Imaging and Pathology of Pancreatic Neoplasms by Mirko D'Onofrio Paola Capelli & Paolo Pederzoli

Author:Mirko D'Onofrio, Paola Capelli & Paolo Pederzoli
Language: eng
Format: epub
Publisher: Springer Milan, Milano

Fig. 61IPMN main-duct type: hemorrhagic changes. (a–h) MRI study: a large MD-IPMN is visible at MRCP (a). With T2-weighted HASTE (b), a small hypointense area is recognized within a small dilated branch duct (arrow), which appears hyperintense on DWI b 800 (c), and with restricted diffusion on ADC map (d), thus simulating a solid nodule. With T1 GRE fat-sat the lesion appears markedly hyperintense (e), such as in precontrast 3D GRE VIBE (f), thus appearing slightly hyperintense in the Gd-enhanced 3D GRE VIBE (g), thus simulating enhancement of the nodule. Subtraction technique (h) allows to eliminate to unenhancing signal (arrow in h)

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