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Videos : Abdomen: Pancreas

Hepatic arterial map and mesenteric vascular mapping in this patient with a pancreatic head mass that was pancreatic adenocarcinoma. The 11 video clips show that the pancreatic duct and common duct were deleted but do not demonstrate any vascular invasion.
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Staging of pancreatic cancer: 3D mapping was done in a series of 11 reconstructions showing the role of 3D imaging for the evaluation and staging of pancreatic carcinoma. Analysis of arterial and venous structures as well as evaluation of ducts, such as the evaluation of the common duct and pancreatic duct, as well as pancreatic mass is seen. Role of MIP versus VRT is defined.
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Pancreatic Mass : 3-D images demonstrate a large cystic pancreatic mass with systolic calcification. Occlusion of th epatient's splenic vein is seen with large collaterals defined. This is a beautiful example of a classic serous cystadenoma appearance. Multiple 3-D images and 2-D images are enclosed.
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Pancreas: 3D mapping nicely demonstrates a dilated pancreatic duct without a discrete mass.
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Pancreatic cancer invades portal vein: a range of visualizations of an unresectable pancreatic cancer
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Axial CT shows encasement of the mesenteric vessels by tumor
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Coronal display shows infiltration of tumor and vessel encasement
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Coronal display shows arterial and venous encasement
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MIP images show celiac and splenic aa encasement
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MIP imaging shows PV/SMV confluence encased by tumor
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Sagittal perspective of vessel enasement
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VRT shows thr arterial and venous encasement by the tumor through a range of visualizations
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VRT of venous phase shows portal vein invasion by tumor

Pancreatic cystadenocarcinoma: 3D visualization of a cystadenocarcinoma of the pancreas
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Extensive calcification of this tumor is defined on the VRT and MIP views
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Coronal display nicely defines the extent of tumor
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Volume rendering of the tumor in relationship to adjacent vascular map

Pancreatic cancer : 3D mapping using volume rendering and MIP as well as coronal and sagittal displays demonstrates large mass involving body and tail of pancreas with encasement consistent with unresectable pancreatic cancer. The use of MIP and volume rendering is ideal for determining the extent of vascular involvement and it is far more accurate than looking simply at the axial views. However, combining all of them interactively is the technique of choice.
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