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EnglishThe principal criterion for resectability of pancreatic carcinoma is the assessment of vascular involvement. In a prospective evaluation the ability of Spiral CT Angiography (CTA) to detect vascular involvement in 50 patients with pancreatic carcinoma, was proved; DSA was performed later in all patients. In 20 patients, without vascular involvement, a complete concordance was obtained. Of 30 patients with vascular involvement, there was complete concordance between CTA and angiography in 22 patients and discordance in 8 patients. CTA was superior in 2 cases with periadventitial infiltration and in 5 patients with splenoportal confluence thrombosis. DSA was superior in 1 case with infiltration of the superior mesenteric vein. After surgical evaluation, sensitivity of CTA and DSA was 97% and 77%, respectively, and the negative predictive values were 95% and 74%. As compared to DSA, CTA is more rapid and less invasive and can be considered the modality of choice for preoperative work-up of pancreatic neoplasm.
Squillaci, E., Fanucci, E., Sciuto, F., Masala, S., Sodani, G., Carlani, M., et al. (2003). Vascular involvement in pancreatic neoplasm: a comparison between spiral CT and DSA. DIGESTIVE DISEASES AND SCIENCES, 48(3), 449-458.
| Tipologia: | Articolo su rivista |
| Citazione: | Squillaci, E., Fanucci, E., Sciuto, F., Masala, S., Sodani, G., Carlani, M., et al. (2003). Vascular involvement in pancreatic neoplasm: a comparison between spiral CT and DSA. DIGESTIVE DISEASES AND SCIENCES, 48(3), 449-458. |
| IF: | Con Impact Factor ISI |
| Lingua: | English |
| Settore Scientifico Disciplinare: | Settore MED/36 - Diagnostica per Immagini e Radioterapia |
| Revisione (peer review): | Sì, ma tipo non specificato |
| Tipo: | Articolo |
| Rilevanza: | Rilevanza internazionale |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1023/A:1022568128376 |
| Stato di pubblicazione: | Pubblicato |
| Data di pubblicazione: | 2003 |
| Titolo: | Vascular involvement in pancreatic neoplasm: a comparison between spiral CT and DSA |
| Autori: | |
| Autori: | Squillaci, E; Fanucci, E; Sciuto, F; Masala, S; Sodani, G; Carlani, M; Simonetti, G |
| Appare nelle tipologie: | 01 - Articolo su rivista |
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