Freeny P C, Ball T J
Radiology. 1978 Jun;127(3):627-33. doi: 10.1148/127.3.627.
An algorithmic approach for radiological evaluation of suspected pancreatic carcinoma was applied in more than 200 patients. Outpatient ultrasonography and barium studies of the upper gastrointestinal tract were followed by inpatient endoscopic retrograde cholangiopancreatography, angiography, and percutaneous biopsy. Evaluation took no more than two hospital days and exploratory laparotomy was not needed. Twenty-five patients had carcinoma. The diagnostic accuracy of the algorithm was 96%. Although this method did not increase the diagnosis of resectable tumors, it did result in rapid, accurate diagnosis of pancreatic carcinoma at relatively low cost and with minimum patient discomfort. Hopefully, these results will eventually lead to earlier diagnosis and improved survival.
一种用于疑似胰腺癌放射学评估的算法方法应用于200多名患者。先进行门诊超声检查和上消化道钡餐检查，然后进行住院内镜逆行胰胆管造影、血管造影和经皮活检。评估不超过两个住院日，无需进行剖腹探查。25例患者患有癌症。该算法的诊断准确率为96%。虽然这种方法没有增加可切除肿瘤的诊断率，但它确实以相对较低的成本和最小的患者不适实现了胰腺癌的快速、准确诊断。希望这些结果最终能导致早期诊断并提高生存率。
