- "CT falls short of MRCP in detecting a ductal connection, estimating main duct involvement, and identification of small branch duct cysts. These factors influence diagnostic accuracy, cancer risk stratification and operative strategy."
CT vs MRCP:Optimal Classification of IPMN type and Extent
Waters JA et al.
J Gastrointest Surg (2008) 12:101-109
- "With 16-section CT, increased contrast material flow rate of 8 ml/sec and individualized scan delay were associated with improved pancreatic enhancement and tumor-to-pancreas contrast compared with flow rate of 4 ml/sec and fixed scan delay."
Multidetector CT of Pancreas: Effects of Contrast Material Flow rate and Individualized Scan Delay on Enhancement of Pancreas and Tumor Contrast
Schueller G et al.
- "Several reports concluded that local extension of pancreatic cancer and invasion of adjacent vascular structures could be well depicted with helical CT, with the main limitations of this technique for preoperative staging being a difficulty in revealing unsuspected liver metastases and a low rate of revealing lymph node metastases."
Diagnosis of pancreatic cancer
Miura F et al.
HPB 2006; 8:337-342
- Ultrasonography, Computed Tomography and Magnetic Resonance Imaging for Diagnosis and Determining Resectability of Pancreatic Adenocarcinoma
A Meta-Analysis
Bipat S et al.
J Comput Assist Tomogr 2005;29:438-445
literature search:the studied reviewed articles published between January 1990 and December 2003
- "With the injection protocol used in our study, optimal scan delays for imaging the pancreas with a fixed injection duration (30 sec)were 30-35 seconds for the abdominal aorta and the SMA, 35-45 seconds for the pancreas, 45 seconds for the splenic vein and 55 seconds or later for the hepatic parenchyma."
Pancreas:Optimal Scan Delay for Contrast-enhanced Multi-Detector Row CT
Goshima S et al.
Radiology 2006; 241:167-174
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