Mathews Journal of Case Reports


Previous Issues Volume 4, Issue 4 - 2019

MDCT Angiography Criteria for Arteries Invasion in Patients with Pancreatic Head Carcinoma

Dema Al Zouabi1*, Zaynab Alourfi1,2, Youssef Berro2, Abdul Ghani Al Chalabi1

1Faculty of Medicine, Radiology Department, Damascus University, Syria

2Faculty of Medicine, Syrian Private University (SPU), Syria

Received Date: Sep 19, 2019

Published Date: Oct 7, 2019

*Correspondence Author: Dema Al Zouabi, Faculty of Medicine, Radiology Department, Damascus University, Damascus, Syria.

Copyright © Al Zouabi D.

Citation: Al Zouabi D. (2019). MDCT Angiography Criteria for Arteries Invasion in Patients with Pancreatic Head Carcinoma. Mathews J Case Rep 4(4): 59.



Surgery is the first choice in treatment of malignant pancreatic head tumor. However, it is very important to determine the stage accurately. Incorrect staging leads to unnecessary and useless surgery. Multi-detector computed tomography used to rule out vascular invasion of artery and veins. This helps in taking the right surgical decision. The aim of this prospective cohort study was to determine the criteria of vascular invasion of arteries to avoid unnecessary surgery.

Patients were sent to the department of radiology to evaluate pancreatic head neoplasm with multi-detector 64 slice between 2016 and 2019. Criteria of arterial invasion with sensitivity of 86% and specificity 95% are: firstly, surrounding more than 180 degrees. Secondly, changing the diameter of the artery or irregularity of the wall, whatever the degree of surrounding. Finally, tumor longitudinal contact with artery (10 mm to 15 mm).


Keywords: MDCT; Invasion; Arteries; Pancreatic Head Neoplasm.


Abbreviations: EUS: Endoscopic Ultrasound; MDCT: Multi-Detector Computed Tomography; MIP: Maximum Intensity Projection; PDAC: Pancreatic Ductal Adenocarcinoma; R0: Negative Microscopic Residual; SMA: Superior Mesenteric Artery; VR: Volume Rendering.

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