title: Pancreatic carcinoma: Key-points from diagnosis to treatment.
abstract: Pancreatic ductal carcinoma is one of the deadliest cancers in the world. The only hope for prolonged survival still remains surgery with complete R0 resection even if most patients will promptly develop metastases and/or local relapses. Due to the silent nature of the disease, fewer than 20% of patients are eligible for a curative-intent resection. As no gain in survival is expected in case of residual tumor, imaging plays a major role for diagnosis and staging to select patients who will undergo surgery. Multidetector-row computed tomography and magnetic resonance imaging are the key stones and radiologists must be aware of imaging protocols, standardized terms and critical points for structured reporting to assess the tumor staging, minimize potential the morbidity associated with surgery and offer patients the best therapeutic strategy.
authors: Central Radiology and Medical Imaging Department, University Hospital, Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France. Electronic address: eric.frampas@chu-nantes.fr.
authors: E
authors: E
authors: Frampas
authors: Central Radiology and Medical Imaging Department, University Hospital, Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
authors: A
authors: A
authors: David
authors: Digestive and Endocrine Surgery Department, Institute of Digestive Tract Diseases, University Hospital, Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
authors: N
authors: N
authors: Regenet
authors: Hepato Gastro Enterology, Institute of Digestive Tract Diseases, University Hospital, Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
authors: Y
authors: Y
authors: Touchefeu
authors: Central Radiology and Medical Imaging Department, University Hospital, Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
authors: J
authors: J
authors: Meyer
authors: Central Radiology and Medical Imaging Department, University Hospital, Hôtel-Dieu, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
authors: O
authors: O
authors: Morla
mesh_terms: D021441:Carcinoma, Pancreatic Ductal / Q000000981:diagnostic imaging* / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D061330:Multidetector Computed Tomography; D009367:Neoplasm Staging; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging* / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D011379:Prognosis; D012307:Risk Factors; D012680:Sensitivity and Specificity; D014463:Ultrasonography
keywords: Abdomen; Ductal adenocarcinoma; Magnetic resonance imaging; Multidetector-row computed tomography; Pancreas