Magnetic Resonance Imaging in the Evaluation of the Pancreatic Neoplasms        Fig.2
Wassim Asfari, M.D. Sang Soo Shin, M.D. Richard C. Semelka MD
Department of Radiology University of North Carolina Hospitals Chapel Hill, NC 27599-7510 USA

Figure 2A- 2B Pancreatic adenocarcinoma arising in the head. Transverse immediate post-contrast fat-suppressed T1-weighted 3D-GE (A) and coronal oblique thick-section MRCP (B) images. On immediate postcontrast image (A), the tumor is well shown as a low signal intensity mass (arrow). The MRCP image (B) demonstrates obstruction of the common bile duct and pancreatic duct, creating the double duct sign.

Fig.: 2A-2B:  Pancreatic adenocarcinoma arising in the head. Transverse immediate post-contrast fat-suppressed T1-weighted 3D-GE (A) and coronal oblique thick-section MRCP (B) images. On immediate postcontrast image (A), the tumor is well shown as a low signal intensity mass (arrow). The MRCP image (B) demonstrates obstruction of the common bile duct and pancreatic duct, creating the double duct sign.

Figure 1: Normal pancreas. T1-weighted fat-suppressed SGE (A), Figure 3: Functioning islet cell tumor. T1-weighted post-contrast fat-suppressed 3D GE image shows diffuse heterogeneous enhancement of the tumor. Figure 4: Side-branch type IPMT. Coronal T2-weighted single shot echo trains spin echo (A) and axial post-gadolinium fat-suppressed T1-weighted gradient echo (B) images demonstrate mainly large cystic side branch lesion in the head of the pancreas.
   Fig. 1A-1B    Fig. 3    Fig. 4A-4B   


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Department of Radiology University of North Carolina Hospitals Chapel Hill, NC 27599-7510 USA
Corresponding author:  Richard C. Semelka, M.D. Phone:  (919) 966-9676  Fax: (919) 843-7147  E-mail : richsem@med.unc.edu     -

S.I.A.E.C.M.  -  Dipartimento di Radiologia
Società Scientifica Registrata Ministero della Salute, del Lavoro e delle Politiche Sociali ECM n. 5607
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