Naslov
Pancreatic Insulinoma - “the little troublemaker“ in diagnostic imaging

Autori
Kavelj, Ivana ; Bušić-Pavlek, Iva ; Marinkić, Maja ; Krpan, Tomislav ; Brnić, Zoran

Vrsta, podvrsta i kategorija rada
Radovi u zbornicima skupova, cjeloviti rad (in extenso), znanstveni

Izvornik
ECR 2016 Poster Exhibition, Poster No. ; ECR 2016 / - Beč : Europsko radiološko društvo, 2016

Skup
European Congress of Radiology 2016

Mjesto i datum
Beč, Austrija, 02.03.2016. - 07.03.2016

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Neoplasia, eLearning, Education, Diagnostic procedure, Ultrasound, MR, CT, Pancreas, Oncology, Abdomen

Sažetak
Potential curative treatment of insulinomas can be achieved only with surgical resection, and most surgeons attempt to localize the tumor preoperatively. However, the preoperative diagnosis of insulinomas remains a challenge because of the small size of these tumors with approximately 66% being less than 2 cm in size at presentation. In addition, there is no imaging test being clearly superior. • Cross-sectional imaging techniques such as computed tomography (CT) scanning and magnetic resonance imaging (MRI) have been extensively used. • Endoscopic ultrasound (EUS) is evolving and improving, and may provide an opportunity for histological diagnosis, but this semi-invasive technique is highly dependent on operator experience. • Selective intra-arterial injection of the pancreatic arteries with calcium and hepatic venous sampling for insulin correlates anatomy with function, and in many series, it appears to be the most sensitive method for regionalization of insulinoma. Radiologic assessment of exact tumor localization reduces duration of surgical procedures, size of the resected pancreatic tissue and need for additional interventions.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA