Abstract
Background: Cystic tumor of the pancreas has been investigated by a variety of imaging techniques. Magnetic resonance cholangiopancreatography (MRCP) is being widely used as a non-invasive diagnostic modality for investigation of the biliary tree and pancreatic duct system. The purpose of this study was to compare MRCP images with those of endoscopic retrograde cholangiopancreatography (ERCP) and computed tomography (CT) in order to clarify the diagnostic efficacy of MRCP for cystic tumor of the pancreas. Methods: We retrospectively studied 15 patients with cystic tumor of the pancreas that had been surgically resected and histopathologically confirmed. There were five cases of intraductal papillary adenocarcinoma, five of intraductal papillary adenoma, two of serous cyst adenoma, two of retention cyst associated with invasive ductal adenocarcinoma and one of solid cystic tumor. Results: In all cases MRCP correctly identified the main pancreatic duct (MPD) and showed the entire cystic tumor and the communication between the tumor and the MPD. On the other hand, the detection rate by ERCP of the cystic tumor and the communication between the cystic tumor and the MPD was only 60%. Although the detection rates by CT for the septum and solid components inside the cystic tumor were 100 and 90.0%, respectively, those of MRCP for each were 58.3 and 20.0%. Conclusion: MRCP is capable of providing diagnostic information superior to ERCP for the diagnosis of cystic tumor of the pancreas. Although MRCP may provide complementary information about the whole lesion of interest, the characteristic internal features of cystic tumor of the pancreas should be carefully diagnosed in combination with CT.
| Original language | English |
|---|---|
| Pages (from-to) | 294-298 |
| Number of pages | 5 |
| Journal | Japanese Journal of Clinical Oncology |
| Volume | 29 |
| Issue number | 6 |
| Publication status | Published - 1999 Jun |
| Externally published | Yes |
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Keywords
- Cystic tumor of the pancreas
- Endoscopic retrograde cholangiopancreatography
- Magnetic resonance cholangiopancreatography
ASJC Scopus subject areas
- Oncology
Cite this
Clinical significance of magnetic resonance cholangiopancreatography for the diagnosis of cystic tumor of the pancreas compared with endoscopic retrograde cholangiopancreatography and computed tomography. / Mera, Kiyomi; Tajiri, Hisao; Muto, Manabu; Ohtsu, Atushi; Furuse, Junji; Maru, Yasushi; Kinoshita, Taira; Ryu, Munemasa; Nawano, Shigeru; Murakami, Kouji; Moriyama, Noriyuki; Yoshida, Shigeaki.
In: Japanese Journal of Clinical Oncology, Vol. 29, No. 6, 06.1999, p. 294-298.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Clinical significance of magnetic resonance cholangiopancreatography for the diagnosis of cystic tumor of the pancreas compared with endoscopic retrograde cholangiopancreatography and computed tomography
AU - Mera, Kiyomi
AU - Tajiri, Hisao
AU - Muto, Manabu
AU - Ohtsu, Atushi
AU - Furuse, Junji
AU - Maru, Yasushi
AU - Kinoshita, Taira
AU - Ryu, Munemasa
AU - Nawano, Shigeru
AU - Murakami, Kouji
AU - Moriyama, Noriyuki
AU - Yoshida, Shigeaki
PY - 1999/6
Y1 - 1999/6
N2 - Background: Cystic tumor of the pancreas has been investigated by a variety of imaging techniques. Magnetic resonance cholangiopancreatography (MRCP) is being widely used as a non-invasive diagnostic modality for investigation of the biliary tree and pancreatic duct system. The purpose of this study was to compare MRCP images with those of endoscopic retrograde cholangiopancreatography (ERCP) and computed tomography (CT) in order to clarify the diagnostic efficacy of MRCP for cystic tumor of the pancreas. Methods: We retrospectively studied 15 patients with cystic tumor of the pancreas that had been surgically resected and histopathologically confirmed. There were five cases of intraductal papillary adenocarcinoma, five of intraductal papillary adenoma, two of serous cyst adenoma, two of retention cyst associated with invasive ductal adenocarcinoma and one of solid cystic tumor. Results: In all cases MRCP correctly identified the main pancreatic duct (MPD) and showed the entire cystic tumor and the communication between the tumor and the MPD. On the other hand, the detection rate by ERCP of the cystic tumor and the communication between the cystic tumor and the MPD was only 60%. Although the detection rates by CT for the septum and solid components inside the cystic tumor were 100 and 90.0%, respectively, those of MRCP for each were 58.3 and 20.0%. Conclusion: MRCP is capable of providing diagnostic information superior to ERCP for the diagnosis of cystic tumor of the pancreas. Although MRCP may provide complementary information about the whole lesion of interest, the characteristic internal features of cystic tumor of the pancreas should be carefully diagnosed in combination with CT.
AB - Background: Cystic tumor of the pancreas has been investigated by a variety of imaging techniques. Magnetic resonance cholangiopancreatography (MRCP) is being widely used as a non-invasive diagnostic modality for investigation of the biliary tree and pancreatic duct system. The purpose of this study was to compare MRCP images with those of endoscopic retrograde cholangiopancreatography (ERCP) and computed tomography (CT) in order to clarify the diagnostic efficacy of MRCP for cystic tumor of the pancreas. Methods: We retrospectively studied 15 patients with cystic tumor of the pancreas that had been surgically resected and histopathologically confirmed. There were five cases of intraductal papillary adenocarcinoma, five of intraductal papillary adenoma, two of serous cyst adenoma, two of retention cyst associated with invasive ductal adenocarcinoma and one of solid cystic tumor. Results: In all cases MRCP correctly identified the main pancreatic duct (MPD) and showed the entire cystic tumor and the communication between the tumor and the MPD. On the other hand, the detection rate by ERCP of the cystic tumor and the communication between the cystic tumor and the MPD was only 60%. Although the detection rates by CT for the septum and solid components inside the cystic tumor were 100 and 90.0%, respectively, those of MRCP for each were 58.3 and 20.0%. Conclusion: MRCP is capable of providing diagnostic information superior to ERCP for the diagnosis of cystic tumor of the pancreas. Although MRCP may provide complementary information about the whole lesion of interest, the characteristic internal features of cystic tumor of the pancreas should be carefully diagnosed in combination with CT.
KW - Cystic tumor of the pancreas
KW - Endoscopic retrograde cholangiopancreatography
KW - Magnetic resonance cholangiopancreatography
UR - http://www.scopus.com/inward/record.url?scp=0033142956&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033142956&partnerID=8YFLogxK
M3 - Article
C2 - 10418558
AN - SCOPUS:0033142956
VL - 29
SP - 294
EP - 298
JO - Japanese Journal of Clinical Oncology
JF - Japanese Journal of Clinical Oncology
SN - 0368-2811
IS - 6
ER -