The Role of Multidetector CT, MRI and MRCP in the Diagnosis and Differential Diagnosis of Pancreatic Cystic Neoplasms
Megan H. Lee, Elliot K. Fishman
Imaging is crucial to the detection and characterization of cystic pancreatic lesions, which include intraductal papillary mucinous neoplasm (IPMN), serous cystadenoma (SCA), and mucinous cystic neoplasm (MCN). Computed tomography (CT) and magnetic resonance imaging (MRI), including magnetic resonance cholangiopancreatography (MRCP), are the primary modalities with which cystic pancreatic lesions are evaluated, and these often offer complementary information. The standard CT protocol for the evaluation of pancreatic lesions is multiphase CT, including arterial and portal venous phases. MRI is also a useful modality for the evaluation of cystic pancreatic lesions and offers better soft tissue contrast compared to CT. Imaging plays a critical role in the detection, diagnosis, and follow-up of cystic pancreatic lesions, including MCNs, SCAs, and IPMNs. Less common lesions include solid pseudopapillary tumors, cystic neuroendocrine tumors, and lymphoepithelial cysts.
Read Full Article Here: https://doi.org/10.1002/9781119570097.ch72