title: Imaging of pancreatic adenocarcinoma: update on staging/resectability.
abstract: Because of the evolution of treatment strategies staging criteria for pancreatic cancer now emphasize arterial involvement for determining unresectable disease. Preoperative therapy may improve the likelihood of margin negative resections of borderline resectable tumors. Cross-sectional imaging is crucial for correctly staging patients. Magnetic resonance (MR) imaging and computed tomography (CT) are probably comparable, with MR imaging probably offering an advantage for identifying liver metastases. Positron emission tomography/CT and endoscopic ultrasound may be helpful for problem solving. Clear and concise reporting of imaging findings is important. Several national organizations are developing templates to standardize the reporting of imaging findings.
authors.affiliation: Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1473, Houston, TX 77030, USA. etamm@mdanderson.org
authors.forename: Eric P
authors.initials: EP
authors.lastname: Tamm
authors.forename: Aparna
authors.initials: A
authors.lastname: Balachandran
authors.forename: Priya R
authors.initials: PR
authors.lastname: Bhosale
authors.forename: Matthew H
authors.initials: MH
authors.lastname: Katz
authors.forename: Jason B
authors.initials: JB
authors.lastname: Fleming
authors.forename: Jeffrey H
authors.initials: JH
authors.lastname: Lee
authors.forename: Gauri R
authors.initials: GR
authors.lastname: Varadhachary
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D061330:Multidetector Computed Tomography / Q000379:methods; D009367:Neoplasm Staging; D010179:Pancreas / Q000473:pathology / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods