Division of Gastroenterology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan 48109, USA.
Curr Opin Gastroenterol. 2011 Sep;27(5):475-80. doi: 10.1097/MOG.0b013e328349e30c.
Imaging of the pancreas is critical for diagnostic decision-making. Improvements in imaging have the potential to translate into improved patient outcomes by more accurate and rapid diagnosis. Evolving approaches to imaging for pancreatic diseases in the past year are reviewed.
The approach to patients with cystic lesions continues to focus on careful patient selection for surgery and targeted use of imaging and cyst sampling. Intraductal papillary mucinous neoplasm patients appear to have cancer risk independent of the neoplastic cyst itself. Imaging continues to focus on improved approaches to differentiation of inflammatory from neoplastic pancreatic mass lesions.
The approach to patients with suspected pancreatic disease continues to evolve, thanks to improved imaging. Recently developed diagnostic and treatment strategies show promise for improved patient outcomes.
胰腺影像学检查对于诊断决策至关重要。通过更准确、更快速的诊断，影像学检查的改进有可能转化为改善患者的预后。本文回顾了过去一年中胰腺疾病影像学检查的新进展。
对于囊性病变患者，继续重点关注对手术的仔细患者选择以及对影像学检查和囊液采样的靶向应用。导管内乳头状黏液性肿瘤患者的癌症风险似乎与其肿瘤性囊腔本身无关。影像学检查继续侧重于改善对炎症性和肿瘤性胰腺肿块病变的区分。
由于影像学检查的改进，疑似胰腺疾病患者的处理方法不断发展。最近开发的诊断和治疗策略有望改善患者的预后。
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