Menu Expand
Pancreatic Imaging, An Issue of Radiologic Clinics of North America - E-Book

Pancreatic Imaging, An Issue of Radiologic Clinics of North America - E-Book

Desiree E. Morgan | Koenraad J. Mortele

(2012)

Additional Information

Book Details

Abstract

This issue reviews and updates a variety of topics in pancreatic imaging.  Pearls on the Multiphasic CT of the pancreas are offered, along with the key MRI techniques for pancreatic imaging. Emerging CT, MR and US techniques for pancreatic evaluation (such as dual energy, DCMRI, spectroscopy, and US contrast) are elucidated.  Ultrasound for pancreatic imaging is given a thorough review.  An update on staging and resectability of pancreatic adenocarcinoma is discussed.  Acute and chronic pancreatitis are reviewed, as well as cystic pancreatic lesions, congenital pancreatic anomalies, uncommon solid pancreatic neoplasms, and other pancreatic pathology. Post-operative imaging of the pancreas is discussed, and finally, an update on endoscopic techniques for the pancreas is provided.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Pancreatic Imaging i
Copyright Page ii
Table of Contents v
Contributors iii
Preface xi
Chapter 1.\rMDCT Evaluation of the Pancreas: Nuts and Bolts 365
CLINICALLY RELEVANT ANATOMY 365
CONTRAST MEDIA INJECTION PROTOCOLS 368
SUGGESTED CT PROTOCOLS 370
RADIATION DOSE CONSIDERATIONS 374
ADVANCED IMAGING TECHNIQUES 375
SUMMARY 375
REFERENCES 375
Chapter 2. MR Imaging Techniques for Pancreas 379
MR IMAGING SEQUENCES 379
SUMMARY (OBJECTIVES FOR RECALL) 391
REFERENCES 391
Chapter 3. Ultrasonography of the Pancreas 395
EXAMINATION TECHNIQUES 395
NORMAL ANATOMY 396
INFLAMMATORY DISEASE 397
SOLID TUMORS 399
CYSTIC PANCREATIC TUMORS 400
ACOUSTIC RADIATION FORCE IMPULSE 401
INTRAOPERATIVE ULTRASOUND 403
INTERVENTIONAL ULTRASOUND 403
SUMMARY 405
REFERENCES 405
Chapter 4. Imaging of Pancreatic Adenocarcinoma: Update on Staging/Resectability 407
RECENT ADVANCES LEADING TO CHANGES IN STAGING 407
VENOUS RESECTION AND RECONSTRUCTION 408
HEPATIC ARTERY SEGMENTAL RESECTION AND/OR RECONSTRUCTION 410
APPROACHES TO CHEMOTHERAPY AND/OR RADIATION THERAPY 410
ADJUVANT (POSTOPERATIVE) THERAPY 410
PREOPERATIVE THERAPY 412
STAGING OF PANCREATIC CANCER: AMERICAN JOINT COMMITTEE ON CANCER GUIDELINES 412
CLASSIFICATION OF RESECTABLE, BORDERLINE, AND UNRESECTABLE DISEASE 414
IMAGING: TECHNIQUE 416
MR IMAGING 418
POSITRON EMISSION TOMOGRAPHY/CT 420
IMAGING AND STAGING 420
REPORTING OF IMAGING FINDINGS 425
REFERENCES 425
Chapter 5. Imaging of Acute Pancreatitis: Update of the Revised Atlanta Classification 429
INTRODUCTION 429
DEFINITION OF ACUTE PANCREATITIS 430
CT FINDINGS OF ACUTE PANCREATITIS 430
ATLANTA CLASSIFICATION: THE NEED FOR REVISION 433
FUNDAMENTAL CONCEPTS 434
MORPHOLOGIC CLASSIFICATION 434
RADIOLOGIC EVALUATION ON CECT: PANCODE SYSTEM 443
SUMMARY 444
REFERENCES 444
Chapter 6. Imaging of Chronic Pancreatitis (Including Groove and Autoimmune Pancreatitis) 447
IMAGING OF CHRONIC PANCREATITIS 447
MISCELLANEOUS PANCREATITIS 458
SUMMARY 464
REFERENCES 464
Chapter 7. Cystic Tumors of the Pancreas: Imaging and Management 467
COMMON CYSTIC TUMORS OF THE PANCREAS 468
UNCOMMON CYSTIC PANCREATIC TUMORS 478
MANAGEMENT OF CYSTIC PANCREATIC LESIONS 482
SUMMARY 483
REFERENCES 483
Chapter 8. Congenital Pancreatic Anomalies, Variants, and Conditions 487
NORMAL DEVELOPMENT 487
NORMAL ANATOMY 487
CONGENITAL ANOMALIES 488
DUCTAL VARIANTS 491
MIMICS OF PANCREATIC PATHOLOGY 494
REFERENCES 497
Chapter 9. Unusual Solid Pancreatic Tumors 499
PANCREATIC ENDOCRINE TUMORS 499
SOLID PSEUDOPAPILLARY TUMOR 504
HEMATOGENOUS METASTASES TO THE PANCREAS 506
OTHER UNUSUAL SOLID PANCREATIC MASSES 508
REFERENCES 510
Chapter 10. Imaging of Miscellaneous Pancreatic Pathology (Trauma, Transplant, Infections, and Deposition) 515
PANCREATIC TRAUMA 515
PANCREATIC TRANSPLANTATION 517
RARE PANCREATIC INFECTIONS 519
DIFFUSE PANCREATIC DISEASES, INCLUDING DEPOSITION DISORDERS 522
REFERENCES 526
Chapter 11. Imaging After Pancreatic Surgery 529
CANCER OPERATIONS 529
SURGERIES FOR CHRONIC PANCREATITIS 534
NORMAL CT FINDINGS AFTER PANCREATIC SURGERY 536
SURGICAL COMPLICATIONS 538
TUMOR SURVEILLANCE 541
REFERENCES 544
Chapter 12. Update on Advanced Endoscopic Techniques for the Pancreas: Endoscopic Retrograde Cholangiopancreatography, Drainage and Biopsy, and Endoscopic Ultrasound 547
GALLSTONE PANCREATITIS 547
IDIOPATHIC AND NONBILIARY ACUTE PANCREATITIS 548
CHRONIC PANCREATITIS 548
PANCREATIC DUCTAL DISRUPTION AND FLUID COLLECTIONS 550
PANCREATIC CYSTS 552
PANCREATIC CANCER 553
SOD 555
AUTOIMMUNE PANCREATITIS 556
EUS-GUIDED CELIAC PLEXUS NEUROLYSIS AND BLOCK 557
EUS-GUIDED ANTEGRADE CHOLANGIOPANCREATOGRAPHY 558
SUMMARY 559
REFERENCES 559
Index 563