title: Treatment decision making in pancreatic adenocarcinoma: multidisciplinary team discussion with multidetector-row computed tomography.
abstract: OBJECTIVE
  Multidetector-row computed tomography reduces the frequency of use of other imaging methods in patients with pancreatic carcinoma.
  
  
  METHODS
  Validation cohort study.
  
  
  METHODS
  Tertiary care public hospital.
  
  
  METHODS
  Two hundred thirteen patients with pancreatic carcinoma.
  
  
  METHODS
  Multidetector-row computed tomography was initially performed in patients with newly diagnosed pancreatic carcinoma.
  
  
  RESULTS
  Of the 213 pancreatic carcinomas, 79 (37%) were classified as probably resectable, 127 (60%) as certainly unresectable, and 7 (3%) as probably unresectable. Of 79 tumors classified as probably resectable, 68 (86%) were found to be resectable, 7 tumors considered as probably unresectable were unresectable, and the remaining 127 tumors were treated nonsurgically. Magnetic resonance imaging was recommended in 92 patients (43%), angiography in 1 patient (0.5%), and both endoscopic ultrasonography and endoscopic retrograde cholangiopancreatography in 15 patients (7%).
  
  
  CONCLUSIONS
  Multidetector-row computed tomography provides reliable information for staging pancreatic carcinoma. Multidisciplinary team discussion along with use of this noninvasive technique simplifies the diagnostic strategy for pancreatic carcinoma and decreases the need for invasive staging methods.
authors.affiliation: Division of Diagnostic Radiology, Shizuoka Cancer Center Hospital, Shizuoka, Japan.
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Furukawa
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Uesaka
authors.forename: Narikazu
authors.initials: N
authors.lastname: Boku
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D021441:Carcinoma, Pancreatic Ductal / Q000000981:diagnostic imaging* / Q000473:pathology; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D010348:Patient Care Team; D011446:Prospective Studies; D014057:Tomography, X-Ray Computed