
  • Magnetic resonance (MR), comparative studies
  • Pancreas, CT
  • Pancreas, MR
  • Pancreas, neoplasms

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Megibow, A. J., Zhou, X. H., Rotterdam, H., Francis, I. R., Zerhouni, E., Balfe, D. M., ... McNeil, B. J. (1995). Pancreatic adenocarcinoma: CT versus MR imaging in the evaluation of resectability - Report of the radiology diagnostic oncology group. Radiology, 195(2), 327-332.

Pancreatic adenocarcinoma : CT versus MR imaging in the evaluation of resectability - Report of the radiology diagnostic oncology group. / Megibow, A. J.; Zhou, X. H.; Rotterdam, H.; Francis, I. R.; Zerhouni, Elias; Balfe, D. M.; Weinreb, J. C.; Aisen, A.; Kuhlman, J.; Heiken, J. P.; Gatsonis, C.; McNeil, B. J.

In: Radiology, Vol. 195, No. 2, 1995, p. 327-332.

Research output: Contribution to journalArticle

Megibow, AJ, Zhou, XH, Rotterdam, H, Francis, IR, Zerhouni, E, Balfe, DM, Weinreb, JC, Aisen, A, Kuhlman, J, Heiken, JP, Gatsonis, C & McNeil, BJ 1995, 'Pancreatic adenocarcinoma: CT versus MR imaging in the evaluation of resectability - Report of the radiology diagnostic oncology group', Radiology, vol. 195, no. 2, pp. 327-332.
Megibow, A. J. ; Zhou, X. H. ; Rotterdam, H. ; Francis, I. R. ; Zerhouni, Elias ; Balfe, D. M. ; Weinreb, J. C. ; Aisen, A. ; Kuhlman, J. ; Heiken, J. P. ; Gatsonis, C. ; McNeil, B. J. / Pancreatic adenocarcinoma : CT versus MR imaging in the evaluation of resectability - Report of the radiology diagnostic oncology group. In: Radiology. 1995 ; Vol. 195, No. 2. pp. 327-332.
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AB - PURPOSE: To compare findings with computed tomography (CT) and magnetic resonance (MR) imaging in pancreatic adenocarcinoma and to determine optimal pulse sequences for MR imaging. MATERIALS AND METHODS: CT scans and MR images were compared of 189 adult patients with known or suspected adenocarcinoma of the pancreas. Levels of confidence were correlated with surgical and pathologic results. RESULTS: The accuracy of CT was 0.73 and of MR imaging was 0.70. The negative predictive value of CT was 0.28 and of MR imaging was 0.23. The positive predictive value of CT was 0.89 and of MR imaging was 0.88. Gradient-echo and T1-weighted spin-echo sequences ranked equally in evaluation of vascular invasion, T1-weighted spin-echo sequences were preferred for assessing lymphadenopathy, and T2-weighted spin-echo sequences were preferred for detecting hepatic metastases. CONCLUSIONS: Cross-sectional imaging modalities are useful in the identification of unresectable pancreatic carcinoma. CT is recommended for initial imaging assessment.

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