By Gabriele Capurso, Cesare Hassan (auth.), Andrea Laghi (eds.)
This e-book adopts a multidisciplinary method of learn intimately a number of fascinating new techniques within the prognosis and remedy of pancreatic adenocarcinoma. Its fundamental ambitions are to provide a invaluable resource of knowledge for clinicians all in favour of the administration of sufferers with pancreatic adenocarcinoma and to supply a latest consultant to the sickness when you have an interest in updating their wisdom, together with fellows and senior citizens. The ebook is split into 3 elements. the 1st half offers an epidemiological and scientific review of the disorder, through an replace on pathological findings, together with new discoveries within the quarter of molecular biology. the second one half, on prognosis, deals targeted and entire info at the merits and downsides of alternative imaging thoughts, together with nuclear medication and endoscopic ultrasound. every one diagnostic technique is severely reviewed with reference to cost-effectiveness. The concluding a part of the booklet, on treatment, supplies a wide ranging evaluation of a number of the healing recommendations, from surgical procedure to chemotherapy and palliative methods in keeping with interventional endoscopy and radiology.
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Additional info for New Concepts in Diagnosis and Therapy of Pancreatic Adenocarcinoma
2001). 7). In autoimmune pacreatitis a diffuse glandular enlargement is observed with a typical peripancreatic hypodense rim representing inflammatory exudation and the absence of calcification or vascular encasement. Other typical features are represented by multiple biliary strictures and diffuse irregular narrowing of the main pancreatic duct. These findings are frequently observed in young women with a coexisting autoimmune diseases (Wakabashi et al. 2003). 1 T Parameter Multidetector CT with multiplanar reformation is highly sensitive for assessment of T stage.
Eur Radiol 13:M42–M49 Brugge WR (1998) Fine needle aspiratiion of pancreatic masses: results of a multicenter study. Am J Gastroenterol 93:1329–1333 Cameron JL, Crist DW, Sitzman JV et al (1991) Factors influencing survival after pancreaticoduodenectomy for pancreatic cancer. Am J Surg 161:120–124 Catalano C, Laghi A, Fraioli F et al (2003) Pancreatic carcinoma: the role of high resolution multislice spiral CT in the diagnosis and assessment of resectability. Eur Radiol 13:149–156 Coombs RJ, Zeiss J, Howard JM, Thomford NR, Merrick HW (1990) CT of the abdomen after the Whipple procedure: value in depicting postoperative anatomy, surgical complications, and tumor recurrence.
Maximum Intensity Projection (MIP) contributes to additional information regarding vessels enhancement and invasion. Curved reformat can be useful for a better analysis of the relationship between the tumor and curved structures like common biliary duct, pancreatic ducts, and vessels. Minimum Intensity Projection (Min-IP) can easily detect postoperative aerobilia and it clearly visualizes biliary morphology and late complications such as stenosis of hepaticojejunal anastomosis. 2). The application of postprocessing techniques increases tumor diagnosis and permits also an accurate preoperative staging.
New Concepts in Diagnosis and Therapy of Pancreatic Adenocarcinoma by Gabriele Capurso, Cesare Hassan (auth.), Andrea Laghi (eds.)