Department of Radiology, New York Presbyterian-Weill Cornell Medicine, New York, NY, USA.
Department of Diagnostic Radiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Abdom Radiol (NY). 2021 Apr;46(4):1586-1606. doi: 10.1007/s00261-020-02853-4. Epub 2020 Nov 13.
There have been many publications detailing imaging features of malignant transformation of intraductal papillary mucinous neoplasms (IPMN), management and recommendations for imaging follow-up of diagnosed or presumed IPMN. However, there is no consensus on several practical aspects of imaging IPMN that could serve as a clinical guide for radiologists and enable future data mining for research. These aspects include how to measure IPMN, define reporting terminology, standardize reporting and unify guidelines for surveillance. The Society of Abdominal Radiology (SAR) created multiple Disease-Focused Panels (DFP) comprised multidisciplinary panel members who focus on a particular disease, with the goal to develop ways for radiologists to improve patient care, education, and research. DFP members met to identify the current controversies and limitations of imaging pancreatic IPMN. This paper aims to provide a practical review of the key imaging characteristics of IPMN for trainees and practicing radiologists, to guide uniformity of performance and interpretation of surveillance imaging studies, and to improve communication with clinicians by providing a lexicon and reporting template based on the experience of the SAR-DFP panel members.
已经有许多出版物详细描述了导管内乳头状黏液性肿瘤(IPMN)恶性转化的影像学特征、管理以及对诊断或疑似 IPMN 的影像学随访的建议。然而,在 IPMN 的影像学方面,仍存在一些没有达成共识的实际问题,这些问题可以作为放射科医生的临床指南,并为未来的研究数据挖掘提供支持。这些方面包括如何测量 IPMN、定义报告术语、标准化报告以及统一监测指南。美国腹部放射学会(SAR)创建了多个疾病重点小组(DFP),由专注于特定疾病的多学科小组组成,目的是为放射科医生提供改善患者护理、教育和研究的方法。DFP 成员开会确定了目前在成像胰腺 IPMN 方面存在的争议和局限性。本文旨在为学员和从业放射科医生提供 IPMN 的关键影像学特征的实用复习,以指导监测成像研究的性能和解释的一致性,并通过提供基于 SAR-DFP 小组成员经验的词汇和报告模板,改善与临床医生的沟通。