Medičnì Perspektivi (Dec 2018)

Experience of using MRT imaging in specifying diagnosis of obstructive diseases of the biliopancreatoduodenal zone.

  • B. S. Zaporozhchenko,
  • V. V. Kolodiy,
  • S. V. Shpak,
  • A. A. Gorbunov,
  • P. T. Muravyov,
  • I. V. Sharapov,
  • V. G. Shevchenko,
  • V. S. Ishchenko

DOI
https://doi.org/10.26641/2307-0404.2018.4(part1).145668
Journal volume & issue
Vol. 23, no. 4(part1)
pp. 62 – 71

Abstract

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The article presents the experience of surgical treatment of 12 patients with pancreatic cancer who were treated at the clinic of the Department of Surgery No. 2 of the ONMEDU during 2017. As a preoperative diagnosis, an MRI scan was performed in these patients. In general, the intraoperative size of the tumor was not significantly different from MRI - sizes: the medians of their differences were only + 5.5 mm and + 3.5 mm for the average and maximum MRT sizes. The calculated sensitivity and specificity of the method of MRTand CT in the assessment of artery invasion was 83.3% and 71.4% respectively, in the assessment of vein invasion - up to 50.0% and 42.9%, respectively. The combination of MRI and CT with intravenous contrast is the best option for planning surgical tactics today.

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