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Everything you need to know about Computed Tomography (CT) & CT Scanning

Review of Current Portal Venous Reconstruction Techniques Performed with Pancreaticoduodenectomy and Correlation with Post-Operative CT Imaging Appearances

Pearls and Pitfalls

  • Be familiar with the commonly seen patterns of the PV-SMV complex and perivenous space after venous reconstruction procedures in order to avoid over-calling recurrent pancreatic cancer in this patient population.
  • Establish the baseline post-op appearance of the PV-SMV and the perivenous space.
  • Use coronal images to evaluate the configuration of the PV-SMV.
  • Correlate with other available information (tumor markers, PET/CT).
  • When in doubt, do short term follow-up to assess for changes to baseline post-op study over time.

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© 1999-2019 Elliot K. Fishman, MD, FACR. All rights reserved.