Detection of liver metastases secondary to pancreatic cancer: Utility of combined helical computed tomography during arterial portography with biphasic computed tomography-assisted hepatic arteriography
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概要
- 論文の詳細を見る
Purpose: This study was designed to define the diagnostic advantage of computed tomography during arterial portography(CTAP) combined with computed tomography–assisted hepatic arteriography(CTHA) for preoperative detection of liver metastases secondary to pancreatic cancer compared with that of multidetector computed tomography (MDCT).Methods: From January 2002 to December 2007, we retrospectively studied 197 consecutive patients with pancreatic cancer. MDCT was performed on 192 patients prior to preoperative visceral angiography. 153 patients underwent CTAP + CTHA at the time of preoperative angiography.Results: Liver metastases were identified in 39 patients by means of MDCT. Of 129 patients who underwent CTAP + CTHA, 53 patients (41.1%) were diagnosed as having liver metastases, which could not be detected by MDCT. These tumors missed by MDCT ranged from 3 to 15 mm in size. On CTAP + CTHA, a solitary nodule in the liver was detected in 11 patients, 2 nodules in 6 patients, 3 lesions in 2 patient, and ≧ 4 lesions in 34 patients. The sensitivity and specificity of CTAP + CTHA versus MDCT were 94.2% versus 48.4% and 82.7% versus 97.9%, respectively.Conclusions: The combination of CTAP and CTHA is useful to confirm liver metastases and can potentially offer more accurate staging of pancreatic cancer compared with MDCT.
- Springerの論文
- 2010-12-01
著者
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TANAKA Hiroshi
Department of Pediatrics, Hirosaki University School of Medicine
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馬場 秀夫
国立病院機構熊本南病院 外科
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山下 康行
熊本大学生命科学研究部
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Yamashita Yasuyuki
Department Of Radiology Kumamoto University
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Yamashita Yasuyuki
熊本大学 医学薬学研究部放射線診断学
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Yanaga Yumi
熊本大学 医学薬学研究部放射線診断学
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BABA Hideo
Department of Surgery, Kyushu Cancer Center
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Baba Hideo
熊本大学 医学薬学研究部消化器外科学
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山下 康行
熊本大学 放射線医
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ABE Shinya
Department of Radiopharmacy, Tohoku Pharmaceutical University
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Beppu Toru
Department of Gastroenterological Surgery, Graduate School of Faculty of Life Science, Kumamoto Univ
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Takamori Hiroshi
Department of Gastroenterological Surgery, Graduate School of Faculty of Life Science, Kumamoto Univ
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HASHIMOTO Daisuke
Department of Physics, Tohoku University
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Yamaguchi Yasuo
Department Of Surgery Ii Kumamoto University Medical School
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SHIMADA Shinya
Department of Surgery II, Kumamoto University Medical School
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Takamori Hiroshi
Department Of Gastroenterological Surgery Graduate School Of Medical Sciences Kumamoto University
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Hiraoka Takehisa
Department Of Gastroenterological Surgery Graduate School Of Medical Sciences Kumamoto University
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IKEDA Osamu
Department of Diagnostic Radiology, Graduate School of Medicine, Kumamoto University
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Baba Hideo
Department Of Gastroenterological Surgery Graduate School Of Medical Science Kumamoto University
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SAKAMOTO YASUO
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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IKUTA YOSHIAKI
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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NAKAHARA Osamu
Department of Gastroenterological Surgery, Faculty of Medical and Pharmaceutical Sciences, Kumamoto
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OZAKI NOBUYUKI
Department of Gastroenterologial Surgery, Kumamoto University Graduate School of Medical Sciences
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Ikuta Yoshiaki
Department Of Gastroenterological Surgery Faculty Of Medical And Pharmaceutical Sciences Kumamoto Un
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Nakahara Osamu
Department Of Gastroenterological Surgery Faculty Of Medical And Pharmaceutical Sciences Kumamoto Un
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Sakamoto Yasuo
Department Of Gastroenterological Surgery Faculty Of Medical And Pharmaceutical Sciences Kumamoto Un
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Beppu Toru
Department Of Gastroenterological Surgery Graduate School Of Medical Sciences Kumamoto University
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Beppu Toru
Department Of Surgery Ii Kumamoto University Medical School
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FURUHASHI SATOSHI
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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Shimada Shinya
Department Of Gastroenterological Surgery Graduate School Of Medical Sciences Kumamoto University
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山下 康行
熊本大 医 放射線医学
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Abe Shinya
Department Of Radiopharmacy Tohoku Pharmaceutical University
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Furuhashi Satoshi
Department Of Gastroenterological Surgery Graduate School Of Medical Sciences Kumamoto University
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Yamashita Yasuyuki
Department Of Diagnostic Imaging Faculty Of Medical And Pharmaceutical Sciences Kumamoto University
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Hashimoto Daisuke
Department Of Gastroenterologial Surgery Kumamoto University Graduate School Of Medical Sciences
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Ikeda Osamu
Department Of Diagnostic Radiology Graduate School Of Medical Sciences Kumamoto University
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Ozaki Nobuyuki
Dep. Of Gastroenterological Surgery Kumamoto Univ. Graduate School Of Medical Sciences Kumamoto Univ
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Tanaka Hiroshi
Department Of Cardiology Jichi Medical School
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Nakahara Osamu
Department Of Agricultural Chemistry Faculty Of Agriculture Kyushu University : (present Address) Gr
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Yamashita Yasuyuki
Department Of Diagnostic Radiology Kumamoto University Postgraduate School
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Shamima Sultana
Department Of Diagnostic Imaging Kumamoto University Graduate School Of Medical Sciences
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Abe Shinya
Department Of Gastroenterological Surgery Graduate School Of Medical Sciences Kumamoto University
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Abe Shinya
Department Of Comprehensive Pathology Tokyo Medical And Dental University
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Abe Shinya
Department Of Cardiology Tobu Chiiki Hospital Tokyo Metropolitan Health And Medical Treatment Corpor
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Ikeda Osamu
Department Of Chemistry Faculty Of Science Kanazawa University
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Yamaguchi Yasuo
Department Of Diagnostic Radiology Graduate School Of Medical Sciences Kumamoto University
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Tanaka Hiroshi
Department Of Analytical Chemistry Faculty Of Pharmaceutical Sciences Hoshi University
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Shinya Abe
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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Hiroshi Tanaka
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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Hiroshi Takamori
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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Hideo Baba
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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Yasuyuki Yamashita
Department of Diagnostic Imaging, Faculty of Medical and Pharmaceutical Sciences, Kumamoto University
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Yoshiaki Ikuta
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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Osamu Ikeda
Department of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University
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Yasuo Sakamoto
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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Daisuke Hashimoto
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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Nobuyuki Ozaki
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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Osamu Nakahara
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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Satoshi Furuhashi
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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Toru Beppu
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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Shinya Shimada
Department of Surgery, Yatsushiro Social Insurance General Hospital
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