Diagnostic Accuracy of 256-Detector Row Computed Tomography in Detection and Characterization of Incidental Pancreatic Cystic Lesions
Joint Authors
Ippolito, Davide
Bonaffini, Pietro Andrea
Talei Franzesi, Cammillo
Sironi, Sandro
Allegranza, P.
Leone, F.
Source
Gastroenterology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-06-02
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
To assess the diagnostic value of 256-detector row MDCT in the characterization of incidentally detected pancreatic cystic lesions (PCLs).
Materials and Methods.
We retrospectively reviewed 6389 studies performed on a 256-row detector scanner, wherein ≥1 PCLs were incidentally detected.
Images from a total of 192 patients (99 females; age range 31–90 years) were analysed referring to morphologic predictive signs of malignancy, including multifocality, inner septa, wall thickening, and mural enhancing nodules.
Results.
We evaluated 292 PCLs in 192 patients (solitary in 145 and ≥2 in 47; incidence 2.05%).
Size ranged from 3 to 145 mm (mean 15 mm); body was the most common location (87/292; 29.8%).
Intralesional septa were detected in 52/292 lesions (17.8%), wall thickening >2 mm in 13 (4.5%), enhancing wall and mural nodules in 15 (5.1%) and 12 (4.1%), respectively.
Communication with ductal system was evident in 45 cases.
The most common diagnoses, established by histology or imaging analysis, were IPMNs (about 86%), while serous cystic neoplasia (3.7%) and metastases (0.5%) were the less common.
Conclusion.
MDCT provides detailed features for characterization of PCLs, which are incidentally discovered with increased frequency due to the widespread use of cross-sectional imaging.
American Psychological Association (APA)
Ippolito, Davide& Allegranza, P.& Bonaffini, Pietro Andrea& Talei Franzesi, Cammillo& Leone, F.& Sironi, Sandro. 2015. Diagnostic Accuracy of 256-Detector Row Computed Tomography in Detection and Characterization of Incidental Pancreatic Cystic Lesions. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1064100
Modern Language Association (MLA)
Ippolito, Davide…[et al.]. Diagnostic Accuracy of 256-Detector Row Computed Tomography in Detection and Characterization of Incidental Pancreatic Cystic Lesions. Gastroenterology Research and Practice No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1064100
American Medical Association (AMA)
Ippolito, Davide& Allegranza, P.& Bonaffini, Pietro Andrea& Talei Franzesi, Cammillo& Leone, F.& Sironi, Sandro. Diagnostic Accuracy of 256-Detector Row Computed Tomography in Detection and Characterization of Incidental Pancreatic Cystic Lesions. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1064100
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1064100