Don’t forget about the pancreas! Useful tips on ultrasound

Autor: V Rudralingam, S Suut, C Footitt
Rok vydání: 2013
Předmět:
Zdroj: Ultrasound. 21:214-223
ISSN: 1743-1344
1742-271X
DOI: 10.1177/1742271x13505518
Popis: Transabdominal ultrasound (TAUS) remains the most widely available, non-invasive and least expensive initial imaging modality of the pancreas. Awareness of a range of pancreatic pathology is imperative when determining the need for further cross-sectional imaging or increasingly, endoscopic ultrasound (EUS). Given the spectrum of pathologic processes that affect the pancreas, alongside the significant overlap in clinical presentation, the major task on the initial TAUS is to distinguish normal from abnormal and subsequently inflammatory-related pathology from underlying neoplasia. This article aims to present useful sonographic signs that demonstrate and differentiate pancreatic pathologies. These useful sonographic signs are highlighted through a series of benign and neoplastic conditions involving the pancreas and correlation is made with alternative imaging including computed tomography (CT), magnetic resonance imaging (MRI) and EUS. In conclusion, TAUS continues to have a useful role in the initial assessment of the pancreas. Recognising useful sonographic signs, as well as their limitations, is important in the avoidance of misdiagnosis and accurately triaging patients with regard to further appropriate imaging investigations.
Databáze: OpenAIRE