MULTIDETECTOR COMPUTED TOMOGRAPHIC ARTERIOGRAPHY WITH CONCOMITANT MULTIDETECTOR COMPUTED TOMOGRAPHIC PORTOGRAPHY FOR PREOPERATIVE STAGING OF LOCALLY ADVANCED PANCREATIC CANCER

Usova E.V.1, Karmazanovsky G.G.2, Chzhao А.V.1, Cigankov V.N.2,4, Tarbaeva N.V.2, Varava A.B.2, Filippova E.M.3

1 – A.V. Vishnevsky Institute of Surgery. Department of Hepatopancreatobiliary Surgery.

2 – A.V. Vishnevsky Institute of Surgery. Department of Radiology.

3 – N.I. Pirogov First City Clinical Hospital. Department of Pathology.

4 – I.M. Sechenov First Moscow State Medical University. Moscow, Russia.

Purpose. The aim was to develop technique of advance visualization of vascular invasion within pancreatic cancer.

Materials and methods. The article provides our first clinical cases of multidetector computed tomographic (MDCT) arteriography with concomitant MDCT-portography compared with conventional MDCT scan for detection of vascular invasion in locally advanced pancreatic cancer.

Results. Performing MDCT-arteriography with simultaneous recurrent MDCT-portography in patients with tumors of biliopancreatoduodenal zone at the preoperative stage allows to increase significantly the accuracy of determining the invasion of the vascular wall by the tumor due to visualization capabilities of both internal and external contours of the vessel. Data of the proposed study correlated with intraoperative and patomorphological results.

Conclusion. MDCT-arteriography with concomitant MDCT-portography is suspected to be promising for detection of vascular invasion in locally advanced pancreatic cancer.

Keywords: locally advanced pancreatic cancer, multidetector computed tomographic (MDCT) arteriography with concomitant MDCT-portography.

Corresponding author:   Usova E.V., Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

For citation: Usova E.V., Karmazanovsky G.G., Chzhao А.V., Cigankov V.N., Tarbaeva N.V., Varava A.B., Filippova E.M. Multidetector computed tomographic arteriography with concomitant multidetector computed tomographic portography for preoperative staging of locally advanced pancreatic cancer. REJR. 2016; 6 (1): 107-114. doi: 10.18411/a-2016-012.