Role of 256-Detector Row MDCT in Diagnosis of Pancreatic Lesions

Abstract

Pancreatic cysts can be benign, malignant and borderline type of lesions. It can be cystic or cystic degeneration of solid tumors. This present study was focused on assess the diagnostic accuracy of 256-detector row MDCT in the detection of pancreatic cystic lesions (PCLs). Material and methods: Images from total of 172 patients were studied on the basis of signs of malignancy. Results: We analysed 220 PCLs in 172 patients (solitary in 145 and ≥2 in 47; incidence 2.05%). Size ranged from 3 to 132 mm (mean 15 mm); body was the most common location. Intralesional septa were detected in 23/132 lesions (17.4%), wall thickening >2 mm in 6%, enhancing wall and mural nodules in 4.5% and 5.3%, respectively. IPMNS was the most common finding around 83%, while 10.6% were cystadenomas and 6% were others. Conclusion: As cross-sectional imaging uses frequently, the MDCT contributes structured features for insignia of PCLs.