Chapter-020 Imaging of the Pancreas

BOOK TITLE: ESI Manual of Clinical Endocrinology

1. Kalra Sanjay
2. Chaudhary Vikas
3. Bano Shahina
Publishing Year
Author Affiliations
1. Bharti Hospital, Karnal, Haryana, India, Bharti Hospital and B.R.I.D.E., Karnal 132 001, Haryana, India, Bharti Hospital and BRIDE Karnal; Indian J Endocrinology Metabolism, Bharti Hospital, Karnal, Haryana, India, Bharti Hospital, Karnal-132001, Haryana, India, Indian J Endocrinology and Metabolism; J of Social Health in Diabetes (JoSH Diabetes), Bharti Hospital and BRIDE, Karnal, Haryana, India, Bharti Hospital and BRIDE, Karnal, Haryana, India
2. Employees’ State Insurance Corporation (ESIC), Medical College and Hospital, Faridabad, Haryana, India
3. Postgraduate Institute of Medical Education and Research (PGIMER), Dr Ram Manohar Lohia (RML) Hospital, New Delhi, India
Chapter keywords
Pancreas, plain abdominal film, ultrasound, radionuclide imaging, single-photon emission computed tomography


This chapter gives a clear outline about various modalities used in pancreatic imaging, their applications in the diagnosis and management of pancreatic pathologies. New imaging techniques in pancreatic disease help to identify the malignancies and inflammatory lesions and to stage pancreatic cancer accurately. Plain abdominal film, ultrasound (US), CT, MRI, radionuclide imaging and single-photon emission computed tomography (SPECT) are important methods used in the investigation of pancreas. Annular Pancreas is secondary to abnormal migration of ventral pancreas where as pancreatic divisum occurs due to failure of fusion of dorsal and ventral pancreatic ducts. Acute pancreatitis, chronic pancreatitis and groove pancreatitis are the three types of pancreatitis and these are explained with the appropriate clear images. Pancreatic adenocarcinoma mainly affects elderly males and is commonly found in head. Mucinous cystadenoma is mostly seen in females and it is called as mother lesions. Cystic fibrosis, hemochromatosis and Von Hippel–Lindau disease are referred as hereditary conditions involving the pancreas. MDCT is a significant method for the evaluation of pancreas.

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