Castaing D, Bismuth H
J Radiol. 1981 Oct;62(10):509-13.
A retrospective study of selective angiography of the coeliac axis and superior mesenteric artery was conducted in 60 patients having a pancreatic disease. The purpose of this study was to precise the frequency, the specificity and the diagnostic value of each radiological sign in malignant and non malignant pancreatic affection. In patients with cancer of pancreas, the best radiological sign are the presence of an arterial obstruction, an irregular arterial stenosis, a venous obstruction or a parenchymal hypervascularization. In patients with benign affections, the most significant signs are á regular arterial stenosis alore or associated with an arterial involvement or the association of at least two of the three following signs: regular arterial stenosis, arterial involvement and venous compression. Using this signs, a correct diagnosis can be done, a posteriori, in 82% of the malignant pancreatic affections and in 76% of the benign pancreatic disease.
对60例胰腺疾病患者进行了腹腔动脉和肠系膜上动脉选择性血管造影的回顾性研究。本研究的目的是明确每种放射学征象在恶性和非恶性胰腺疾病中的发生率、特异性及诊断价值。在胰腺癌患者中，最佳放射学征象为动脉阻塞、不规则动脉狭窄、静脉阻塞或实质血管增多。在良性疾病患者中，最显著的征象是单纯规则动脉狭窄或合并动脉受累，或以下三种征象中至少两种同时出现：规则动脉狭窄、动脉受累和静脉受压。利用这些征象，事后可对82%的恶性胰腺疾病和76%的良性胰腺疾病做出正确诊断。
