Scialpi Michele, Reginelli Alfonso, D'Andrea Alfredo, Gravante Sabrina, Falcone Giuseppe, Baccari Paolo, Manganaro Lucia, Palumbo Barbara, Cappabianca Salvatore
Department of Surgical and Biomedical Sciences, Division of Radiology 2, Perugia University, S. Maria della Misericordia Hospital, S. Andrea delle Fratte, 06134, Perugia, Italy.
Department of Internal and Experimental Medicine, Magrassi-Lanzara, Institute of Radiology, Second University of Naples, Piazza Miraglia 2, 80138, Napoli, Naples, Italy.
Int J Surg. 2016 Apr;28 Suppl 1:S142-55. doi: 10.1016/j.ijsu.2015.12.053. Epub 2016 Jan 9.
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.
目前,超声(US)、计算机断层扫描(CT)和磁共振成像(MRI)分别是评估胰腺实性和囊性肿瘤的主要手段,在80 - 85%和10 - 15%的病例中用于评估胰腺情况。整合超声、CT或磁共振成像对于准确评估胰腺实质、导管及相邻软组织至关重要,以便检测肿瘤并进行分期,区分实性与囊性病变,并制定合适的治疗方案。本综述的目的是概述胰腺肿瘤以及成像在其诊断和管理中的作用。为了对胰腺病变进行快速准确的诊断和适当管理,放射科医生了解胰腺最常见肿瘤的关键表现以及当前成像方式的作用至关重要。多模态方法通常很有帮助。如果多排螺旋CT(MDCT)是临床怀疑胰腺癌患者首选的初始成像方式,多参数MRI可为检测和鉴别各种胰腺病变提供重要信息,并且可在诊断及随访期间用作解决问题的工具。