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Article ; Online: Cystic pancreatic lesions: a simple imaging-based classification system for guiding management.

Sahani, Dushyant V / Kadavigere, Rajgopal / Saokar, Anuradha / Fernandez-del Castillo, Carlos / Brugge, William R / Hahn, Peter F

Radiographics : a review publication of the Radiological Society of North America, Inc

2005  Volume 25, Issue 6, Page(s) 1471–1484

Abstract: ... detection and characterization of cystic pancreatic lesions. An imaging classification system ... for these lesions has been proposed that is based on the morphologic features of the lesion. This system can be ... in the pancreas. Because of morphologic overlap at imaging, accurate characterization of these lesions can be ...

Abstract Cystic lesions of the pancreas are increasingly being recognized due to the widespread use of cross-sectional imaging. The initial evaluation of a pancreatic cyst should be directed toward exclusion of a pseudocyst. Patients with pseudocysts generally have a history of acute or chronic pancreatitis, whereas those with cystic tumors most often lack such a history. Several types of cystic lesions are encountered in the pancreas. Because of morphologic overlap at imaging, accurate characterization of these lesions can be difficult. Computed tomography and magnetic resonance imaging are excellent modalities for both initial detection and characterization of cystic pancreatic lesions. An imaging classification system for these lesions has been proposed that is based on the morphologic features of the lesion. This system can be helpful in characterizing lesions, narrowing the differential diagnosis, and making decisions regarding the treatment of affected patients. Endoscopic ultrasonography-guided aspiration and biopsy is useful in cases that are indeterminate at cross-sectional imaging or that require observation.
MeSH term(s) Algorithms ; Humans ; Magnetic Resonance Imaging ; Pancreatic Cyst/classification ; Pancreatic Cyst/diagnosis ; Pancreatic Cyst/surgery ; Tomography, X-Ray Computed
Language English
Publishing date 2005-11
Publishing country United States
Document type Journal Article ; Review
ZDB-ID 603172-9
ISSN 1527-1323 ; 0271-5333
ISSN (online) 1527-1323
ISSN 0271-5333
DOI 10.1148/rg.256045161
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