Journal
KOREAN JOURNAL OF RADIOLOGY
Volume 22, Issue 1, Pages 23-40Publisher
KOREAN RADIOLOGICAL SOC
DOI: 10.3348/kjr.2019.0862
Keywords
Pancreatic cancer; Imaging; Diagnosis; Resectability; Response evaluation; Prognosis
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Imaging plays a crucial role in surveillance, diagnosis, resectability evaluation, and treatment response evaluation of pancreatic cancer. Different imaging modalities have their own advantages and are essential in guiding treatment decisions and assessing therapeutic efficacy.
In pancreatic cancer, imaging plays an essential role in surveillance, diagnosis, resectability evaluation, and treatment response evaluation. Pancreatic cancer surveillance in high-risk individuals has been attempted using endoscopic ultrasound (EUS) or magnetic resonance imaging (MRI). Imaging diagnosis and resectability evaluation are the most important factors influencing treatment decisions, where computed tomography (CT) is the preferred modality. EUS, MRI, and positron emission tomography play a complementary role to CT. Treatment response evaluation is of increasing clinical importance, especially in patients undergoing neoadjuvant therapy. This review aimed to comprehensively review the role of imaging in relation to the current treatment strategy for pancreatic cancer, including surveillance, diagnosis, evaluation of resectability and treatment response, and prediction of prognosis.
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