Elliot K. Fishman M.D.
Johns Hopkins Hospital

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”The survival of patients with small PDACs (particularly ≤ 20 mm), 30% at 5 years, is better than it is for patients with larger cancers. However, small tumors are the most difficult to visualize and the sensitivity of MDCT is lower for detection of small PDACs. In a retrospective study by Yoon et al. with 33 PDAC patients who underwent CT prior to the diagnosis of PDAC, the tumor could be identified in 72.7% (24/33) of cases. Of these prospectively missed cases, 87.5% (21/24) were ≤ 20 mm and 12.5% (3/24) were between 21 and 33 mm.”
Pitfalls in the MDCT of pancreatic cancer: strategies for minimizing errors 
Arya Haj‐Mirzaian · Satomi Kawamoto · Atif Zaheer · Ralph H. Hruban · Elliot K. Fishman · Linda C. Chu 
Abdom Radiol (NY). 2020 Feb;45(2):457-478

“ In the daily radiology practice, the rate of interpretation error is between 3% and 4%; however, of the radiology studies that contain abnormalities, the error rate is even higher, averaging in the 30% range.”
Fool Me Twice: Delayed Diagnoses in Radiology With Emphasis on Perpetuated Errors
Kim YW, Mansfield LT
AJR 2014;202:465-470

• Neuroendocrine tumors
• Cystic pancreatic lesions including serous cystadenoma and MCN
• Metastases to the pancreas

IPMN