Does secretin stimulation add to magnetic resonance cholangiopancreatography in characterising pancreatic cystic lesions as side-branch intraductal papillary mucinous neoplasm?

2014 ◽  
Vol 24 (12) ◽  
pp. 3134-3141 ◽  
Author(s):  
Andrei S. Purysko ◽  
Namita S. Gandhi ◽  
R. Mathew Walsh ◽  
Nancy A. Obuchowski ◽  
Joseph C. Veniero
Keyword(s):  
Magnetic Resonance ◽  
Intraductal Papillary Mucinous Neoplasm ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Side Branch ◽  
Cystic Lesions ◽  
Mucinous Neoplasm ◽  
Secretin Stimulation

scholarly journals Magnetic Resonance Cholangiopancreatography with Secretin Stimulation in the Diagnosis of Intraductal Papillary Mucinous Neoplasm: A Paradigmatic Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Elsa Iannicelli ◽  
Francesco Carbonetti ◽  
Marco Di Pietropaolo ◽  
Giulia Francesca Federici ◽  
Gabriele Capurso ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Intraductal Papillary Mucinous Neoplasm ◽  
Cystic Lesion ◽  
Correct Diagnosis ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Ductal System ◽  
Mucinous Neoplasm ◽  
Mucinous Neoplasms ◽  
Secretin Stimulation

Context.One of the characteristic findings of intraductal papillary mucinous neoplasms (IPMN) is the presence of a direct communication between the lesion and the ductal pancreatic system and when magnetic resonance cholangiopancreatography (MRCP) shows uncertain findings, it is useful to perform a MRCP after secretin stimulation (MRCP-S) which provides a better visualization of the ductal system.Case Report.We present a case of 51-year-old man in whom, during a CT follow-up for a renal tumour, was found a cystic lesion of the pancreas. To better evaluate the lesion and its suspected communication with the pancreatic system, MR with gadolinium and MRCP and MRCP-S were performed. With the MRCP and MRI it was not possible to identify a clear communication between the cystic lesion and the ductal system. MRCP-S showed an increase in signal intensity of the lesion and its communication with the ductal system, allowing us to classify the cystic lesion as a main duct in intraductal papillary mucinous neoplasm. The patient underwent a surgical duodenal pancreatectomy. The histological result of the specimen confirmed the diagnosis of adenocarcinoma IPMN.Conclusion.In this case MRCP-S has allowed a clearer identification of the cystic lesion allowing a correct diagnosis and treatment.

Case 4.11

2014 ◽  
pp. 207-208
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Magnetic Resonance ◽  
Diagnostic Imaging ◽  
Mesenteric Ischemia ◽  
Case Reports ◽  
Disease Prevalence ◽  
Interesting Case ◽  
Side Branch ◽  
Cystic Lesions ◽  
Abdominal Mri

58-year-old woman with suspected mesenteric ischemia VR image from 3D FRFSE MRCP (Figure 4.11.1) reveals multiple small cystic lesions throughout the pancreas, many connecting to the pancreatic duct. Multiple side-branch IPMNs Diagnostic imaging of IPMN provides an interesting case study of the effect of imaging technology on disease prevalence. In the 1990s, IPMN was a rare and exotic diagnosis, leading to case reports and excited presentations at imaging conferences. As magnetic resonance technology improved and the use of abdominal MRI and MRCP increased, IPMN became a more pedestrian diagnosis. (In our practice, if we’re not reporting a potential IPMN at least 2 or 3 times a day, it probably means that we’re forgetting to look at the pancreas again.)...

Diagnostic efficacy of magnetic resonance cholangiopancreatography after secretin stimulation (MRCP-S) in pancreatic disease

2003 ◽  
Vol 124 (4) ◽  
pp. A399
Author(s):  
Isabel Pascual ◽  
Jose Soler ◽  
Vicent Hernandez ◽  
Jose Vicente Lopez ◽  
Ramon Anon ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Pancreatic Disease ◽  
Diagnostic Efficacy ◽  
Secretin Stimulation
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