Experience of using MRT imaging in specifying diagnosis of obstructive diseases of the biliopancreatoduodenal zone.

• Main Authors: B. S. Zaporozhchenko, V. V. Kolodiy, S. V. Shpak, A. A. Gorbunov, P. T. Muravyov, I. V. Sharapov, V. G. Shevchenko, V. S. Ishchenko
• Format: Article
• Language: English
• Published: SE "Dnipropetrovsk medical academy of Health Ministry of Ukraine" 2018-12-01
• Series: Medičnì Perspektivi
• Subjects: magnetic resonance tomography; pancreatoduodenal resection; pancreatic cancer
• Online Access: http://journals.uran.ua/index.php/2307-0404/article/view/145668

The article presents the experience of surgical treatment of 12 patients with pancreatic cancer who were treated at the clinic of the Department of Surgery No. 2 of the ONMEDU during 2017. As a preoperative diagnosis, an MRI scan was performed in these patients. In general, the intraoperative size of the tumor was not significantly different from MRI - sizes: the medians of their differences were only + 5.5 mm and + 3.5 mm for the average and maximum MRT sizes. The calculated sensitivity and specificity of the method of MRTand CT in the assessment of artery invasion was 83.3% and 71.4% respectively, in the assessment of vein invasion - up to 50.0% and 42.9%, respectively. The combination of MRI and CT with intravenous contrast is the best option for planning surgical tactics today.