Utility of transabdominal ultrasound for surveillance of known pancreatic cystic lesions: prospective evaluation with MRI as reference standard

Objectives To prospectively assess the utility of transabdominal ultrasound in surveillance of known pancreatic cystic lesions (PCL) using same day MRI as reference standard. Methods In an IRB-approved study with written informed consent, patients with known PCL underwent pancreas US on same day as...

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Veröffentlicht in:Abdominal imaging 2018-05, Vol.43 (5), p.1180-1192
Hauptverfasser: Sun, Maryellen R. M., Strickland, Corinne D., Tamjeedi, Bahar, Brook, Alexander, Mortele, Koenraad J., Brook, Olga R., Kane, Robert A., Siewert, Bettina
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container_end_page 1192
container_issue 5
container_start_page 1180
container_title Abdominal imaging
container_volume 43
creator Sun, Maryellen R. M.
Strickland, Corinne D.
Tamjeedi, Bahar
Brook, Alexander
Mortele, Koenraad J.
Brook, Olga R.
Kane, Robert A.
Siewert, Bettina
description Objectives To prospectively assess the utility of transabdominal ultrasound in surveillance of known pancreatic cystic lesions (PCL) using same day MRI as reference standard. Methods In an IRB-approved study with written informed consent, patients with known PCL underwent pancreas US on same day as surveillance MRI. US was performed blinded to same date MRI results. Transverse (TR), antero-posterior (AP), cranio-caudal (CC), and longest any plane diameter, were measured for each PCL at US and MRI. Visualization was correlated with patient (weight, abdominal diameter, thickness of abdominal fat, sex) and cyst (location, size, internal complexity) factors. Results 252 PCLs evaluated in 57 subjects (39 females; mean age 67 (range 39–86) yrs). Mean maximum PCL diameter 8.5 (range 2–92) mm. US identified 100% (5/5) of cysts ≥3 cm; 92% (12/13) ≥2 and
doi_str_mv 10.1007/s00261-017-1269-2
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M. ; Strickland, Corinne D. ; Tamjeedi, Bahar ; Brook, Alexander ; Mortele, Koenraad J. ; Brook, Olga R. ; Kane, Robert A. ; Siewert, Bettina</creator><creatorcontrib>Sun, Maryellen R. M. ; Strickland, Corinne D. ; Tamjeedi, Bahar ; Brook, Alexander ; Mortele, Koenraad J. ; Brook, Olga R. ; Kane, Robert A. ; Siewert, Bettina</creatorcontrib><description><![CDATA[Objectives To prospectively assess the utility of transabdominal ultrasound in surveillance of known pancreatic cystic lesions (PCL) using same day MRI as reference standard. Methods In an IRB-approved study with written informed consent, patients with known PCL underwent pancreas US on same day as surveillance MRI. US was performed blinded to same date MRI results. Transverse (TR), antero-posterior (AP), cranio-caudal (CC), and longest any plane diameter, were measured for each PCL at US and MRI. Visualization was correlated with patient (weight, abdominal diameter, thickness of abdominal fat, sex) and cyst (location, size, internal complexity) factors. Results 252 PCLs evaluated in 57 subjects (39 females; mean age 67 (range 39–86) yrs). Mean maximum PCL diameter 8.5 (range 2–92) mm. US identified 100% (5/5) of cysts ≥3 cm; 92% (12/13) ≥2 and <3 cm; 78% (43/55) ≥1 and <2 cm; 35% (27/78) ≥5 mm and <1 cm; and 16% (16/101) <5 mm. US visualization correlated with PCL location (<0.0001), size ( p  < 0.0001), patient gender ( p  = 0.005), participation of attending radiologist ( p  = 0.03); inversely with patient weight ( p  = 0.012) and AP abdominal diameter ( p  = 0.01). Conclusion Many PCLs are visualized and accurately measured at follow-up with transabdominal ultrasound. Visualization correlates with lesion size, location, patient sex, weight, and abdominal diameter.]]></description><identifier>ISSN: 2366-004X</identifier><identifier>EISSN: 2366-0058</identifier><identifier>DOI: 10.1007/s00261-017-1269-2</identifier><identifier>PMID: 28765979</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdomen ; Cysts ; Females ; Gastroenterology ; Gender ; Health surveillance ; Hepatology ; Imaging ; Informed consent ; Lesions ; Magnetic resonance imaging ; Medicine ; Medicine &amp; Public Health ; Pancreas ; Radiology ; Sex ; Ultrasonic imaging ; Ultrasound ; Visualization</subject><ispartof>Abdominal imaging, 2018-05, Vol.43 (5), p.1180-1192</ispartof><rights>Springer Science+Business Media, LLC 2017</rights><rights>Abdominal Radiology is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-ca4250ba511af9bc48da0ffcac870063e66ec02cbfdb91a5fc5570f7c8741d223</citedby><cites>FETCH-LOGICAL-c372t-ca4250ba511af9bc48da0ffcac870063e66ec02cbfdb91a5fc5570f7c8741d223</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00261-017-1269-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00261-017-1269-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28765979$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sun, Maryellen R. M.</creatorcontrib><creatorcontrib>Strickland, Corinne D.</creatorcontrib><creatorcontrib>Tamjeedi, Bahar</creatorcontrib><creatorcontrib>Brook, Alexander</creatorcontrib><creatorcontrib>Mortele, Koenraad J.</creatorcontrib><creatorcontrib>Brook, Olga R.</creatorcontrib><creatorcontrib>Kane, Robert A.</creatorcontrib><creatorcontrib>Siewert, Bettina</creatorcontrib><title>Utility of transabdominal ultrasound for surveillance of known pancreatic cystic lesions: prospective evaluation with MRI as reference standard</title><title>Abdominal imaging</title><addtitle>Abdom Radiol</addtitle><addtitle>Abdom Radiol (NY)</addtitle><description><![CDATA[Objectives To prospectively assess the utility of transabdominal ultrasound in surveillance of known pancreatic cystic lesions (PCL) using same day MRI as reference standard. Methods In an IRB-approved study with written informed consent, patients with known PCL underwent pancreas US on same day as surveillance MRI. US was performed blinded to same date MRI results. Transverse (TR), antero-posterior (AP), cranio-caudal (CC), and longest any plane diameter, were measured for each PCL at US and MRI. Visualization was correlated with patient (weight, abdominal diameter, thickness of abdominal fat, sex) and cyst (location, size, internal complexity) factors. Results 252 PCLs evaluated in 57 subjects (39 females; mean age 67 (range 39–86) yrs). Mean maximum PCL diameter 8.5 (range 2–92) mm. US identified 100% (5/5) of cysts ≥3 cm; 92% (12/13) ≥2 and <3 cm; 78% (43/55) ≥1 and <2 cm; 35% (27/78) ≥5 mm and <1 cm; and 16% (16/101) <5 mm. US visualization correlated with PCL location (<0.0001), size ( p  < 0.0001), patient gender ( p  = 0.005), participation of attending radiologist ( p  = 0.03); inversely with patient weight ( p  = 0.012) and AP abdominal diameter ( p  = 0.01). Conclusion Many PCLs are visualized and accurately measured at follow-up with transabdominal ultrasound. Visualization correlates with lesion size, location, patient sex, weight, and abdominal diameter.]]></description><subject>Abdomen</subject><subject>Cysts</subject><subject>Females</subject><subject>Gastroenterology</subject><subject>Gender</subject><subject>Health surveillance</subject><subject>Hepatology</subject><subject>Imaging</subject><subject>Informed consent</subject><subject>Lesions</subject><subject>Magnetic resonance imaging</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Pancreas</subject><subject>Radiology</subject><subject>Sex</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Visualization</subject><issn>2366-004X</issn><issn>2366-0058</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kdFqFTEQhoNYbGn7AN5IwBtvVifZTXbXOylaCxVBLHgXstmJpu5JjpndU85T-MrNcmoFwatJMl_-yZ-fsecCXguA9g0BSC0qEG0lpO4r-YSdyFrrCkB1Tx_Xzbdjdk50CwBCKyGkesaOZddq1bf9Cft9M4cpzHuePJ-zjWSHMW1CtBNfpnJAaYkj9ylzWvIOwzTZ6HClf8Z0F_m2bDPaOTju9rSWCSmkSG_5NifaopvDDjnu7LQUKkV-F-Yf_NOXK26JZ_SYcRWk2cbR5vGMHXk7EZ4_1FN28-H914uP1fXny6uLd9eVq1s5V842UsFgiyHr-8E13WjBe2dd1wLoGrVGB9INfhx6YZV3SrXg29JuxChlfcpeHXTLK38tSLPZBHK42sO0kBG9VEo0ol7Rl_-gt2nJ5YfIyBJBDR3UdaHEgXLFNhVjZpvDxua9EWDWwMwhMFMCM2tgZlV-8aC8DBscH2_8iacA8gBQacXvmP-O_r_qPafoo_w</recordid><startdate>20180501</startdate><enddate>20180501</enddate><creator>Sun, Maryellen R. 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M.</creatorcontrib><creatorcontrib>Strickland, Corinne D.</creatorcontrib><creatorcontrib>Tamjeedi, Bahar</creatorcontrib><creatorcontrib>Brook, Alexander</creatorcontrib><creatorcontrib>Mortele, Koenraad J.</creatorcontrib><creatorcontrib>Brook, Olga R.</creatorcontrib><creatorcontrib>Kane, Robert A.</creatorcontrib><creatorcontrib>Siewert, Bettina</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing &amp; Allied Health Source</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Computer Science Collection</collection><collection>Computer Science Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Abdominal imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sun, Maryellen R. M.</au><au>Strickland, Corinne D.</au><au>Tamjeedi, Bahar</au><au>Brook, Alexander</au><au>Mortele, Koenraad J.</au><au>Brook, Olga R.</au><au>Kane, Robert A.</au><au>Siewert, Bettina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Utility of transabdominal ultrasound for surveillance of known pancreatic cystic lesions: prospective evaluation with MRI as reference standard</atitle><jtitle>Abdominal imaging</jtitle><stitle>Abdom Radiol</stitle><addtitle>Abdom Radiol (NY)</addtitle><date>2018-05-01</date><risdate>2018</risdate><volume>43</volume><issue>5</issue><spage>1180</spage><epage>1192</epage><pages>1180-1192</pages><issn>2366-004X</issn><eissn>2366-0058</eissn><abstract><![CDATA[Objectives To prospectively assess the utility of transabdominal ultrasound in surveillance of known pancreatic cystic lesions (PCL) using same day MRI as reference standard. Methods In an IRB-approved study with written informed consent, patients with known PCL underwent pancreas US on same day as surveillance MRI. US was performed blinded to same date MRI results. Transverse (TR), antero-posterior (AP), cranio-caudal (CC), and longest any plane diameter, were measured for each PCL at US and MRI. Visualization was correlated with patient (weight, abdominal diameter, thickness of abdominal fat, sex) and cyst (location, size, internal complexity) factors. Results 252 PCLs evaluated in 57 subjects (39 females; mean age 67 (range 39–86) yrs). Mean maximum PCL diameter 8.5 (range 2–92) mm. US identified 100% (5/5) of cysts ≥3 cm; 92% (12/13) ≥2 and <3 cm; 78% (43/55) ≥1 and <2 cm; 35% (27/78) ≥5 mm and <1 cm; and 16% (16/101) <5 mm. US visualization correlated with PCL location (<0.0001), size ( p  < 0.0001), patient gender ( p  = 0.005), participation of attending radiologist ( p  = 0.03); inversely with patient weight ( p  = 0.012) and AP abdominal diameter ( p  = 0.01). Conclusion Many PCLs are visualized and accurately measured at follow-up with transabdominal ultrasound. Visualization correlates with lesion size, location, patient sex, weight, and abdominal diameter.]]></abstract><cop>New York</cop><pub>Springer US</pub><pmid>28765979</pmid><doi>10.1007/s00261-017-1269-2</doi><tpages>13</tpages></addata></record>
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subjects Abdomen
Cysts
Females
Gastroenterology
Gender
Health surveillance
Hepatology
Imaging
Informed consent
Lesions
Magnetic resonance imaging
Medicine
Medicine & Public Health
Pancreas
Radiology
Sex
Ultrasonic imaging
Ultrasound
Visualization
title Utility of transabdominal ultrasound for surveillance of known pancreatic cystic lesions: prospective evaluation with MRI as reference standard
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