Evaluation of intraductal papillary mucinous neoplasms detected incidentally with magnetic resonance cholangiopancreatography

Authors : Mustafa Orhan NALBANT

Pages : 903-909

Doi:10.18621/eurj.1282203

View : 68 | Download : 142

Publication Date : 2023-09-04

Article Type : Research Paper

Abstract :Objectives: The aim of this study was to estimate the prevalence of coincidentally found intraductal papillary mucinous neoplasms insert ignore into journalissuearticles values(IPMNs); and assess their features with magnetic resonance cholangiopancreatography insert ignore into journalissuearticles values(MRCP); imaging. Methods: The prevalence of incidentally detected IPMN was evaluated in 951 patients who underwent MRCP examination for various indications. MRCP images were assessed to analyze the number, size, location, and internal structure of lesions in patients with IPMN. Furthermore, the association between IPMN prevalence and age and gender was evaluated. Results: IPMN was detected in 102 insert ignore into journalissuearticles values(10.7%); of 951 patients. Solitary IPMNs were located in different parts of the pancreas: in the uncinate process in 8 insert ignore into journalissuearticles values(7.8%);, in the head and neck in 19 insert ignore into journalissuearticles values(18.6%);, in the corpus in 10 insert ignore into journalissuearticles values(9.8%);, and in the tail in 7 insert ignore into journalissuearticles values(6.9%); patients. IPMN was multiple in 58 insert ignore into journalissuearticles values(56.9%); patients. IPMN was identified in 41 insert ignore into journalissuearticles values(6.18%); patients under 65 years and 61 insert ignore into journalissuearticles values(21.18%); patients over 65 years, and the variance was statistically substantial insert ignore into journalissuearticles values( p < 0.001);. IPMN diameter was 7.22 ± 4.3 mm in patients under 65 years and 9.21 ± 4.74 mm in those over 65 years, which was statistically significant insert ignore into journalissuearticles values( p = 0.048);. Patients who were older were more likely to have multiple IPMNs insert ignore into journalissuearticles values( p = 0.010);. Conclusions: IPMNs increase in frequency, quantity, and size with age. MRCP is the most essential sequence for determining main pancreatic duct insert ignore into journalissuearticles values(MPD); involvement or communication, a critical finding for diagnosis. Since MRCP is capable of screening patients at very short intervals, it may be utilized for follow-up imaging in IPMN patients.
Keywords : Intraductal papillary mucinous neoplasm, pancreatic duct, pancreatic cystic lesion, magnetic resonance cholangiopancreatography