Kwon Richard S, Scheiman James M
Division of Gastroenterology, University of Michigan Health System, Ann Arbor, Michigan, USA.
Curr Opin Gastroenterol. 2006 Sep;22(5):512-9. doi: 10.1097/01.mog.0000239865.81586.2d.
This review serves to highlight new technology and novel applications of existing techniques and their role in the management of pancreatic diseases, including acute and chronic pancreatitis, pancreatic cancer, and pancreatic cystic neoplasms.
Contrast-enhanced ultrasound has shown promise in evaluating the severity of acute pancreatitis, staging pancreatic cancer, and predicting malignancy in cystic neoplasms. Optical coherence tomography within the pancreatic duct appears to be able to differentiate malignant and normal pancreatic ducts. Spectroscopy may prove useful in differentiating focal chronic pancreatitis from malignancy. Multidetector-row computed tomography may provide more accurate information regarding cancer respectability and differentiation between ductal type of intraductal papillary mucinous tumors.
These new developments will help with the diagnosis and staging of pancreatic diseases.
本综述旨在强调新技术以及现有技术的新颖应用及其在胰腺疾病管理中的作用，这些疾病包括急性和慢性胰腺炎、胰腺癌以及胰腺囊性肿瘤。
对比增强超声在评估急性胰腺炎的严重程度、胰腺癌分期以及预测囊性肿瘤的恶性程度方面显示出前景。胰管内的光学相干断层扫描似乎能够区分恶性和正常的胰管。光谱学可能有助于鉴别局灶性慢性胰腺炎和恶性肿瘤。多排螺旋计算机断层扫描可能会提供有关癌症可切除性以及导管内乳头状黏液性肿瘤导管类型之间鉴别的更准确信息。
这些新进展将有助于胰腺疾病的诊断和分期。
