Dual-phase helical CT of locally invasive pancreatic adenocarcinoma.
Dual-phase helical CT permits imaging of the pancreas and the peripancreatic structures in the arterial dominant and portal venous phases of enhancement, providing information crucial in the assessment of the local extent of pancreatic adenocarcinoma. This essay reviews the dual-phase helical CT findings of local extension that preclude potentially curative surgery, including vascular involvement, ligamentous or mesenteric invasion, extension of the tumor to involve the stomach or duodenum, and invasion of adjacent solid organs.
Nino-Murcia
M
M
Department of Radiology, Stanford University Medical Center, CA, USA.
Olcott
E W
EW
Jeffrey
R B
RB
D000230:Adenocarcinoma / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000473:pathology; D000368:Aged; D005260:Female; D006801:Humans; D008022:Ligaments / Q000000981:diagnostic imaging; D008297:Male; D008643:Mesentery / Q000000981:diagnostic imaging; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010179:Pancreas / Q000098:blood supply / Q000000981:diagnostic imaging; D010190:Pancreatic Neoplasms / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014781:Viscera / Q000000981:diagnostic imaging