Routine contrast-enhanced CT is insufficient for TNM-staging of duodenal adenocarcinoma.
Geke LitjensCornelis Jhm van LaarhovenMathias ProkopErwin-Jan M van GeenenJohn J HermansPublished in: Abdominal radiology (New York) (2022)
Radiologists and clinicians have to be aware that routine CECT is insufficient for staging and determining resectability in patients with duodenal adenocarcinoma. CECT underestimates T-stage and N-stage, and M-stage is often unclear, resulting in futile surgery in 19% of patients. Alternative strategies are required to improve staging of duodenal adenocarcinoma. We propose to combine multiphase hypotonic duodenography CT with MRI.
Keyphrases
- contrast enhanced
- diffusion weighted
- magnetic resonance imaging
- computed tomography
- magnetic resonance
- lymph node
- diffusion weighted imaging
- squamous cell carcinoma
- pet ct
- dual energy
- end stage renal disease
- newly diagnosed
- ejection fraction
- locally advanced
- chronic kidney disease
- clinical practice
- minimally invasive
- prognostic factors
- coronary artery bypass
- artificial intelligence
- radiation therapy
- positron emission tomography
- coronary artery disease
- peritoneal dialysis