12757155

Source:http://linkedlifedata.com/resource/pubmed/id/12757155

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Predicate	Object
rdf:type	pubmed:Citation
lifeskim:mentions	umls-concept:C0030297, umls-concept:C0860888, umls-concept:C1314939, umls-concept:C1707455, umls-concept:C1801960
pubmed:issue	3
pubmed:dateCreated	2003-5-21
pubmed:abstractText	The principal criterion for resectability of pancreatic carcinoma is the assessment of vascular involvement. In a prospective evaluation the ability of Spiral CT Angiography (CTA) to detect vascular involvement in 50 patients with pancreatic carcinoma, was proved; DSA was performed later in all patients. In 20 patients, without vascular involvement, a complete concordance was obtained. Of 30 patients with vascular involvement, there was complete concordance between CTA and angiography in 22 patients and discordance in 8 patients. CTA was superior in 2 cases with periadventitial infiltration and in 5 patients with splenoportal confluence thrombosis. DSA was superior in 1 case with infiltration of the superior mesenteric vein. After surgical evaluation, sensitivity of CTA and DSA was 97% and 77%, respectively, and the negative predictive values were 95% and 74%. As compared to DSA, CTA is more rapid and less invasive and can be considered the modality of choice for preoperative work-up of pancreatic neoplasm.
pubmed:language	eng
pubmed:journal	http://linkedlifedata.com/resource/pubmed/journal/7902782
pubmed:citationSubset	AIM
pubmed:status	MEDLINE
pubmed:month	Mar
pubmed:issn	0163-2116
pubmed:author	pubmed-author:CarlaniMarcoM, pubmed-author:FanucciEzioE, pubmed-author:MasalaSalvatoreS, pubmed-author:SciutoFrancescoF, pubmed-author:SimonettiGiovanniG, pubmed-author:SodaniGiulioG, pubmed-author:SquillaciEttoreE
pubmed:issnType	Print
pubmed:volume	48
pubmed:owner	NLM
pubmed:authorsComplete	Y
pubmed:pagination	449-58
pubmed:dateRevised	2006-11-15
pubmed:meshHeading	pubmed-meshheading:12757155-Adenocarcinoma, pubmed-meshheading:12757155-Aged, pubmed-meshheading:12757155-Angiography, Digital Subtraction, pubmed-meshheading:12757155-False Positive Reactions, pubmed-meshheading:12757155-Female, pubmed-meshheading:12757155-Humans, pubmed-meshheading:12757155-Laparoscopy, pubmed-meshheading:12757155-Male, pubmed-meshheading:12757155-Middle Aged, pubmed-meshheading:12757155-Neoplasm Staging, pubmed-meshheading:12757155-Neovascularization, Pathologic, pubmed-meshheading:12757155-Pancreas, pubmed-meshheading:12757155-Pancreatectomy, pubmed-meshheading:12757155-Pancreatic Neoplasms, pubmed-meshheading:12757155-Preoperative Care, pubmed-meshheading:12757155-Prospective Studies, pubmed-meshheading:12757155-Sensitivity and Specificity, pubmed-meshheading:12757155-Tomography, Spiral Computed
pubmed:year	2003
pubmed:articleTitle	Vascular involvement in pancreatic neoplasm: a comparison between spiral CT and DSA.
pubmed:affiliation	Department of Diagnostic Imaging and Interventional Radiology, University of Rome Tor Vergata, Vale Oxford, 81-00133 Rome, Italy.
pubmed:publicationType	Journal Article, Comparative Study