Significance of color doppler ultrasonography in the assessment of pancreatic carcinoma vascular invasion
Background/Aim. It is highly appreciated to provide exact data on vascular invasion of pancreatic carcinoma relying as much as possible on non-invasive diagnostic procedures. Color Doppler ultrasonography has been proven as an efficient method for clinical staging of pancreatic carcinoma essential f...
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Military Health Department, Ministry of Defance, Serbia
2006-01-01
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Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500610857A.pdf |
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doaj-14794ad376194b49859e333b2cb386842020-11-24T23:40:18ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502006-01-01631085786010.2298/VSP0610857ASignificance of color doppler ultrasonography in the assessment of pancreatic carcinoma vascular invasionAlempijević TamaraKovačević NadaTomić DraganĐuranović SrđanKrstić MiodragBackground/Aim. It is highly appreciated to provide exact data on vascular invasion of pancreatic carcinoma relying as much as possible on non-invasive diagnostic procedures. Color Doppler ultrasonography has been proven as an efficient method for clinical staging of pancreatic carcinoma essential for therapeutic decisions. The aim of this study was to provide an analysis of the sensitivity and specificity for color Doppler ultrasonography in patients suffering from pancreatic carcinoma. Methods. We performed color Doppler ultrasonography examination in 43 patients with pancreatic carcinoma prior to the surgery. The findings of ultrasonography on neoplasm vascular invasion were correlated to the findings obtained during the subsequent surgical procedures. An estimation of neoplastic invasion of certain blood vessels including portal vein, celiac trunk, and superior mesenteric artery and vein is critical for decision making regarding surgical treatment. The patients with metastases of pancreatic carcinoma were excluded from the study. Results. Comparing color Doppler and the surgical findings we estimated the sensitivity for detection of neoplastic vascular invasion ranging from 79−93%, whereas the specificity range was from 83−93%. Conclusion. Color Doppler ultrasonography is a sufficiently sensitive and specific method for evaluation of vascular invasion in pancreatic carcinoma patients. Since color Doppler ultrasonography is a non-invasive, radiation free, and inexpensive diagnostic tool, considering also the results of this and similar studies we could strongly recommend its use for an initial presurgical evaluation of vascular invasion in pancreatic carcinoma patients.http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500610857A.pdfpancreatic neoplasmultrasonography, doppler, colorneoplasm invasivenessblood vesselsprognosispalliative care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alempijević Tamara Kovačević Nada Tomić Dragan Đuranović Srđan Krstić Miodrag |
spellingShingle |
Alempijević Tamara Kovačević Nada Tomić Dragan Đuranović Srđan Krstić Miodrag Significance of color doppler ultrasonography in the assessment of pancreatic carcinoma vascular invasion Vojnosanitetski Pregled pancreatic neoplasm ultrasonography, doppler, color neoplasm invasiveness blood vessels prognosis palliative care |
author_facet |
Alempijević Tamara Kovačević Nada Tomić Dragan Đuranović Srđan Krstić Miodrag |
author_sort |
Alempijević Tamara |
title |
Significance of color doppler ultrasonography in the assessment of pancreatic carcinoma vascular invasion |
title_short |
Significance of color doppler ultrasonography in the assessment of pancreatic carcinoma vascular invasion |
title_full |
Significance of color doppler ultrasonography in the assessment of pancreatic carcinoma vascular invasion |
title_fullStr |
Significance of color doppler ultrasonography in the assessment of pancreatic carcinoma vascular invasion |
title_full_unstemmed |
Significance of color doppler ultrasonography in the assessment of pancreatic carcinoma vascular invasion |
title_sort |
significance of color doppler ultrasonography in the assessment of pancreatic carcinoma vascular invasion |
publisher |
Military Health Department, Ministry of Defance, Serbia |
series |
Vojnosanitetski Pregled |
issn |
0042-8450 |
publishDate |
2006-01-01 |
description |
Background/Aim. It is highly appreciated to provide exact data on vascular invasion of pancreatic carcinoma relying as much as possible on non-invasive diagnostic procedures. Color Doppler ultrasonography has been proven as an efficient method for clinical staging of pancreatic carcinoma essential for therapeutic decisions. The aim of this study was to provide an analysis of the sensitivity and specificity for color Doppler ultrasonography in patients suffering from pancreatic carcinoma. Methods. We performed color Doppler ultrasonography examination in 43 patients with pancreatic carcinoma prior to the surgery. The findings of ultrasonography on neoplasm vascular invasion were correlated to the findings obtained during the subsequent surgical procedures. An estimation of neoplastic invasion of certain blood vessels including portal vein, celiac trunk, and superior mesenteric artery and vein is critical for decision making regarding surgical treatment. The patients with metastases of pancreatic carcinoma were excluded from the study. Results. Comparing color Doppler and the surgical findings we estimated the sensitivity for detection of neoplastic vascular invasion ranging from 79−93%, whereas the specificity range was from 83−93%. Conclusion. Color Doppler ultrasonography is a sufficiently sensitive and specific method for evaluation of vascular invasion in pancreatic carcinoma patients. Since color Doppler ultrasonography is a non-invasive, radiation free, and inexpensive diagnostic tool, considering also the results of this and similar studies we could strongly recommend its use for an initial presurgical evaluation of vascular invasion in pancreatic carcinoma patients. |
topic |
pancreatic neoplasm ultrasonography, doppler, color neoplasm invasiveness blood vessels prognosis palliative care |
url |
http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500610857A.pdf |
work_keys_str_mv |
AT alempijevictamara significanceofcolordopplerultrasonographyintheassessmentofpancreaticcarcinomavascularinvasion AT kovacevicnada significanceofcolordopplerultrasonographyintheassessmentofpancreaticcarcinomavascularinvasion AT tomicdragan significanceofcolordopplerultrasonographyintheassessmentofpancreaticcarcinomavascularinvasion AT đuranovicsrđan significanceofcolordopplerultrasonographyintheassessmentofpancreaticcarcinomavascularinvasion AT krsticmiodrag significanceofcolordopplerultrasonographyintheassessmentofpancreaticcarcinomavascularinvasion |
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