Table 2. Characteristic Imaging Features of Each of Solid Pancreatic Lesions Used for Making Specific Diagnosis.
Diagnosis | Characteristic Imaging Features |
---|---|
PDAC | Low signal intensity on fat suppressed T1W images |
Poor enhancement on dynamic studies | |
Ill-defined margin | |
Upstream pancreatic ductal dilatation and parenchymal atrophy with/without bile duct obstruction | |
NET | Hyperenhancement than pancreas parenchyma on the arterial and/or pancreatic phase |
Discrete margin and lack of adjacent vascular invasion | |
Absence or mild degree of pancreatic ductal dilatation | |
SPT | Strong prevalence among middle-aged women |
Well-defined margin | |
Intratumoral high signal intensity on fat suppressed T1W images, suggestive of hemorrhage | |
Early, heterogeneous, slowly progressive enhancement pattern | |
Mass-forming AIP | Hypoenhancing mass like lesion during dynamic phases |
Capsule-like rim enhancement | |
Delayed enhancement | |
Absence of bile-duct or pancreatic duct stricture | |
Irregular or geographic shape rather than round, oval or lobulated shape | |
Metastasis | Multiple solid pancreatic lesions |
Stronger enhancing masses than pancreas parenchyma if primary malignancy is RCC (evidence of previous nephrectomy or partial nephrectomy) | |
Hypoenhancing masses if primary malignancy is not RCC | |
Discrete margin |
AIP = autoimmune pancreatitis, NET = neuroendocrine tumor, PDAC = pancreatic ductal adenocarcinoma, RCC = renal cell carcinoma, SPT = solid pseudopapillary tumor, T1W = T1-weighted