Helical computed tomography of the pancreas: potential impact of higher concentrated contrast agents and multidetector technology.


Journal Article (Review)

The introduction of multidetector helical computed tomography (CT) has revolutionized the field of pancreatic imaging and has created a new dimension of temporal and spatial resolution. The speed of multidetector CT can either be used to reduce the time needed to cover a given volume or to increase the resolution along the z-axis, thereby resulting in nearly isotropic voxels. Pancreatic perfusion phases can thus be more clearly differentiated and small structures are better delineated, leading to an improvement in the diagnostic value of pancreatic CT. Contrast media with a higher iodine concentration seem to be superior to lower concentrated contrast agents, mainly because of the better evaluability of the vessels in the arterial examination phase. This manuscript reports current CT imaging strategies for patients with pancreatic cancer with emphasis on vascular invasion, lymph node metastasis, liver metastasis, and peritoneal carcinomatosis.

Full Text

Cited Authors

  • Merkle, EM; Boll, DT; Fenchel, S

Published Date

  • May 2003

Published In

Volume / Issue

  • 27 Suppl 1 /

Start / End Page

  • S17 - S22

PubMed ID

  • 12908708

Pubmed Central ID

  • 12908708

International Standard Serial Number (ISSN)

  • 0363-8715

Digital Object Identifier (DOI)

  • 10.1097/00004728-200305001-00005


  • eng

Conference Location

  • United States