Moss A A, Federle M, Shapiro H A, Ohto M, Goldberg H, Korobkin M, Clemett A
Radiology. 1980 Jan;134(1):159-63. doi: 10.1148/radiology.134.1.6985736.
Sixty-one consecutive patients suspected of having pancreatic neoplasms had endoscopic retrograde cholangiopancreatography (ERCP) and computed tomography (CT). The ERCP results were 62% accurate, 8% false negative, and 3% failure. The overall accuracy in cases of successful pancreatic duct cannulation was 88%. The results of CT were 76% correct, 5% false positive, 13% false negative, and 6% indeterminate. Excluding ERCP failure, the CT-ERCP diagnosis was identical in 67%. When findings were identical, the accuracy rate was 93%, high than that of either study alone. The ERCP-CT examinations were often complementary and generally led to a more accurate and specific diagnosis.
61例连续怀疑患有胰腺肿瘤的患者接受了内镜逆行胰胆管造影（ERCP）和计算机断层扫描（CT）检查。ERCP检查结果的准确率为62%，假阴性率为8%，失败率为3%。成功进行胰管插管病例的总体准确率为88%。CT检查结果的正确率为76%，假阳性率为5%，假阴性率为13%，不确定率为6%。排除ERCP失败病例后，CT-ERCP联合诊断的符合率为67%。当两者结果一致时，准确率为93%，高于单独任何一项检查。ERCP和CT检查通常具有互补性，总体上能得出更准确、更具特异性的诊断。
