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Advanced Imaging Modalities by Steffen Rickes, P Malfertheiner

By Steffen Rickes, P Malfertheiner

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Am J Gastroenterol 2000;95:1926–1931. Endoscopic Ultrasound in Solid Pancreatic Masses 23 Mertz HR, Sechopoulos P, Delbeke D, Leach SD: EUS, PET, and CT scanning for evaluation of pancreatic adenocarcinoma. Gastrointest Endosc 2000;52:367–371. 24 Midwinter MJ, Beveridge CJ, Wilsdon JB, Bennett MK, Baudouin CJ, Charnley RM: Correlation between spiral computed tomography, endoscopic ultrasonography and findings at operation in pancreatic and ampullary tumours. Br J Surg 1999;86:189–193. 25 Legmann P, Vignaux O, Dousset B, Baraza AJ, Palazzo L, Dumontier I, Coste J, Louvel A, Roseau G, Couturier D, Bonnin A: Pancreatic tumors: comparison of dual-phase helical CT and endoscopic sonography.

ERCP is the standard for diagnostic imaging, but is burdened with the risk of complications, the most important being pancreatitis [21, 22]. MRCP has a similar sensitivity and specificity for detecting pancreatic cancer or chronic pancreatitis to ERCP [1–5]. However, this procedure is expensive, timeconsuming, and available only in large medical centers. Dig Dis 2004;22:32–38 35 Fig. 5. Pseudocyst at conventional (a) and echo-enhanced sonography (b). a Lesion with an echo-free pattern and a sharply delineated wall.

Gastroenterology 1996;110:589–597. 6 Karlson BM, Ekbom A, Lindgren PG, et al: Abdominal US for diagnosis of pancreatic tumour: Prospective cohort analysis. Radiology 1999;213:107–111. 7 Palazzo L, Roseau G, Gayet B, et al: Endoscopic ultrasonography in the diagnosis and staging of pancreatic adenocarcinoma. Endoscopy 1993;25:143–150. 8 Rösch T, Lorenz R, Braig C, Feuerbach S, Siewert JR, Classen M: Endoscopic ultrasound in the diagnosis of pancreatic tumours. Dtsch Med Wochenschr 1990;115:1339–1347.

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