Difference analysis in prevalence of incidental pancreatic cystic lesions between computed tomography and magnetic resonance imaging
Abstract Background The purpose was to investigate the difference of detection rate of incidental pancreatic cystic lesions (PCLs) with computed tomography (CT) and magnetic resonance imaging (MRI) and to compare the difference between CT and MRI and to explore the effect of this difference on surgi...
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BMC
2019-05-01
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Series: | BMC Medical Imaging |
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Online Access: | http://link.springer.com/article/10.1186/s12880-019-0341-5 |
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author | Shuo Zhu Wen-Tao Wang Xiao-Sha Shang Ting Ni Wen-Chuan Wu Wen-Hui Lou Meng-Su Zeng Sheng-Xiang Rao |
author_facet | Shuo Zhu Wen-Tao Wang Xiao-Sha Shang Ting Ni Wen-Chuan Wu Wen-Hui Lou Meng-Su Zeng Sheng-Xiang Rao |
author_sort | Shuo Zhu |
collection | DOAJ |
description | Abstract Background The purpose was to investigate the difference of detection rate of incidental pancreatic cystic lesions (PCLs) with computed tomography (CT) and magnetic resonance imaging (MRI) and to compare the difference between CT and MRI and to explore the effect of this difference on surgical resection. Methods We reviewed the diagnostic reports for incidental PCLs between 2013 and 2016. Images of PCLs would be re-evaluated. Clinical and imaging data were recorded. The chi-square and independent t-test were conducted for categorical and continuous variables. Results The prevalence of PCLs was 1.91% (1038/54210) and 3.36% (1282/38099) on CT and MRI respectively, and increased with increasing age (P < 0.001). No significant differences were found in the annual prevalence of PCLs on CT (P = 0.796) and MRI (P = 0.213) from 2013 to 2016 while the number of examinations was increasing every year. The annual detection rate of MRI for small PCLs (< 20 mm) was significantly higher than CT (P < 0.001), but was not significantly different for large PCLs (≥20 mm). The rate of surgical resection of PCLs (≥20 mm) in MRI group was higher than CT (55.2% vs. 37.0%, P < 0.001). Conclusions The detection rate of PCLs on CT and MRI tended to be stable despite increasing scan volumes. Female had a slightly more frequency of PCLs than male. MRI detected more small PCLs(< 20 mm) and had higher impact on surgical resection of large PCL(≥20 mm) compared with CT. |
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institution | Directory Open Access Journal |
issn | 1471-2342 |
language | English |
last_indexed | 2024-04-12T08:19:45Z |
publishDate | 2019-05-01 |
publisher | BMC |
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series | BMC Medical Imaging |
spelling | doaj.art-652b12aaa84e48a389c5e9111913a6c12022-12-22T03:40:38ZengBMCBMC Medical Imaging1471-23422019-05-011911910.1186/s12880-019-0341-5Difference analysis in prevalence of incidental pancreatic cystic lesions between computed tomography and magnetic resonance imagingShuo Zhu0Wen-Tao Wang1Xiao-Sha Shang2Ting Ni3Wen-Chuan Wu4Wen-Hui Lou5Meng-Su Zeng6Sheng-Xiang Rao7Department of Radiology, Zhongshan Hospital, Fudan University, and Shanghai Institute of Medical ImagingDepartment of Radiology, Zhongshan Hospital, Fudan University, and Shanghai Institute of Medical ImagingDepartment of Radiology, Zhongshan Hospital, Fudan University, and Shanghai Institute of Medical ImagingDepartment of Radiology, Zhongshan Hospital, Fudan University, and Shanghai Institute of Medical ImagingDepartment of General Surgery, Zhongshan Hospital, Fudan UniversityDepartment of General Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Radiology, Zhongshan Hospital, Fudan University, and Shanghai Institute of Medical ImagingDepartment of Radiology, Zhongshan Hospital, Fudan University, and Shanghai Institute of Medical ImagingAbstract Background The purpose was to investigate the difference of detection rate of incidental pancreatic cystic lesions (PCLs) with computed tomography (CT) and magnetic resonance imaging (MRI) and to compare the difference between CT and MRI and to explore the effect of this difference on surgical resection. Methods We reviewed the diagnostic reports for incidental PCLs between 2013 and 2016. Images of PCLs would be re-evaluated. Clinical and imaging data were recorded. The chi-square and independent t-test were conducted for categorical and continuous variables. Results The prevalence of PCLs was 1.91% (1038/54210) and 3.36% (1282/38099) on CT and MRI respectively, and increased with increasing age (P < 0.001). No significant differences were found in the annual prevalence of PCLs on CT (P = 0.796) and MRI (P = 0.213) from 2013 to 2016 while the number of examinations was increasing every year. The annual detection rate of MRI for small PCLs (< 20 mm) was significantly higher than CT (P < 0.001), but was not significantly different for large PCLs (≥20 mm). The rate of surgical resection of PCLs (≥20 mm) in MRI group was higher than CT (55.2% vs. 37.0%, P < 0.001). Conclusions The detection rate of PCLs on CT and MRI tended to be stable despite increasing scan volumes. Female had a slightly more frequency of PCLs than male. MRI detected more small PCLs(< 20 mm) and had higher impact on surgical resection of large PCL(≥20 mm) compared with CT.http://link.springer.com/article/10.1186/s12880-019-0341-5Pancreatic cystComputed tomographyMagnetic resonance imagingPrevalence |
spellingShingle | Shuo Zhu Wen-Tao Wang Xiao-Sha Shang Ting Ni Wen-Chuan Wu Wen-Hui Lou Meng-Su Zeng Sheng-Xiang Rao Difference analysis in prevalence of incidental pancreatic cystic lesions between computed tomography and magnetic resonance imaging BMC Medical Imaging Pancreatic cyst Computed tomography Magnetic resonance imaging Prevalence |
title | Difference analysis in prevalence of incidental pancreatic cystic lesions between computed tomography and magnetic resonance imaging |
title_full | Difference analysis in prevalence of incidental pancreatic cystic lesions between computed tomography and magnetic resonance imaging |
title_fullStr | Difference analysis in prevalence of incidental pancreatic cystic lesions between computed tomography and magnetic resonance imaging |
title_full_unstemmed | Difference analysis in prevalence of incidental pancreatic cystic lesions between computed tomography and magnetic resonance imaging |
title_short | Difference analysis in prevalence of incidental pancreatic cystic lesions between computed tomography and magnetic resonance imaging |
title_sort | difference analysis in prevalence of incidental pancreatic cystic lesions between computed tomography and magnetic resonance imaging |
topic | Pancreatic cyst Computed tomography Magnetic resonance imaging Prevalence |
url | http://link.springer.com/article/10.1186/s12880-019-0341-5 |
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