Vascular encasement by pancreatic cancer: correlation of CT findings with surgical and pathologic results.

Abstract:

PURPOSE:The purpose of this study was to correlate thin-slice high-resolution helical CT findings of arterial and venous involvement in pancreatic cancers with surgical and histopathologic results. METHOD:Forty-eight patients with pancreatic cancer underwent preoperative thin-slice high-resolution helical CT, followed by surgical dissection of the pancreatic vessels during curative or palliative surgery. Major vessels running within 1 cm from the tumor margin were evaluated. CT appearance was graded on a 0-4 scale (0: none, 1: <24%, 2: 25-49%, 3: 50-74%, 4: 75-100%) by circumferential contiguity of tumor to vessels. Resected specimens were available from 26 patients. RESULTS:Surgical correlation of CT findings was available in 89 veins and 83 arteries, and both surgical and histologic correlation was available for 42 veins and 29 arteries. At surgical observation, 29 of 35 veins (82.9%) evaluated as CT grade 3 or 4 were found to be involved, whereas only 18 of 30 arteries (60%) evaluated as CT grade 3 or 4 were proved to be involved. On microscopic observation, tumor invasion to the portal venous systems was confirmed in 15 of 42 (35.7%) vessels, and this invasion was depicted as from CT grades 1 to 4. In arteries, tumor invasion was seen in 3 of 29 vessels (10.3%), all of which were graded as 3 or 4 by CT. CONCLUSION:The grading system of vascular invasion should differ between arteries and veins. Involvement of the venous system exceeding one-half circumference of the vessels (grade 3 or 4) was suggestive of vascular invasion; however, this criterion was not always satisfactory for the evaluation of tumor invasion in the arterial system.

journal_name

J Comput Assist Tomogr

authors

Nakayama Y,Yamashita Y,Kadota M,Takahashi M,Kanemitsu K,Hiraoka T,Hirota M,Ogawa M,Takeya M

doi

10.1097/00004728-200105000-00002

keywords:

subject

Has Abstract

pub_date

2001-05-01 00:00:00

pages

337-42

issue

3

eissn

0363-8715

issn

1532-3145

pii

00004728-200105000-00002

journal_volume

25

pub_type

杂志文章
  • Prototype Ultrahigh-Resolution Computed Tomography for Chest Imaging: Initial Human Experience.

    abstract:OBJECTIVE:The objective of this study was to evaluate a prototype, ultrahigh-resolution computed tomography offering higher reconstruction matrix (1024 × 1024) and spatial resolution (0.15 mm) for chest imaging. METHODS:Higher (1024) matrix reconstruction enabled by ultrahigh-resolution computed tomography scanner (12...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0000000000000917

    authors: Shanbhag SM,Schuzer JL,Steveson C,Rollison S,Bronson KC,Stagliano MS,Rogalla P,Blum A,Prokop M,Chen MY

    更新日期:2019-09-01 00:00:00

  • Computed tomography appearance of ovarian cysts with hyperenhancing rim during the menstrual cycle in women of different ages.

    abstract:OBJECTIVE:To determine the frequency and computed tomography (CT) characteristics of ovarian cysts in women of different ages. METHODS:Five hundred ninety-five contrast-enhanced CT studies performed in 430 females aged 10 or older between January 2001 and December 2006 were retrospectively reviewed. For each study, we...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0b013e3181d658a5

    authors: Shin YM,Lee JK,Turan N,Mauro D,Chong W

    更新日期:2010-07-01 00:00:00

  • Utilization patterns and diagnostic yield of 3421 consecutive multidetector row computed tomography pulmonary angiograms in a busy emergency department.

    abstract:OBJECTIVE:To compare examination volume and diagnostic yield of computed tomography (CT) pulmonary angiography (CTPA) and ventilation-perfusion (V/Q) scintigraphy for detection of suspected pulmonary embolism (PE) in emergency department patients. METHODS:Every CTPA and V/Q scan result for emergency department patient...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0b013e31812e6af3

    authors: Donohoo JH,Mayo-Smith WW,Pezzullo JA,Egglin TK

    更新日期:2008-05-01 00:00:00

  • Contrast-enhanced magnetic resonance urography at 3T: clinical feasibility.

    abstract:OBJECTIVE:The objective of this study was to assess the feasibility of performing diagnostic-quality contrast-enhanced excretory magnetic resonance urography (eMRU) at 3T, examining both image quality and diagnostic accuracy for a range of urinary tract abnormalities. METHODS:The diuretic-enhanced 3T eMRUs of 37 patie...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0b013e3182711fd9

    authors: Childs DD,Leyendecker JR,Gianini J,Hall C

    更新日期:2013-01-01 00:00:00

  • Development and validation of a practical lower-dose-simulation tool for optimizing computed tomography scan protocols.

    abstract:OBJECTIVE:The objective of this study was to develop and validate a novel noise insertion method that can accurately simulate lower-dose images from existing standard-dose computed tomography (CT) data. METHODS:The noise insertion method incorporates the effects of the bowtie filter, automatic exposure control, and el...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0b013e318258e891

    authors: Yu L,Shiung M,Jondal D,McCollough CH

    更新日期:2012-07-01 00:00:00

  • Lhermitte-Duclos disease: CT and MR findings.

    abstract::The typical CT findings of Lhermitte-Duclos disease (dysplastic gangliocytoma of the cerebellum) are a hypodense nonenhancing unilateral posterior fossa mass, with or without adjacent occipital thinning, hydrocephalus, and calcification. Magnetic resonance (MR) has been found to be very helpful, and superior to CT, in...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/00004728-199011000-00022

    authors: Ashley DG,Zee CS,Chandrasoma PT,Segall HD

    更新日期:1990-11-01 00:00:00

  • MR imaging in idiopathic portal hypertension.

    abstract::Magnetic resonance imaging was performed in four patients with biopsy proven idiopathic portal hypertension (IPH). The MR images show proximity of medium-sized intrahepatic vessels to each other and to the liver surface in all patients. Small vessels running parallel to the second order branches of the intrahepatic po...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/00004728-199105000-00011

    authors: Arai K,Matsui O,Kadoya M,Yoshikawa J,Gabata T,Takashima T,Kobayashi K,Unoura M

    更新日期:1991-05-01 00:00:00

  • Myocardial bridging: evaluation using single- and dual-source multidetector cardiac computed tomographic angiography.

    abstract:OBJECTIVE:To evaluate the prevalence and characteristics of myocardial bridging in patients who underwent single- or dual-source multidetector cardiac computed tomographic angiography (MDCTA). METHODS:Retrospective review of the imaging characteristics of 57 myocardial bridges in 53 patients who underwent cardiac MDCT...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0b013e318075e6c3

    authors: Jacobs JE,Bod J,Kim DC,Hecht EM,Srichai MB

    更新日期:2008-03-01 00:00:00

  • Solid organizing hepatic abscesses mimic hepatic tumor: Multiphasic computed tomography and magnetic resonance imaging findings with histopathologic correlation.

    abstract:OBJECTIVE:To describe the computed tomography (CT) and magnetic resonance imaging (MRI) findings of solid organizing hepatic abscesses and correlate them with the pathologic findings. METHODS:Ten patients with 10 pathologically proven solid organizing hepatic abscesses who underwent 3-phase CT (n = 10) or MRI (n = 7) ...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/00004728-200603000-00004

    authors: Kim YK,Kim CS,Lee JM,Ko SW,Moon WS,Yu HC

    更新日期:2006-03-01 00:00:00

  • Comparison of imaging methods for diagnosing enlarged parathyroid glands in chronic renal failure.

    abstract::Three noninvasive imaging methods, CT, scintigraphy with 201TlCl and 99mTcO4-, and ultrasonography, were performed on 36 patients with chronic renal failure and secondary hyperparathyroidism. The patients subsequently underwent total parathyroidectomy and parathyroid autograft. The detection rates of the three methods...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/00004728-198507010-00014

    authors: Takagi H,Tominaga Y,Uchida K,Yamada N,Kano T,Kawai M,Morimoto T

    更新日期:1985-07-01 00:00:00

  • Computed tomography for localizing enlarged parathyroid glands in primary hyperparathyroidism.

    abstract::Computed tomography (CT) has been performed in 21 patients with primary hyperparathyroidism (HPT) in an attempt to localize preoperatively the parathyroid tumors. Eighteen of these patients also had ultrasound examinations. The CT examinations included the neck and mediastinum and were performed before and after contr...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/00004728-198206000-00016

    authors: Sommer B,Welter HF,Spelsberg F,Scherer U,Lissner J

    更新日期:1982-06-01 00:00:00

  • CT demonstration of portal vein remnant within metastatic liver tumor.

    abstract::We describe a patient with a metastatic liver tumor that showed a cordlike shadow traversing the tumor on CT. Histopathologically, this cordlike shadow within the metastatic liver tumor was proved to be an infiltrated portal vein without blood flow surrounded by fibrous tissue. Vascular structures traversing a focal l...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/00004728-199501000-00026

    authors: Senda T,Sawada S,Okuda Y,Kobayashi M,Tanigawa N

    更新日期:1995-01-01 00:00:00

  • Detection of Bone Marrow Edema Pattern With Dual-Energy Computed Tomography of the Pig Mandible Treated With Radiotherapy and Surgery Compared With Magnetic Resonance Imaging.

    abstract:OBJECTIVE:The aim of the study was to investigate the accuracy of dual-energy computed tomography (DECT) compared with magnetic resonance (MR) imaging for the detection of edema of the mandible. MATERIALS AND METHODS:Fifteen adult Göttingen mini pigs received irradiation to the mandible with an equivalent dose of 0, 2...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0000000000000559

    authors: Poort LJ,Stadler AAR,Ludlage JHB,Hoebers FJP,Kessler PAWH,Postma AA

    更新日期:2017-07-01 00:00:00

  • Preoperative CT diagnosis of primary fallopian tube carcinoma in a patient with a history of total abdominal hysterectomy.

    abstract::Fallopian tube carcinoma is an unusual gynecologic malignancy that is rarely diagnosed preoperatively. We report a case of fallopian tube carcinoma occurring in a patient who had undergone a hysterectomy many years previously, in whom findings on computed tomography and ultrasound were highly suggestive of the diagnos...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章,评审

    doi:10.1097/00004728-200305000-00011

    authors: Santana P,Desser TS,Teng N

    更新日期:2003-05-01 00:00:00

  • Characteristic CT pattern of giant superior mesenteric artery aneurysms.

    abstract::The presence of superior mesenteric artery aneurysms may be suspected on the basis of clinical and ultrasound findings. These lesions have a suggestive appearance on computed tomography, but for a preoperative assessment angiography is always indicated. Two cases are presented. ...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/00004728-198010000-00009

    authors: Passariello R,Simonetti G,Rovighi L,Ciolina A

    更新日期:1980-10-01 00:00:00

  • Radiological Evaluation of Artificial Stone Silicosis Outbreak: Emphasizing Findings in Lung Transplant Recipients.

    abstract:OBJECTIVE:The aim of this study was to describe the computed tomography (CT) findings and correlate pulmonary function tests (PFTs) of silicosis patients with emphasis on the findings in lung transplantation (LTX) recipients. METHODS:We studied the chest CT scans from 82 marble workers exposed to artificial stone dust...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0000000000000454

    authors: Grubstein A,Shtraichman O,Fireman E,Bachar GN,Noach-Ophir N,Kramer MR

    更新日期:2016-11-01 00:00:00

  • Design and implementation of magnetization transfer pulse sequences for clinical use.

    abstract::The transfer of magnetization between a free and a bound pool of spins is described in terms of the respective longitudinal relaxation times and the life times of spins in each pool. The effect of an off resonance radiofrequency (RF) pulse in producing saturation in the bound pool and a consequent decrease in both the...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/00004728-199201000-00003

    authors: Hajnal JV,Baudouin CJ,Oatridge A,Young IR,Bydder GM

    更新日期:1992-01-01 00:00:00

  • Multidetector computed tomographic features of oncocytic papillary renal cell carcinoma, a new subtype.

    abstract::The following report describes the computed tomographic (CT) features of oncocytic papillary renal cell carcinoma (OPRCC), a new subtype. An experienced genitourinary pathologist identified each tumor as type 1 or 2, oncocytic, or other. Two radiologists independently reviewed CT images and assessed maximal tumor diam...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0b013e3181d1dde8

    authors: Tse G,Chow DS,Hsu M,Margolis D,Raman SS

    更新日期:2010-05-01 00:00:00

  • Normal cross-sectional dimensions of the thyroid gland on routine chest CT scans.

    abstract:PURPOSE:The purpose of this work was to determine the range of normal measurements for the thyroid gland on chest CT scans and relate it to the dimensions of the trachea. METHOD:Chest CT scans in 118 patients were examined prospectively for visibility of the thyroid gland and its relationship to the trachea. The great...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/00004728-200205000-00005

    authors: Prince JS,Stark P

    更新日期:2002-05-01 00:00:00

  • Leigh disease (subacute necrotizing encephalomyelopathy): CT and MR in five cases.

    abstract::Magnetic resonance (MR) imaging and CT were used in supporting the diagnosis of Leigh disease (subacute necrotizing encephalomyelopathy) in five patients. Two cases were confirmed at postmortem examination, and three patients have laboratory and/or clinical histories suggestive of Leigh disease. Four cases demonstrate...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/00004728-198801000-00006

    authors: Geyer CA,Sartor KJ,Prensky AJ,Abramson CL,Hodges FJ,Gado MH

    更新日期:1988-01-01 00:00:00

  • The effect of the section thickness used for 2- and 3-dimensional quantification of dual-energy perfusion computed tomography.

    abstract:PURPOSE:To retrospectively investigate the effect of the section thickness used for quantifying dual-energy perfusion computed tomography (DEpCT) during 2- and 3-dimensional evaluation. METHODS:Sixty-six patients (22 males and 44 females; mean age, 59.3 years) suspected of having an acute pulmonary embolism underwent ...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0000000000000148

    authors: Nomura T,Okada M,Nakashima Y,Yonezawa T,Kudomi S,Kido S,Matsunaga N

    更新日期:2014-11-01 00:00:00

  • Fat attenuation lesions of the mediastinum.

    abstract::The identification of fat within a focal or diffuse mediastinal lesion significantly narrows the differential diagnosis. In many cases, a specific diagnosis can be suggested on the basis of CT findings. In this article, we illustrate and review the characteristic CT features of common and uncommon fat attenuation lesi...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章,评审

    doi:10.1097/00004728-200111000-00010

    authors: Boiselle PM,Rosado-de-Christenson ML

    更新日期:2001-11-01 00:00:00

  • Computed tomographic venography for varicose veins of the lower extremities: prospective comparison of 80-kVp and conventional 120-kVp protocols.

    abstract:OBJECTIVE:To prospectively investigate the feasibility of an 80-kilovolt (peak) (kVp) protocol in computed tomographic venography for varicose veins of the lower extremities by comparison with conventional 120-kVp protocol. METHODS:Attenuation values and signal-to-noise ratio of iodine contrast medium (CM) were determ...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0b013e3182621ea9

    authors: Cho ES,Kim JH,Kim S,Yu JS,Chung JJ,Yoon CS,Lee HK,Lee KH

    更新日期:2012-09-01 00:00:00

  • Pulmonary Nodule Volumetry at Different Low Computed Tomography Radiation Dose Levels With Hybrid and Model-Based Iterative Reconstruction: A Within Patient Analysis.

    abstract:OBJECTIVE:The aim of the study was to determine the effects of dose reduction and iterative reconstruction (IR) on pulmonary nodule volumetry. METHODS:In this prospective study, 25 patients scheduled for follow-up of pulmonary nodules were included. Computed tomography acquisitions were acquired at 4 dose levels with ...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0000000000000408

    authors: den Harder AM,Willemink MJ,van Hamersvelt RW,Vonken EP,Schilham AM,Lammers JW,Luijk B,Budde RP,Leiner T,de Jong PA

    更新日期:2016-07-01 00:00:00

  • Use of high-pitch dual-source computed tomography of the abdomen and pelvis to markedly reduce scan time: clinical feasibility study.

    abstract:BACKGROUND:Increasing image pitch in computed tomographic (CT) imaging is a method through which scan time can be reduced, which can reduce motion artifacts. In this study, we assess the clinical feasibility of ultrahigh-pitch CT imaging made possible by dual-source CT. METHODS:Image pitch, total scan time, and image ...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0b013e31821a02c8

    authors: Hardie AD,Mayes N,Boulter DJ

    更新日期:2011-05-01 00:00:00

  • Evaluation of the hepatic artery in potential donors for living donor liver transplantation by computed tomography angiography using multidetector-row computed tomography: comparison of volume rendering and maximum intensity projection techniques.

    abstract:PURPOSE:To compare the volume rendering (VR) and maximum intensity projection (MIP) computed tomography angiography (CTA) techniques using multidetector-row CT for hepatic artery evaluation of potential donors for living donor liver transplantation (LDLT). METHOD:Over a 9-month period, CTA using multidetector-row CT a...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/00004728-200303000-00004

    authors: Byun JH,Kim TK,Lee SS,Lee JK,Ha HK,Kim AY,Kim PN,Lee MG,Lee SG

    更新日期:2003-03-01 00:00:00

  • High resolution CT findings in miliary lung disease.

    abstract::High-resolution CT (HRCT) and chest radiographs were compared in nine patients with miliary lung disease. In all cases, miliary disease was documented to be infectious in etiology; six of these patients proved to be human immunodeficiency virus (HIV) positive. A mixture of both sharply and poorly defined 1-3 mm nodule...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/00004728-199205000-00009

    authors: McGuinness G,Naidich DP,Jagirdar J,Leitman B,McCauley DI

    更新日期:1992-05-01 00:00:00

  • A probabilistic ribbon model for shape analysis of the cerebral sulci: application to the central sulcus.

    abstract:PURPOSE:An approach for quantifying the shapes of the cerebral sulci is presented, utilizing a probabilistic geometric model, and it is applied to the central sulcus. METHOD:The geometric structure of the central sulcus is determined from a set of outlines on cross-sectional images and is used by a procedure that auto...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/00004728-199811000-00022

    authors: Manceaux-Demiau A,Bryan RN,Davatzikos C

    更新日期:1998-11-01 00:00:00

  • Hypoglossal nerve palsy missed and misinterpreted: the hidden skull base.

    abstract:OBJECTIVE:Dysarthria and tongue swelling may be seen with hypoglossal nerve palsy, and on cross-sectional imaging studies, tongue denervation can be misinterpreted as a primary base-of-tongue mass. Understanding radiological patterns of tongue denervation is important to prevent misinterpretation. Close evaluation of t...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0b013e318268ec18

    authors: Learned KO,Thaler ER,O'Malley BW Jr,Grady MS,Loevner LA

    更新日期:2012-11-01 00:00:00

  • Use of a Balloon Rectal Catheter in Magnetic Resonance Imaging of Complex Anal Fistula to Improve Detection of Internal Openings.

    abstract:OBJECTIVE:The aim of this study was to investigate the utility of a balloon rectal channel catheter (BRCC) in complex anal fistula magnetic resonance imaging (MRI). METHODS:A prospective study was done on 54 patients with clinical diagnosis of complex anal fistula. Eighteen patients had preoperative MRI before and aft...

    journal_title:Journal of computer assisted tomography

    pub_type: 杂志文章

    doi:10.1097/RCT.0000000000000400

    authors: Zhan S,Yang S,Lin J,Zhu Q,Lu F,Tan W,Cheng R,Gong Z,Yang W

    更新日期:2016-07-01 00:00:00