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Magnetic resonance with diffusion-weighted imaging improves assessment of focal liver lesions in patients with potentially resectable pancreatic cancer on CT

European Radiology Jul 09, 2018

Jeon SK, et al. - The added value of MRI to preoperative staging multidetector computed tomography (MDCT) for evaluation of focal liver lesions (FLLs) in potentially resectable pancreatic ductal adenocarcinomas (PDACs) was investigated in this analysis. Characteristics of FLLs were scored as benign, indeterminate or metastases on an MDCT set and combined MDCT and MRI set by two readers, independently, in patients with potentially resectable PDACs after staging MDCT. In the characterization of liver lesions, the addition of MRI provides better diagnostic performance. They observed that the combined interpretation of MRI and MDCT provided less frequent indeterminate liver lesions. In CT-indeterminate or suspicious metastatic lesions, the diagnostic yield of MRI was high. In potentially resectable PDACs, operation candidates could be determined with greater confidence.

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