Pancreatic Cyst Size Measurement on Magnetic Resonance Imaging Compared to Pathology Article Swipe
Daniel Jeong
,
Brian Morse
,
Stuart Lane Polk
,
Dung‐Tsa Chen
,
Jiannong Li
,
Pamela J. Hodul
,
Barbara A. Centeno
,
James Costello
,
Kun Jiang
,
Sebastian Machado
,
Issam El Naqa
,
Paola T. Farah
,
Tri Huynh
,
Natarajan Raghunand
,
Shaffer Mok
,
Aamir Dam
,
Mokenge P. Malafa
,
Aliya Qayyum
,
Jason B. Fleming
,
Jennifer B. Permuth
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/cancers16010206
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/cancers16010206
BACKGROUND: While multiple cyst features are evaluated for stratifying pancreatic intraductal papillary mucinous neoplasms (IPMN), cyst size is an important factor that can influence treatment strategies. When magnetic resonance imaging (MRI) is used to evaluate IPMNs, no universally accepted sequence provides optimal size measurements. T2-weighted coronal/axial have been suggested as primary measurement sequences; however, it remains unknown how well these and maximum all-sequence diameter measurements correlate with pathology size. This study aims to compare agreement and bias between IPMN long-axis measurements on seven commonly obtained MRI sequences with pathologic size measurements. METHODS: This retrospective cohort included surgically resected IPMN cases with preoperative MRI exams. Long-axis diameter tumor measurements and the presence of worrisome features and/orhigh-risk stigmata were noted on all seven MRI sequences. MRI size and pathology agreement and MRI inter-observer agreement involved concordance correlation coefficient (CCC) and intraclass correlation coefficient (ICC), respectively. The presence of worrisome features and high-risk stigmata were compared to the tumor grade using kappa analysis. The Bland-Altman analysis assessed the systematic bias between MRI-size and pathology. RESULTS: In 52 patients (age 68 ± 13 years, 22 males), MRI sequences produced mean long-axis tumor measurements from 2.45–2.65 cm. The maximum MRI lesion size had a strong agreement with pathology (CCC = 0.82 (95% CI: 0.71–0.89)). The maximum IPMN size was typically observed on the axial T1 arterial post-contrast and MRCP coronal series and overestimated size versus pathology with bias +0.34 cm. The radiologist interobserver agreement reached ICCs 0.74 to 0.91 on the MRI sequences. CONCLUSION: The maximum MRI IPMN size strongly correlated with but tended to overestimate the length compared to the pathology, potentially related to formalin tissue shrinkage during tissue processing.
Related Topics
Concepts
Medicine
Magnetic resonance imaging
Coronal plane
Concordance
Intraclass correlation
Radiology
Cyst
Nuclear medicine
Magnetic resonance cholangiopancreatography
Pathology
Pancreatitis
Internal medicine
Endoscopic retrograde cholangiopancreatography
Psychometrics
Clinical psychology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/cancers16010206
- https://www.mdpi.com/2072-6694/16/1/206/pdf?version=1704101247
- OA Status
- gold
- Cited By
- 2
- References
- 47
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4390479367
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4390479367Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/cancers16010206Digital Object Identifier
- Title
-
Pancreatic Cyst Size Measurement on Magnetic Resonance Imaging Compared to PathologyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-01-01Full publication date if available
- Authors
-
Daniel Jeong, Brian Morse, Stuart Lane Polk, Dung‐Tsa Chen, Jiannong Li, Pamela J. Hodul, Barbara A. Centeno, James Costello, Kun Jiang, Sebastian Machado, Issam El Naqa, Paola T. Farah, Tri Huynh, Natarajan Raghunand, Shaffer Mok, Aamir Dam, Mokenge P. Malafa, Aliya Qayyum, Jason B. Fleming, Jennifer B. PermuthList of authors in order
- Landing page
-
https://doi.org/10.3390/cancers16010206Publisher landing page
- PDF URL
-
https://www.mdpi.com/2072-6694/16/1/206/pdf?version=1704101247Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2072-6694/16/1/206/pdf?version=1704101247Direct OA link when available
- Concepts
-
Medicine, Magnetic resonance imaging, Coronal plane, Concordance, Intraclass correlation, Radiology, Cyst, Nuclear medicine, Magnetic resonance cholangiopancreatography, Pathology, Pancreatitis, Internal medicine, Endoscopic retrograde cholangiopancreatography, Psychometrics, Clinical psychologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
-
2024: 2Per-year citation counts (last 5 years)
- References (count)
-
47Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2094388648, https://openalex.org/W2073400663, https://openalex.org/W2007153446, https://openalex.org/W2157716241, https://openalex.org/W2083670334, https://openalex.org/W1970703737, https://openalex.org/W2736069212, https://openalex.org/W2148560417, https://openalex.org/W1998614054, https://openalex.org/W2011831421, https://openalex.org/W2083400359, https://openalex.org/W2800675051, https://openalex.org/W1970479769, https://openalex.org/W2068516781, https://openalex.org/W2078685029, https://openalex.org/W1992868024, https://openalex.org/W6666710716, https://openalex.org/W2052146629, https://openalex.org/W3008893954, https://openalex.org/W2145227558, https://openalex.org/W2201102205, https://openalex.org/W2971414690, https://openalex.org/W1851025514, https://openalex.org/W1987245836, https://openalex.org/W1964343772, https://openalex.org/W2515547489, https://openalex.org/W3100768752, https://openalex.org/W2614784575, https://openalex.org/W2098662761, https://openalex.org/W2063122137, https://openalex.org/W2329505416, https://openalex.org/W2139873912, https://openalex.org/W6793357118, https://openalex.org/W2605681237, https://openalex.org/W2037520677, https://openalex.org/W1987697983, https://openalex.org/W3148613770, https://openalex.org/W2397782876, https://openalex.org/W2755204203, https://openalex.org/W2014821819, https://openalex.org/W2084652933, https://openalex.org/W2951679633, https://openalex.org/W2010438775, https://openalex.org/W2046299781, https://openalex.org/W2170789620, https://openalex.org/W1959581986, https://openalex.org/W2065907379 |
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