胰腺手术后的横断面成像:放射科医生与外科医生之间的对话

IF 1.8 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING European Journal of Radiology Open Pub Date : 2024-01-19 DOI:10.1016/j.ejro.2023.100544
Cesare Maino , Marco Cereda , Paolo Niccolò Franco , Piero Boraschi , Roberto Cannella , Luca Vittorio Gianotti , Giulia Zamboni , Federica Vernuccio , Davide Ippolito
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引用次数: 0

摘要

胰腺手术被认为是当今最复杂的外科手术之一,也不乏并发症。手术后,横断面成像被认为是检测早期和晚期并发症的无创参考标准,从而为患者提供最佳治疗方案。等离子体增强计算机断层扫描(CECT)被认为是评估手术部位最重要、最有用的成像技术。由于其速度快、对比度高、空间分辨率高,它可以帮助实现高精度的最终诊断。另一方面,磁共振成像(MRI)应被视为二线成像方法,尤其是在评估胆道检查结果和晚期并发症时。在这两种情况下,放射科医生都应了解规程和检查内容,以便与外科医生进行充分对话,为每位患者制定合适的治疗方案。
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Cross-sectional imaging after pancreatic surgery: The dialogue between the radiologist and the surgeon

Pancreatic surgery is nowadays considered one of the most complex surgical approaches and not unscathed from complications. After the surgical procedure, cross-sectional imaging is considered the non-invasive reference standard to detect early and late compilations, and consequently to address patients to the best management possible. Contras-enhanced computed tomography (CECT) should be considered the most important and useful imaging technique to evaluate the surgical site. Thanks to its speed, contrast, and spatial resolution, it can help reach the final diagnosis with high accuracy. On the other hand, magnetic resonance imaging (MRI) should be considered as a second-line imaging approach, especially for the evaluation of biliary findings and late complications. In both cases, the radiologist should be aware of protocols and what to look at, to create a robust dialogue with the surgeon and outline a fitted treatment for each patient.

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来源期刊
European Journal of Radiology Open
European Journal of Radiology Open Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
4.10
自引率
5.00%
发文量
55
审稿时长
51 days
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