AJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Furukawa, H.
Right arrow Articles by Kosuge, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Furukawa, H.
Right arrow Articles by Kosuge, T.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

Selective Intraarterial Contrast-Enhanced CT of Pancreaticoduodenal Tumors

Early Clinical Experience in Evaluating Blood Supply and Detectability

Hiroyoshi Furukawa1, Ryoko Iwata1, Noriyuki Moriyama1 and Tomoo Kosuge2

1 Department of Diagnostic Radiology, National Cancer Center Hospital, 5-1-1, Tsukiji, Chuo-ku, Tokyo, 104, Japan.
2 Department of Surgery, National Cancer Center Hospital, Chuo-ku, Tokyo, 104, Japan.



View larger version (113K):

[in a new window]
  		Fig. 1A. —Pancreatic adenocarcinoma in 52-year-old woman. IV contrast-enhanced CT scan shows hypoattenuating area in pancreatic head (arrowheads). Note superior tumor conspicuity from surrounding pancreatic tissue.

 


View larger version (95K):

[in a new window]
  		Fig. 1B. —Pancreatic adenocarcinoma in 52-year-old woman. CT during common hepatic arteriography at same level as A shows marked enhancement on right side of pancreas and duodenum. Note faint enhancement on right side of tumor (arrow). Volume and injection rate of contrast material were 50 ml and 2 ml/sec, respectively.

 


View larger version (101K):

[in a new window]
  		Fig. 1C. —Pancreatic adenocarcinoma in 52-year-old woman. CT scan obtained during superior mesenteric arteriography at same level as A and B shows faint enhancement on left side of tumor (arrow) and marked enhancement of jejunum. Volume and injection rate of contrast material were 50 ml and 1.5 ml/sec, respectively. Both enhanced areas in B and C are complementary to each other in whole pancreaticoduodenal region including tumor.

 


View larger version (97K):

[in a new window]
  		Fig. 2A. —Ampullary carcinoma in 58-year-old man. IV contrast-enhanced CT scan shows tumor as enhanced mass protruding into duodenal lumen (arrow).

 


View larger version (103K):

[in a new window]
  		Fig. 2B. —Ampullary carcinoma in 58-year-old man. CT scan obtained during gastroduodenal arteriography at same level as A shows enhancement in right superior side of tumor and in duodenum. Volume and injection rate of contrast material were 30 ml and 1.5 ml/sec, respectively.

 


View larger version (104K):

[in a new window]
  		Fig. 2C. —Ampullary carcinoma in 58-year-old man. CT scan obtained during superior mesenteric arteriography at same level as A and B shows enhancement in left inferior side of tumor and in jejunum. Volume and injection rate of contrast material were 60 ml and 3 ml/sec, respectively. Both enhanced areas in B and C are complementary to each other in whole pancreaticoduodenal region including tumor.

 


View larger version (137K):

[in a new window]
  		Fig. 3A. —Pancreatic adenocarcinoma in 74-year-old man. On arteriography, common hepatic artery arises from superior hepatic artery. Volume and injection rate of contrast material were 30 ml and 4 ml/sec, respectively.

 


View larger version (122K):

[in a new window]
  		Fig. 3B. —Pancreatic adenocarcinoma in 74-year-old man. IV contrast-enhanced CT scan shows tumor as hypoattenuated area in pancreatic head (arrow). Note superior tumor conspicuity from surrounding pancreatic tissue.

 


View larger version (124K):

[in a new window]
  		Fig. 3C. —Pancreatic adenocarcinoma in 74-year-old man. CT scan obtained during hepatomesenteric arteriography at same level as A shows marked enhancement in whole pancreatic head, in which tumor appears as hypoattenuated area (arrow). Volume and injection rate of contrast material were 60 ml and 3 ml/sec, respectively.

 


View larger version (129K):

[in a new window]
  		Fig. 4A. —Islet cell tumor of the pancreas in 45-year-old man. Superior mesenteric arteriogram shows marked tumor stain (arrows). Volume and injection rate of contrast material were 25 ml and 3 ml/sec, respectively.

 


View larger version (141K):

[in a new window]
  		Fig. 4B. —Islet cell tumor of the pancreas in 45-year-old man. Celiac arteriogram also shows faint tumor stain (arrow). Volume and injection rate of contrast material were 20 ml and 4 ml/sec, respectively.

 


View larger version (98K):

[in a new window]
  		Fig. 4C. —Islet cell tumor of the pancreas in 45-year-old man. IV contrast-enhanced CT scan shows two tumors protruding behind pancreas (arrows).

 


View larger version (115K):

[in a new window]
  		Fig. 4D. —Islet cell tumor of the pancreas in 45-year-old man. CT scan obtained during superior mesenteric arteriography shows enhancement in large left-sided pancreatic tumor (arrow) and pancreatic body. Volume and injection rate of contrast material were 40 ml and 2 ml/sec, respectively.

 


View larger version (110K):

[in a new window]
  		Fig. 4E. —Islet cell tumor of the pancreas in 45-year-old man. CT scan obtained during celiac arteriography shows enhancement in small right-sided pancreatic tumor (arrow) and pancreatic head and tail. Volume and injection rate of contrast material were 40 ml and 2 ml/sec, respectively.

 


View larger version (121K):

[in a new window]
  		Fig. 5A. —Intraductal papillary adenoma in 69-year-old man. Celiac arteriogram shows no remarkable or abnormal findings. Volume and injection rate of contrast material were 20 ml and 4 ml/sec, respectively. GD = gastroduodenal artery, DP = dorsal pancreatic artery.

 


View larger version (147K):

[in a new window]
  		Fig. 5B. —Intraductal papillary adenoma in 69-year-old man. IV contrast-enhanced CT scan shows cystic tumor in uncinate process of pancreas (arrows).

 


View larger version (92K):

[in a new window]
  		Fig. 5C. —Intraductal papillary adenoma in 69-year-old man. CT scan obtained during celiac arteriography at same level as B shows marked enhancement in whole pancreatic head. Volume and injection rate of contrast material were 50 ml and 2.5 ml/sec, respectively.

 


View larger version (119K):

[in a new window]
  		Fig. 5D. —Intraductal papillary adenoma in 69-year-old man. CT scan obtained during gastroduodenal arteriography at same level as B shows enhanced area in right side of pancreas and duodenum. Volume and injection rate of contrast material were 20 ml and 1 ml/sec, respectively. Cystic tumor is not enhanced.

 


View larger version (76K):

[in a new window]
  		Fig. 5E. —Intraductal papillary adenoma in 69-year-old man. CT scan obtained during dorsal pancreatic arteriography shows marked enhancement in cystic tumor. Volume and injection rate of contrast material were 10 ml and 0.5 ml/sec, respectively. Note conspicuity of wall and septa of tumor.

 

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2000 by the American Roentgen Ray Society.