A common diagnostic problem is how to differentiate malignant solid pancreatic lesions from benign entities like pancreatitis. Especially if you are dealing with focal forms like paraduodenal pancreatitis (cystic dystrophy of the duodenum or groove pancreatitis) or autoimmune pancreatitis (IgG4 related pancreatitis). Paraduodenal pancreatitis is a distinct form of chronic pancreatitis characterized by inflammation and fibrous tissue formation, affecting the groove area near the minor papilla between the head of the pancreas, the duodenal wall and the common bile duct. Paraduodenal pancreatitis has been divided...

Pancreatic imaging: guidelines:MDCT or MRI? if pancreatitis: MDCT classically first line if suspiction of biliary pancreatitis and possible stone in the CBD: MRI if suspiction of a tumour: MRI ≥ MDCT anatomic variants type pancreas divisum: MRI ≥ MDCT ductal anomalies: MRI ≥ MDCT MDCT + I MRI + Gd Pro’s of MDCT: shows calcifications, generally less prone to technical and interpretive errors, faster, more available, more practical for acutely ill patients US, EUS, ERCP and PET/CT: no first line exam’s MDCT protocol for known/suspected...

Pancreatic imaging mimics: part 1, imaging mimics of pancreatic adenocarcinoma.Coakley FV, Hanley-Knutson K, Mongan J, Barajas R, Bucknor M, Qayyum A. AJR Am J Roentgenol. 2012 Aug;199(2):301-8. Pancreatic endocrine tumors: radiologic-clinicopathologic correlation.Lewis RB, Lattin GE Jr, Paal E. Radiographics. 2010 Oct;30(6):1445-64. Pancreatic carcinoma masquerading as groove pancreatitis: case report and review of literature.Malde DJ, Oliveira-Cunha M, Smith AM. JOP. 2011 Nov 9;12(6):598-602. Staging cancer of the pancreas.Morana G, Cancian L, Pozzi Mucelli R, Cugini C. Cancer Imaging. 2010 Oct 4;10 Spec no A:S137-41. Pancreatic adenocarcinoma:...

B. Op de Beeck, M.D. Staff radiologist and head of the body imaging group of the Antwerp University Hospital UZA, Edegem, BELGIUM [email protected]