ACR Appropriateness Criteria® Staging of Pancreatic Ductal Adenocarcinoma

Expert Panel on Gastrointestinal Imaging

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Pancreatic adenocarcinoma is associated with poor overall prognosis. Complete surgical resection is the only possible option for cure. As such, increasingly complex surgical techniques including sophisticated vascular reconstruction are being used. Continued advances in surgical techniques, in conjunction with use of combination systemic therapies, and radiation therapy have been suggested to improve outcomes. A key aspect to surgical success is reporting of pivotal findings beyond absence of distant metastases, such as tumor size, location, and degree of tumor involvement of specific vessels associated with potential perineural tumor spread. Multiphase contrast-enhanced multidetector CT and MRI are the imaging modalities of choice for pretreatment staging and presurgical determination of resectability. Imaging modalities such as endoscopic ultrasound and fluorine-18-2-fluoro-2-deoxy-D-glucose imaging with PET/CT are indicated for specific scenarios such as biopsy guidance and confirmation of distant metastases, respectively. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)S560-S569
JournalJournal of the American College of Radiology
Volume14
Issue number11
DOIs
StatePublished - Nov 1 2017
Externally publishedYes

Fingerprint

Adenocarcinoma
Guidelines
Neoplasm Metastasis
Neoplasms
Fluorine
Fluorodeoxyglucose F18
Expert Testimony
Radiology
Blood Vessels
Radiotherapy
Therapeutics
Biopsy

Keywords

  • Adenocarcinoma
  • Appropriate Use Criteria
  • Appropriateness Criteria
  • AUC
  • Imaging
  • Pancreas
  • Resectability
  • Staging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

ACR Appropriateness Criteria® Staging of Pancreatic Ductal Adenocarcinoma. / Expert Panel on Gastrointestinal Imaging.

In: Journal of the American College of Radiology, Vol. 14, No. 11, 01.11.2017, p. S560-S569.

Research output: Contribution to journalArticle

Expert Panel on Gastrointestinal Imaging. / ACR Appropriateness Criteria® Staging of Pancreatic Ductal Adenocarcinoma. In: Journal of the American College of Radiology. 2017 ; Vol. 14, No. 11. pp. S560-S569.
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