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COMPARATIVE DETECTION OF PANCREATIC BODY— TAIL ENLARGEMENT USING THE SUPINE TRANSLATERAL AND AXIAL PANCREATIC VIEWS: A PROSPECTIVE STATISTICAL STUDY

PHILIP A. SORABELLA M.D., WILLIAM L. CAMPBELL M.D., and WILLIAM B. SEAMAN M.D.

A prospective statistical study of 429 patients was undertaken to determine if the axial pancreatic view would improve detection of pancreatic body-tail enlargement. This view is produced by directing a roentgen-ray beam along the axis of the pancreatic body-tail cylinder. On this view and on the supine translateral view, a pancreatic body-tail space can be identified as a subdivision of the retrogastric space. When the pancreatic body-tail enlarges, this space selectively enlarges. The percentage change of this space is particularly impressive on the axial pancreatic view, where 10 of 12 pancreatic body-tail neoplasms were detected with only a 1.8 per cent false positive rate.


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