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Fig. 9 | Insights into Imaging

Fig. 9

From: Imaging diagnosis and staging of pancreatic ductal adenocarcinoma: a comprehensive review

Fig. 9

A 60-year-old man undergoing preoperative imaging for PDAC. Axial (a and b), and sagittal (c) pancreatic phase CT images show ostial stenosis of the celiac artery (arrow) due to atherosclerotic disease. The patient has a biliary stent (curved arrow) and PDAC is identified as a subtle hypoattenuating lesion (arrowheads). Axial fat-suppressed T1-weighted MR image (d) clearly demonstrates PDAC as a hypointense mass. Intraoperative Doppler ultrasound (e and f) shows a significant celiac artery stenosis by demonstrating caudocranial/reversed blood flow in the gastroduodenal artery, denoting its significant contribution to the hepatic arterial supply. The patient subsequently underwent pancreaticoduodenectomy after celiac artery stenting

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