Radiology has a major role to play in baseline assessment of pancreatic adenocarcinoma, with use of a dedicated pancreatic CT protocol and a dedicated pancreatic reporting template recommended by all major radiology societies. The current limitation of our imaging unfortunately is that we predominantly focus only on surgical ‘resectability’ of the pancreatic tumor, viz classifying the tumors as resectable, borderline resectable, or unresectable. However imaging can also potentially tell more details which are prognostically important, including predicting an R0 vs R1 resection and detecting perineural spread. A recent article in Radiology focuses on the former, with significant potential implications on patient management. We discuss the article in Journal Watch.
You can read the entire Radiology article here.
– Akshay Baheti, Tata Memorial Hospital
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