The Utilization of Imaging Features in the Management of Intraductal Papillary Mucinous Neoplasms
Figure 4
Axial T1-weighted spoiled gradient echo after gadolinium administration (a). 3D FRFSE MRCP sequence obtained using MIP reconstruction (b). Surgical specimen (c), from poster EPOS C-2228 presented in [15]. (a) shows a homogeneous cystic lesion centered in the head of pancreas. No intralesion solid components were observed. In (b), MIP reconstruction was useful to better appreciate the cystic morphology of the lesion due to main pancreatic duct enlargement. Again, high-risk stigmata (main duct caliber >1 centimeter) suggested surgical management. A pancreatoduodenectomy was performed and final diagnosis deposed for borderline IPMN.
