EVALUATION OF FOCAL PANCREATIC MASS LESIONS USING MULTI DETECTOR COMPUTED TOMOGRAPHY
DOI:
https://doi.org/10.48047/Keywords:
Multi-Detector Computed Tomography, Pancreatic Lesions, Diagnostic Accuracy, Histopathology, Clinical Management.Abstract
Background: Pancreatic lesions, encompassing a spectrum from benign cystic formations to malignant neoplasms, demand advanced diagnostic approaches. Multi-Detector Computed Tomography (MDCT) has emerged as a key modality for evaluating focal pancreatic mass lesions due to its enhanced accuracy.
Objective: This study aims to assess the accuracy of MDCT in distinguishing between benign and malignant pancreatic lesions, utilizing histopathological findings as a reference standard.
Methods: Over 18 months, 58 patients with suspected pancreatic pathology underwent MDCT at MMCRI. Demographic data, MDCT diagnoses, symptoms, lesion distribution, and histopathological findings were analyzed.
Results: MDCT diagnoses included pseudocysts (39.7%) and malignant lesions (37.9%). Pain abdomen was the predominant symptom (93.1%). Lesions were most commonly located in the head of the pancreas (25.9%). MDCT demonstrated high sensitivity (87%) and
specificity (94.3%), with an overall accuracy of 91.3%.
Conclusion: This study highlights MDCT's efficacy in accurately diagnosing and characterizing pancreatic lesions. The findings support its role in clinical decision-making and contribute to improved patient outcomes.
