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Radiological parameters to predict pancreatic texture: Current evidence and future perspectives

Preoperative prediction of the postoperative pancreatic fistula risk is critical in the current era of minimally invasive pancreatic surgeries to tailor perioperative management, thereby minimizing postoperative morbidity. Pancreatic duct diameter can be readily measured by any routine imaging used...

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Autores principales: Kalayarasan, Raja, Himaja, Mandalapu, Ramesh, Ananthakrishnan, Kokila, Kathirvel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10324497/
https://www.ncbi.nlm.nih.gov/pubmed/37424737
http://dx.doi.org/10.4329/wjr.v15.i6.170
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author Kalayarasan, Raja
Himaja, Mandalapu
Ramesh, Ananthakrishnan
Kokila, Kathirvel
author_facet Kalayarasan, Raja
Himaja, Mandalapu
Ramesh, Ananthakrishnan
Kokila, Kathirvel
author_sort Kalayarasan, Raja
collection PubMed
description Preoperative prediction of the postoperative pancreatic fistula risk is critical in the current era of minimally invasive pancreatic surgeries to tailor perioperative management, thereby minimizing postoperative morbidity. Pancreatic duct diameter can be readily measured by any routine imaging used to diagnose pancreatic disease. However, radiological evaluation of pancreatic texture, an important determinant of pancreatic fistula, has not been widely used to predict the risk of postoperative pancreatic fistula. Qualitative and quantitative assessment of pancreatic fibrosis and fat fraction provides the basis for predicting pancreatic texture. Traditionally computed tomography has been utilized in identifying and characterizing pancreatic lesions and background parenchymal pathologies. With the increasing utilisation of endoscopic ultrasound and magnetic resonance imaging for evaluating pancreatic pathologies, elastography is emerging as a promising tool for predicting pancreatic texture. Also, recent studies have shown that early surgery for chronic pancreatitis is associated with better pain relief and preservation of pancreatic function. Pancreatic texture assessment can allow early diagnosis of chronic pancreatitis, facilitating early intervention. The present review outlines the current evidence in utilizing various imaging modalities for determining the pancreatic texture based on different parameters and image sequences. However, multidisciplinary investigations using strong radiologic-pathologic correlation are needed to standardize and establish the role of these non-invasive diagnostic tools in predicting pancreatic texture.
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spelling pubmed-103244972023-07-07 Radiological parameters to predict pancreatic texture: Current evidence and future perspectives Kalayarasan, Raja Himaja, Mandalapu Ramesh, Ananthakrishnan Kokila, Kathirvel World J Radiol Minireviews Preoperative prediction of the postoperative pancreatic fistula risk is critical in the current era of minimally invasive pancreatic surgeries to tailor perioperative management, thereby minimizing postoperative morbidity. Pancreatic duct diameter can be readily measured by any routine imaging used to diagnose pancreatic disease. However, radiological evaluation of pancreatic texture, an important determinant of pancreatic fistula, has not been widely used to predict the risk of postoperative pancreatic fistula. Qualitative and quantitative assessment of pancreatic fibrosis and fat fraction provides the basis for predicting pancreatic texture. Traditionally computed tomography has been utilized in identifying and characterizing pancreatic lesions and background parenchymal pathologies. With the increasing utilisation of endoscopic ultrasound and magnetic resonance imaging for evaluating pancreatic pathologies, elastography is emerging as a promising tool for predicting pancreatic texture. Also, recent studies have shown that early surgery for chronic pancreatitis is associated with better pain relief and preservation of pancreatic function. Pancreatic texture assessment can allow early diagnosis of chronic pancreatitis, facilitating early intervention. The present review outlines the current evidence in utilizing various imaging modalities for determining the pancreatic texture based on different parameters and image sequences. However, multidisciplinary investigations using strong radiologic-pathologic correlation are needed to standardize and establish the role of these non-invasive diagnostic tools in predicting pancreatic texture. Baishideng Publishing Group Inc 2023-06-28 2023-06-28 /pmc/articles/PMC10324497/ /pubmed/37424737 http://dx.doi.org/10.4329/wjr.v15.i6.170 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Minireviews
Kalayarasan, Raja
Himaja, Mandalapu
Ramesh, Ananthakrishnan
Kokila, Kathirvel
Radiological parameters to predict pancreatic texture: Current evidence and future perspectives
title Radiological parameters to predict pancreatic texture: Current evidence and future perspectives
title_full Radiological parameters to predict pancreatic texture: Current evidence and future perspectives
title_fullStr Radiological parameters to predict pancreatic texture: Current evidence and future perspectives
title_full_unstemmed Radiological parameters to predict pancreatic texture: Current evidence and future perspectives
title_short Radiological parameters to predict pancreatic texture: Current evidence and future perspectives
title_sort radiological parameters to predict pancreatic texture: current evidence and future perspectives
topic Minireviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10324497/
https://www.ncbi.nlm.nih.gov/pubmed/37424737
http://dx.doi.org/10.4329/wjr.v15.i6.170
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