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DOI:10.2214/AJR.07.2131
AJR 2007; 189:1044-1050
© American Roentgen Ray Society

Review

New Concepts in Staging and Treatment of Locally Advanced Pancreatic Head Cancer

Chandana G. Lall1, Thomas J. Howard2, Arunan Skandarajah1, John M. DeWitt3, Alex M. Aisen1 and Kumaresan Sandrasegaran1

1 Department of Radiology, Indiana University Medical Center, UH 0279, 550 N University Blvd., Indianapolis, IN 46202.
2 Department of Surgery, Indiana University Medical Center, Indianapolis, IN.
3 Department of Medicine, Indiana University Medical Center, Indianapolis, IN.

OBJECTIVE. The objective of this article is to discuss the CT findings that guide surgeons in deciding the feasibility of tumor excision in patients with locally advanced pancreatic head cancers.

CONCLUSION. Vascular resection as an adjunct to pancreaticoduodenectomy is increasingly used in pancreatic head cancer. As a result, the imaging criteria to determine which patients are candidates for potentially curative resection are evolving.

Keywords: borderline resectability • neoadjuvant therapy • pancreatic cancer • pancreaticoduodenectomy • portal vein • superior mesenteric vein


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