Abstract
Pancreatic malignancy can be staged by a number of different investigations, either alone or in combination. The purpose of the present study was to compare the use of endoscopic ultrasound, CT and mangafodipir trisodium-enhanced MRI for the staging of pancreatic malignancy, particularly with respect to determining resectability prior to surgery. Twenty-seven patients referred for the investigation of a suspected pancreatic malignancy were entered into the trial. All patients had contrast-enhanced CT, gadolinium and mangafodipir trisodium-enhanced MRI, and endoscopic ultrasound (EUS). Images were assessed for nodal staging, tumour staging and resectability for each investigation, and the results compared with findings at surgery. The results for the accuracy of MRI, CT and EUS, in detecting T4 disease versus T3 or lower was 78, 79 and 68%, respectively; nodal involvement was 56, 63 and 69%, respectively; and overall resectability (including the T stage, presence of involved nodes and metastases) was 83, 76 and 63%, respectively. There was no significant difference demonstrated between the three tests. The present study suggests that for patients referred for investigation and staging of pancreatic malignancy, EUS and MRI scanni...Continue Reading
References
Jan 1, 1992·Gastroenterology·T RöschM Classen
Dec 1, 1990·Baillière's Clinical Gastroenterology·H GrimmN Soehendra
Nov 1, 1995·Radiology·D A BluemkeE K Fishman
Feb 1, 1995·Annals of Surgery·K D Lillemoe
Feb 1, 1995·Gastrointestinal Endoscopy·M F CatalanoJ Van Dam
May 1, 1995·Radiology·A J MegibowJ P Heiken
Jul 1, 1995·Radiology·S C HommeyerL G Crabo
May 1, 1994·Gastrointestinal Endoscopy·H SnadyL Kiefer
Mar 1, 1994·Radiology·M F MüllerB Marincek
Mar 1, 1993·Radiology·H B GehlR W Günther
Feb 1, 1993·Endoscopy·L PalazzoJ A Paolaggi
Nov 1, 1996·American Journal of Surgery·R DelcoreJ H Thomas
Dec 1, 1996·Gastrointestinal Endoscopy·T L TioG N Tytgat
Feb 15, 1997·Lancet·S Rosewicz, B Wiedenmann
Mar 1, 1997·Radiology·T IchikawaT Araki
Jun 1, 1997·AJR. American Journal of Roentgenology·D S LuJ Sayre
Aug 1, 1997·AJR. American Journal of Roentgenology·R K ZemanF al-Kawas
Nov 14, 1997·Annals of Surgery·M TredeJ Schmoll
Feb 4, 1998·Journal of the American College of Surgeons·A Andrén-SandbergI Ihse
Mar 10, 1998·AJR. American Journal of Roentgenology·W W Mayo-SmithE G McFarland
May 9, 1998·AJR. American Journal of Roentgenology·P LegmannA Bonnin
Aug 6, 1998·The British Journal of Radiology·K AkahoshiM Tsuneyoshi
Apr 1, 1999·The British Journal of Surgery·M J MidwinterR M Charnley
Aug 3, 1999·Radiology·T NishiharuM Takahashi
Sep 15, 1999·Investigative Radiology·S J DiehlM Georgi
Nov 26, 1999·Gastrointestinal Endoscopy·F G GressG A Lehman
Dec 2, 1999·Gastroenterology·E P DiMagnoM A Tempero
Dec 10, 1999·AJR. American Journal of Roentgenology·M E O'MalleyP R Mueller
Aug 10, 2000·Journal of Magnetic Resonance Imaging : JMRI·M G RomijnJ S Laméris
Oct 7, 2000·Gastrointestinal Endoscopy·N A AhmadM L Kochman
Oct 7, 2000·Gastrointestinal Endoscopy·T RöschM Classen
May 15, 2001·Journal of Computer Assisted Tomography·Y NakayamaM Takeya
Mar 1, 2002·European Radiology·U FischerE Grabbe
Mar 22, 2002·AJR. American Journal of Roentgenology·Carlos VallsRosa Jorba
May 9, 2002·Radiology·Matthijs OudkerkJan Cees de Groot
Jul 2, 2002·Radiology·Enrique Lopez HänninenRoland Felix
Aug 20, 2002·AJR. American Journal of Roentgenology·Wolfgang SchimaGottfried Novacek
Dec 4, 2002·Radiology·Rupert W ProkeschR Brooke Jeffrey
Oct 29, 2003·Abdominal Imaging·I F YusoffA M J Zimmerman
Jun 1, 1947·Psychometrika·Q McNEMAR
Citations
Jan 20, 2006·European Radiology·Piero BoraschiCarlo Bartolozzi
Feb 4, 2010·Journal of the National Cancer Institute·Wenche M KlerkxKarel G M Moons
Aug 12, 2005·Current Opinion in Gastroenterology·Richard S Kwon, William R Brugge
Sep 28, 2006·Pancreas·Matthew T NicholsYang K Chen
Oct 24, 2007·AJR. American Journal of Roentgenology·Chandana G LallKumaresan Sandrasegaran
Apr 10, 2007·Current Gastroenterology Reports·Yang K Chen
Mar 22, 2014·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Kasia P CieslakI Quintus Molenaar
Jun 12, 2014·Journal of Cancer Research and Clinical Oncology·RenBao YangYouQian Zhang
Feb 21, 2016·Gastroenterology Clinics of North America·Ming-ming Xu, Amrita Sethi
Mar 28, 2013·Expert Opinion on Medical Diagnostics·Craig A MunroeThomas J Savides
Dec 18, 2013·Acta Oncologica·Carl KilanderOmid Sadr-Azodi
Jun 13, 2012·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Yaojun ZhangLong R Jiao
Feb 18, 2010·Surgical Oncology Clinics of North America·David J Owens, Thomas J Savides
Sep 1, 2009·Gastroenterology·Stephan KerstingAlfred Bunk
Sep 12, 2009·Best Practice & Research. Clinical Gastroenterology·F Harinck, M J Bruno
Mar 24, 2009·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·P BoraschiF Falaschi
Nov 2, 2007·Advances in Surgery·Julia K LeBlancStuart Sherman
May 1, 2007·Gastrointestinal Endoscopy·Harry Snady
Mar 14, 2007·Gastrointestinal Endoscopy·Srinivas R PuliMojtaba Olyaee
May 6, 2006·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·John DewittThomas F Imperiale
Dec 7, 2014·Gastrointestinal Endoscopy·Sachin WaniJeffrey L Tokar
Aug 23, 2005·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Ivan BorbathPierre H Deprez
Dec 17, 2010·World Journal of Radiology·Hiroki SakamotoMasatoshi Kudo
Sep 16, 2016·The Cochrane Database of Systematic Reviews·Domenico TamburrinoKurinchi Selvan Gurusamy
May 6, 2011·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Takao ItoiRungsun Rerknimitr
Oct 22, 2013·Clinical Endoscopy·Prashant KediaMichel Kahaleh
May 22, 2020·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Muhammad I O RahmanMohammad Yaghoobi
Jul 18, 2006·Journal of Computer Assisted Tomography·Sukru Mehmet ErturkTsutomu Araki
Dec 14, 2011·Expert Review of Gastroenterology & Hepatology·Shounak MajumderJohn Birk
Dec 3, 2014·The American Journal of Gastroenterology·Sachin WaniJeffrey L Tokar
Nov 9, 2018·Journal of Gastroenterology·Masayuki KitanoYasunobu Yamashita
Aug 7, 2019·Journal of Medical Ultrasonics·Yasunobu Yamashita, Masayuki Kitano