Evaluation of Peripancreatic Vascular Invasion of Pancreatic Carcinoma by Multi-Slice CT Angiography_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHANG Hongxia , SHANG Naijian , ZHOU Yang.

Department of Radiology, The Third Affiliated Hospital, Harbin Medical University, Harbin 150001, Heilongjiang Province, China;

Corresponding author：

ZHANG Hongxia, Email: ocean1980xinhua@sohu.com

Keywords：

Multi-slice CT angiography; Pancreatic carcinoma; Vascular invasion

Video：

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ObjectiveTo explore the value of multi-slice CT angiography (MSCTA) in peripancreatic vascular invasion of pancreatic carcinoma. MethodsThirty-eight patients with pancreatic carcinoma were detected by MSCTA technology before operation. The peripancreatic vascular invasion of pancreatic carcinoma was evaluated by multi-planar reconstruction (MPR) and maximum intensity projection (MIP) combined with axial image, and compared with the surgical results. ResultsThe MSCTA results showed that there were 12 patients (31.6%) with vascular invasion in 38 patients with pancreatic carcinoma, and the surgical results showed that there were 16 patients (42.1%) with vascular invasion. There was a b fit goodness of two results (kappa=0.665, P=0.000). The sensibility and specificity of MSCTA was 68.8% (11/16) and 95.5% (21/22), respectively. ConclusionsMSCTA technology has a high correct rate in evaluation of peripancreatic vessel encroached by pancreatic carcinoma, the MSCTA result has a b consistency to the surgical result. It has a value of clinical application in evaluation of peripancreatic vessel encroached by pancreatic carcinoma.

Citation： ZHANG Hongxia,SHANG Naijian,ZHOU Yang.. Evaluation of Peripancreatic Vascular Invasion of Pancreatic Carcinoma by Multi-Slice CT Angiography. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(12): 1334-1337. doi: Copy

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11.	Lepanto L, Arzoumanian Y, Gianfelice D, et al. Helical CT with CT angiography in assessing periampullary neoplasms: identification of vascular invasion [J]. Radiology, 2002, 222(2): 347352.
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14.	文戈, 张雪林, 李颖嘉, 等. 多层螺旋CT三维血管重建对胰腺癌可切除性的术前评价 [J]. 山东医药, 2006, 46(22): 5859.
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21.	李健丁, 张华, 张跃珍. 螺旋CT扫描结合CA199检测在胰腺癌术前分期中的探讨 [J]. 中国医学影像技术, 2003, 19(6): 702704.

1. 吉爱兵, 芮春朵, 刘怡文, 等. 16层螺旋CT在胰腺癌术前评估中的应用 [J]. 中国现代医药杂志, 2007, 9(9): 6668.
2. 吴在德, 吴肇汉. 外科学 [M]. 第7版. 北京: 人民卫生出版社, 2008: 补充起止页.
3. 李震, 褚倩, 肖明, 等. 定量术前评价胰腺癌血管侵犯多排CT技术 [J]. 世界华人消化杂志, 2008, 16(7): 726731.
4. 孙备, 陈华. 胰腺癌外科治疗的现状与展望 [J]. 中国普外基础与临床杂志, 2008, 15(8): 547549.
5. 黄子星, 陈光文, 宋彬. 胰腺癌血管侵犯的CT术前评价 [J]. 中国普外基础与临床杂志, 2009, 16(11): 939943.
6. 王西昌, 王凯, 魏正清, 等. 多层螺旋CT在胰腺癌诊断中的应用 [J]. 实用放射学杂志, 2005, 21(7): 768770.
7. Lu DS, Reber HA, Krasny RM, et al. Local staging of pancreatic cancer: criteria for unresectability of major vessels as revealed by pancreaticphase, thinsection helical CT [J]. AJR Am J Roentgenol, 1997, 168(6): 14391443.
8. Phoa SS, Reeders JW, Stoker J, et al. CT criteria for venous invasion in patients with pancreatic head carcinoma [J]. Br J Radiol, 2000, 73(875): 11591164.
9. 程万里, 刘光华, 蒋涛, 等. 多层CT血管造影对胰腺癌侵犯胰周血管的判断 [J]. 肿瘤防治研究, 2007, 34(10): 770772.
10. Baek SY, Sheafor DH, Keogan MT, et al. Twodimensional multiplanar and threedimensional volumerendered vascular CT in pancreatic carcinoma: interobserver agreement and comparison with standard helical techniques [J]. AJR Am J Roentgenol, 2001, 176(6): 14671473.
11. Lepanto L, Arzoumanian Y, Gianfelice D, et al. Helical CT with CT angiography in assessing periampullary neoplasms: identification of vascular invasion [J]. Radiology, 2002, 222(2): 347352.
12. 蒋奕, 刘文亚, 王健, 等. 多层螺旋CT血管成像评价胰腺癌侵犯胰周血管 [J]. 中国医学影像技术, 2009, 25(11): 20572060.
13. 钟经馨, 苏秉亮, 牛广明. 多层螺旋CT胰周血管造影及其对胰腺癌血管浸润的评价 [J]. 实用放射学杂志, 2007, 23(6): 850852.
14. 文戈, 张雪林, 李颖嘉, 等. 多层螺旋CT三维血管重建对胰腺癌可切除性的术前评价 [J]. 山东医药, 2006, 46(22): 5859.
15. Li H, Zeng MS, Zhou KR, et al. Pancreatic adenocarcinoma: signs of vascular invasion determined by multidetector row CT [J]. Br J Radiol, 2006, 79(947): 880887.
16. 丁汉军, 刘伟锋, 田晞, 等. 16层螺旋CT多期增强扫描对胰腺癌侵犯胰周血管的评估 [J]. 广州医药, 2009, 40(3): 13.
17. 李卉, 周康荣, 靳大勇, 等. 胰腺癌侵犯胰周动静脉CT诊断标准的临床价值 [J]. 中华肿瘤杂志, 2007, 29(2): 147150.
18. 赵心明, 周纯武, 吴宁, 等. 胰腺多层螺旋CT灌注研究 [J]. 中华放射学杂志, 2003, 37(9): 845849.
19. Li H, Zeng MS, Zhou KR, et al. Pancreatic adenocarcinoma: the different CT criteria for peripancreatic major arterial and venous invasion [J]. J Comput Assist Tomogr, 2005, 29(2): 170175.
20. 凌华威, 管永靖, 丁蓓, 等. 多层螺旋CT血管造影在胰腺癌周围血管侵犯术前评估中的应用价值 [J]. 中华放射学杂志, 2002, 36(7): 609612.
21. 李健丁, 张华, 张跃珍. 螺旋CT扫描结合CA199检测在胰腺癌术前分期中的探讨 [J]. 中国医学影像技术, 2003, 19(6): 702704.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Evaluation of Peripancreatic Vascular Invasion of Pancreatic Carcinoma by Multi-Slice CT Angiography

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