Publication Type:

Journal Article

Source:

Journal of Clinical and Diagnostic Research, Journal of Clinical and Diagnostic Research, Volume 11, Number 5, p.TC01-TC05 (2017)

URL:

https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018439230&doi=10.7860%2fJCDR%2f2017%2f26734.9789&partnerID=40&md5=7e51982b1c76680581924e69ad63c62e

Abstract:

Introduction: Pancreatic carcinoma is one of the leading causes of cancer related death in advanced countries and has shown rising trends in developing countries like India. Increase in the incidence has been linked to risk factors like lifestyle modification associated with increased alcohol consumption and rapid urbanization. Most patients at the time of diagnosis present with an advanced condition. Surgical resection offers the only chance for cure in them and imaging plays a crucial role in the early diagnosis of the condition. Aim: To compare the staging of pancreatic carcinoma by MDCT (Multi Detector Computed Tomography) with surgery in a preoperative setting in a tertiary referral centre in Kerala. Materials and Methods: A cross sectional observational study was performed between November 2014 and October 2016, 25 patients (12 men, 13 women), with a mean age of 54.2 years, were evaluated. MDCT was performed using 16 slice, 64 slice and 256 slice multi detector CT machines. The gold standard for diagnosis was histopathology and operative data. All statistical analysis was done using IBM SPSS version 20.0. Validity parameters like sensitivity, specificity, accuracy and Positive Predictive Value (PPV)/Negative Predictive Value (NPV) were computed for MDCT with respect to surgery. Results: Of the 25 patients who were evaluated for surgery, 15 (60%) cases were classified as resectable tumours, 3 (12%) as borderline resectable and 7 (28%) as unresectable tumours. CT showed a sensitivity of 82.3% with a specificity of 87.5%. However, for assessing vascular invasion, CT showed sensitivity and specificity of 100% and 93.3% respectively. Three (12%) patients in the study who were classified as borderline resectable pancreatic tumours underwent surgery. Conclusion: Contrast-enhanced multiphase pancreatic imaging using MDCT plays a pivotal role in diagnosing and assessing resectability and vascular invasion of pancreatic tumours. It is very useful for determining borderline resectable tumours pre-operatively, which aids for better treatment planning. © 2017, Journal of Clinical and Diagnostic Research. All rights reserved.

Notes:

cited By 0

Cite this Research Publication

S. Singhal, N.K. Prabhu, Sethi, P., and S. Moorthy, “Role of multi detector computed tomography (MDCT) in preoperative staging of pancreatic carcinoma”, Journal of Clinical and Diagnostic Research, vol. 11, pp. TC01-TC05, 2017.

207
PROGRAMS
OFFERED
6
AMRITA
CAMPUSES
15
CONSTITUENT
SCHOOLS
A
GRADE BY
NAAC, MHRD
8th
RANK(INDIA):
NIRF 2018
150+
INTERNATIONAL
PARTNERS