2014RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden VerfahrenOpen access

The Role of Volume Perfusion CT in the Diagnosis of Pathologies of the Pancreas

Gerd Grözinger, Anja Katharina Grözinger, Marius Horger

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Abstract

The review discusses the potential role of volume perfusion CT (VPCT) in the diagnosis and follow-up of different pathologies of the pancreas. VPCT enables a differentiation of different pancreatic tumors like adenocarcinoma or neuroendocrine tumors based on functional parameters like blood flow, blood volume and permeability. Furthermore, the article discusses the potential indications for VPCT imaging of inflammatory diseases of the pancreas such as acute or chronic pancreatitis and autoimmune pancreatitis. Key Points: • VPCT may help to diagnose even small pancreatic tumors based on functional parameters • Functional perfusion parameters can help to characterize pancreatic neoplasms • In acute pancreatitis VPCT can evaluate the perfusion status of the organ Citation Format: • Grözinger G., Grözinger A., Horger M. The Role of Volume Perfusion CT in the Diagnosis of Pathologies of the Pancreas. Fortschr Röntgenstr 2014; 186: 1082 – 1093

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The review discusses the potential role of volume perfusion CT (VPCT) in the diagnosis and follow-up of different pathologies of the pancreas. VPCT enables a differentiation of different pancreatic tumors like adenocarcinoma or neuroendocrine tumors based on functional parameters like blood flow, blood volume and permeability. Furthermore, the article discusses the potential indications for VPCT imaging of inflammatory diseases of the pancreas such as acute or chronic pancreatitis and autoimmune pancreatitis. Key Points: • VPCT may help to diagnose even small pancreatic tumors based on functional parameters • Functional perfusion parameters can help to characterize pancreatic neoplasms • In acute pancreatitis VPCT can evaluate the perfusion status of the organ Citation Format: • Grözinger G., Grözinger A., Horger M. The Role of Volume Perfusion CT in the Diagnosis of Pathologies of the Pancreas. Fortschr Röntgenstr 2014; 186: 1082 – 1093

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Available abstract

The review discusses the potential role of volume perfusion CT (VPCT) in the diagnosis and follow-up of different pathologies of the pancreas. VPCT enables a differentiation of different pancreatic tumors like adenocarcinoma or neuroendocrine tumors based on functional parameters like blood flow, blood volume and permeability. Furthermore, the article discusses the potential indications for VPCT imaging of inflammatory diseases of the pancreas such as acute or chronic pancreatitis and autoimmune pancreatitis. Key Points: • VPCT may help to diagnose even small pancreatic tumors based on functional parameters • Functional perfusion parameters can help to characterize pancreatic neoplasms • In acute pancreatitis VPCT can evaluate the perfusion status of the organ Citation Format: • Grözinger G., Grözinger A., Horger M. The Role of Volume Perfusion CT in the Diagnosis of Pathologies of the Pancreas. Fortschr Röntgenstr 2014; 186: 1082 – 1093

Key concepts: Pancreas, Medicine, Pancreatitis, Acute pancreatitis, Perfusion, Blood volume, Radiology, Perfusion scanning

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