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胰腺手术后的横断面成像:放射科医生与外科医生之间的对话。

Cross-sectional imaging after pancreatic surgery: The dialogue between the radiologist and the surgeon.

作者信息

Maino Cesare, Cereda Marco, Franco Paolo Niccolò, Boraschi Piero, Cannella Roberto, Gianotti Luca Vittorio, Zamboni Giulia, Vernuccio Federica, Ippolito Davide

机构信息

Department of Diagnostic Radiology, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, MB, Italy.

Department of Surgery, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, MB, Italy.

出版信息

Eur J Radiol Open. 2024 Jan 19;12:100544. doi: 10.1016/j.ejro.2023.100544. eCollection 2024 Jun.

Abstract

Pancreatic surgery is nowadays considered one of the most complex surgical approaches and not unscathed from complications. After the surgical procedure, cross-sectional imaging is considered the non-invasive reference standard to detect early and late compilations, and consequently to address patients to the best management possible. Contras-enhanced computed tomography (CECT) should be considered the most important and useful imaging technique to evaluate the surgical site. Thanks to its speed, contrast, and spatial resolution, it can help reach the final diagnosis with high accuracy. On the other hand, magnetic resonance imaging (MRI) should be considered as a second-line imaging approach, especially for the evaluation of biliary findings and late complications. In both cases, the radiologist should be aware of protocols and what to look at, to create a robust dialogue with the surgeon and outline a fitted treatment for each patient.

摘要

如今,胰腺手术被认为是最复杂的手术方式之一,且难免会出现并发症。手术后,横断面成像被视为检测早期和晚期并发症的非侵入性参考标准,从而为患者提供最佳的治疗方案。增强计算机断层扫描(CECT)应被视为评估手术部位最重要且最有用的成像技术。由于其速度、对比度和空间分辨率,它有助于高精度地做出最终诊断。另一方面,磁共振成像(MRI)应被视为二线成像方法,尤其是用于评估胆道情况和晚期并发症。在这两种情况下,放射科医生都应了解相关协议以及观察要点,以便与外科医生进行有效的沟通,并为每位患者制定合适的治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5f/10831502/20370833afca/gr1.jpg

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