AJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Oshikawa, O.
Right arrow Articles by Mitani, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Oshikawa, O.
Right arrow Articles by Mitani, T.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

Dynamic Sonography of Pancreatic Tumors

Comparison with Dynamic CT

Osamu Oshikawa1, Sachiko Tanaka1, Tatsuya Ioka1, Akihiko Nakaizumi1, Yoshihiro Hamada1 and Takashi Mitani2

1 Division of Digestive Organs, Department of Cancer Survey, Osaka Medical Center for Cancer and Cardiovascular Diseases, 1-3-3, Nakamichi, Higashinari, Osaka, 537-8511, Japan.
2 Department of Diagnostic Radiology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, 537-8511, Japan.



View larger version (10K):

[in a new window]
  		Fig. 1. —Graph shows contrast index of pancreatic tumors with dynamic sonography. Tumors are listed by type of disease, number of tumors, and contrast index (mean ± SD). IPM = inflammatory pancreatic mass, ICT = islet cell tumor, SCA = serous cystadenoma, SCT = solid and cystic tumor.

 


View larger version (12K):

[in a new window]
  		Fig. 2A. —66-year-old man with pancreatic ductal adenocarcinoma. Graph shows time—intensity curve of pancreatic parenchyma (a) and tumor area (b). At 42 sec after contrast agent injection, intensity had maximum enhancement in both tumor and parenchyma.

 


View larger version (110K):

[in a new window]
  		Fig. 2B. —66-year-old man with pancreatic ductal adenocarcinoma. Sonogram obtained before injection of Levovist (Schering, Berlin, Germany) shows hypoechoic mass lesion (arrows) in head of pancreas.

 


View larger version (124K):

[in a new window]
  		Fig. 2C. —66-year-old man with pancreatic ductal adenocarcinoma. Dynamic sonogram obtained 42 sec after contrast agent injection shows intensity of parenchymal area is slightly increased but intensity of tumor (arrows) is not increased. Contours of tumor became clear.

 


View larger version (156K):

[in a new window]
  		Fig. 2D. —66-year-old man with pancreatic ductal adenocarcinoma. Dynamic CT scan reveals hypodense mass (asterisk) at head of pancreas.

 


View larger version (14K):

[in a new window]
  		Fig. 3A. —74-year-old woman with nonfunctioning islet cell tumor. Graph shows time—intensity curve of pancreatic parenchyma (a) and tumor area (b). Intensity had maximum enhancement in both tumor and parenchyma 37 sec after contrast agent injection.

 


View larger version (146K):

[in a new window]
  		Fig. 3B. —74-year-old woman with nonfunctioning islet cell tumor. Sonogram obtained before injection of Levovist (Schering, Berlin, Germany) shows hypoechoic mass lesion (arrows) in uncinate portion of pancreas.

 


View larger version (146K):

[in a new window]
  		Fig. 3C. —74-year-old woman with nonfunctioning islet cell tumor. Dynamic sonogram obtained 37 sec after contrast agent injection shows intensity of parenchymal area is slightly increased and intensity of tumor (arrows) is strongly increased.

 


View larger version (130K):

[in a new window]
  		Fig. 3D. —74-year-old woman with nonfunctioning islet cell tumor. Dynamic CT scan reveals hyperdense mass (asterisk) at uncinate portion of pancreas.

 


View larger version (14K):

[in a new window]
  		Fig. 4. —Chart shows contrast enhancement of pancreatic solid tumors imaged by dynamic sonography versus dynamic CT in 43 patients. In 93% (40/43) of tumors, grade of enhancement on dynamic sonography was closely correlated with grade of enhancement on dynamic CT. • = adenocarcinoma, {circ} = inflammatory pancreatic mass, {blacksquare} = islet cell tumor, {square} = serous cystadenoma, {blacktriangleup} = solid and cystic tumor, {triangleup} = metastatic tumor.

 

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2002 by the American Roentgen Ray Society.