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Predicting lymph node metastasis in pancreatobiliary cancer with magnetic resonance imaging: A prospective analysis

European Journal of Radiology Jun 05, 2019

Lee JH, et al. - The researchers intended to understand and investigate lymph node (LN) magnetic resonance (MR) imaging features and their diagnostic potential. Maximum diameters in the short and long axes, shape, signal intensities, enhancement pattern, and apparent diffusion coefficient (ADC) of LNs were determined. Out of 80 confirmed lymph nodes, 51 were negative and 21 were positive for metastasis were noted. A significant difference between the short-axis diameter and ADC of benign vs metastatic LNs of pancreatobiliary cancer was noted. Nevertheless, the most reliable diagnostic features of multiple metastatic LNs may still be round shape, heterogeneous enhancement, and a low ADC value (<0.901 × 10−3 mm2/s).

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