title: Pancreatic tumors imaging: An update.
abstract: Currently, ultrasound (US), computed tomography (CT) and Magnetic Resonance imaging (MRI) represent the mainstay in the evaluation of pancreatic solid and cystic tumors affecting pancreas in 80-85% and 10-15% of the cases respectively. Integration of US, CT or MR imaging is essential for an accurate assessment of pancreatic parenchyma, ducts and adjacent soft tissues in order to detect and to stage the tumor, to differentiate solid from cystic lesions and to establish an appropriate treatment. The purpose of this review is to provide an overview of pancreatic tumors and the role of imaging in their diagnosis and management. In order to a prompt and accurate diagnosis and appropriate management of pancreatic lesions, it is crucial for radiologists to know the key findings of the most frequent tumors of the pancreas and the current role of imaging modalities. A multimodality approach is often helpful. If multidetector-row CT (MDCT) is the preferred initial imaging modality in patients with clinical suspicion for pancreatic cancer, multiparametric MRI provides essential information for the detection and characterization of a wide variety of pancreatic lesions and can be used as a problem-solving tool at diagnosis and during follow-up.
authors.affiliation: Department of Surgical and Biomedical Sciences, Division of Radiology 2, Perugia University, S. Maria della Misericordia Hospital, S. Andrea delle Fratte, 06134, Perugia, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Scialpi
authors.affiliation: Department of Internal and Experimental Medicine, Magrassi-Lanzara, Institute of Radiology, Second University of Naples, Piazza Miraglia 2, 80138, Napoli, Naples, Italy.
authors.forename: Alfonso
authors.initials: A
authors.lastname: Reginelli
authors.affiliation: Department of Internal and Experimental Medicine, Magrassi-Lanzara, Institute of Radiology, Second University of Naples, Piazza Miraglia 2, 80138, Napoli, Naples, Italy.
authors.forename: Alfredo
authors.initials: A
authors.lastname: D'Andrea
authors.affiliation: Department of Surgical and Biomedical Sciences, Division of Radiology 2, Perugia University, S. Maria della Misericordia Hospital, S. Andrea delle Fratte, 06134, Perugia, Italy.
authors.forename: Sabrina
authors.initials: S
authors.lastname: Gravante
authors.affiliation: Department of Surgical and Biomedical Sciences, Division of Radiology 2, Perugia University, S. Maria della Misericordia Hospital, S. Andrea delle Fratte, 06134, Perugia, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Falcone
authors.affiliation: Division of Surgery, S. Maria della Misericordia Hospital, S. Andrea delle Fratte, 06134, Perugia, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Baccari
authors.affiliation: Department of Radiology, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy.
authors.forename: Lucia
authors.initials: L
authors.lastname: Manganaro
authors.affiliation: Department of Surgical and Biomedical Sciences, Division of Radiology 2, Perugia University, S. Maria della Misericordia Hospital, S. Andrea delle Fratte, 06134, Perugia, Italy.
authors.forename: Barbara
authors.initials: B
authors.lastname: Palumbo
authors.affiliation: Department of Internal and Experimental Medicine, Magrassi-Lanzara, Institute of Radiology, Second University of Naples, Piazza Miraglia 2, 80138, Napoli, Naples, Italy. Electronic address: salvatore.cappabianca@unina2.it.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Cappabianca
mesh_terms: D003287:Contrast Media; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D061330:Multidetector Computed Tomography; D064847:Multimodal Imaging; D009367:Neoplasm Staging; D010190:Pancreatic Neoplasms / Q000145:classification / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D049268:Positron-Emission Tomography; D014463:Ultrasonography / Q000379:methods
chemical_list: D003287:Contrast Media
keywords: Contrast-enhanced ultrasound (CEUS); Magnetic resonance imaging (MRI); Multidetector-row computed tomography (MDCT); Multiparametric MRI; Pancreas; Pancreatic tumors; Positron emission tomography (PET); Split-bolus MDCT; Ultrasound (US)