Magnetic resonance imaging of cystic pancreatic lesions in adults: an update in current diagnostic features and management

Magnetic resonance imaging of cystic pancreatic lesions in adults: an update in current diagnostic features and management
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DOI:
10.1007/s00261-013-0048-y
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发表时间:
2014-02-01
期刊:
影响因子:
--
通讯作者:
Boudiaf, Mourad
Boudiaf, Mourad
中科院分区:
医学3区
文献类型:
--
作者:
Barral, Matthias;Soyer, Philippe;Boudiaf, Mourad

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磁共振(MR)成像已成为一种广泛的诊断解决工具,用于检测和表征大范围的胰腺囊性病变。胰腺的良、恶性囊性病变包括浆液性微囊腺瘤、粘液性囊性肿瘤、导管内乳头状粘液性肿瘤、实性假乳头状肿瘤,以及不常见的病变,如囊性内分泌瘤、囊性转移瘤和淋巴管瘤,MRI表现提示它们可以相互鉴别。了解囊性胰腺病变的MR影像表现,有助于提示诊断和选择最佳治疗方法。本文的目的是讨论和说明有助于胰腺囊性病变发现和定性的MR影像特征,并提供当前MR影像诊断特征和处理的最新进展。
Magnetic resonance (MR) imaging has become a widespread diagnostic solving tool for the detection and characterization of a large range of pancreatic cystic lesions. Benign and malignant cystic lesions of the pancreas including serous microcystic adenoma, mucinous cystic tumor, intraductal papillary mucinous tumor, solid pseudopapillary tumor, and also the less common lesions such as cystic endocrine tumors, cystic metastases, and lymphangiomas have suggestive MR imaging presentation that allows them to be differentiated from each other. Knowledge of MR imaging findings of cystic pancreatic lesions is critical to help suggest the diagnosis and chose the best therapeutic approach. The purpose of this review is to discuss and illustrate MR imaging features that are helpful for pancreatic cystic lesion detection and characterization and to provide an update in current MR imaging diagnostic features and management.