Pancreas Imaging: Arterial Phase

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Questions and Answers

What is the primary characteristic of the early arterial phase in contrast-enhanced pancreatic imaging?

  • Demonstration of venous drainage with extensive pancreatic enhancement.
  • Uniform enhancement of the entire pancreatic parenchyma.
  • Significant enhancement of the pancreatic parenchyma with minimal arterial enhancement.
  • Contrast uptake predominantly within the arterial tree with minimal enhancement of the pancreatic parenchyma. (correct)

If a CT angiography of the pancreas is desired, during which phase of contrast-enhanced imaging should the scan be performed?

  • The early arterial phase (approx. 20 seconds) (correct)
  • The venous phase (approx. 40 seconds)
  • The pancreatic phase (approx. 60 seconds)
  • The late parenchymal phase (approx. 80 seconds)

Pancreatic hormone-producing tumors are typically hypervascular. Which phase of contrast-enhanced imaging is most suitable for detecting these tumors?

  • The delayed phase.
  • The pancreatic phase.
  • The venous phase.
  • The early arterial phase. (correct)

In contrast-enhanced CT imaging of the pancreas, what is the approximate time after contrast administration when the early arterial phase is observed?

<p>20 seconds. (C)</p> Signup and view all the answers

A physician suspects hypervascular metastatic deposits in a patient's pancreas. Which imaging phase would be most beneficial in identifying these deposits?

<p>Early arterial phase. (B)</p> Signup and view all the answers

During the early arterial phase of pancreatic imaging, which of the following structures shows the LEAST amount of enhancement?

<p>Pancreatic parenchyma. (D)</p> Signup and view all the answers

A patient undergoes contrast-enhanced CT for pancreatic evaluation. The images show strong enhancement of the arterial system but minimal enhancement of the pancreatic tissue itself. Which phase of imaging is likely being viewed?

<p>Early arterial phase. (A)</p> Signup and view all the answers

What is the primary reason the early arterial phase is optimal for visualizing pancreatic hormone-producing tumors?

<p>These tumors are typically hypervascular. (B)</p> Signup and view all the answers

Which of the following is a key application of the early arterial phase imaging of the pancreas?

<p>Detecting hypervascular metastatic deposits. (A)</p> Signup and view all the answers

In contrast-enhanced pancreatic imaging, if the goal is to visualize the arterial structures with limited interference from parenchymal enhancement, which phase is most appropriate?

<p>The early arterial phase. (B)</p> Signup and view all the answers

Flashcards

Early Arterial Phase

Occurs about 20 seconds after contrast administration begins, highlighting the arterial tree with minimal pancreatic parenchyma enhancement.

Purpose of Arterial Phase

Used to visualize the arterial tree and detect hypervascular tumors or metastases in the pancreas.

Study Notes

  • Contrast enhanced imaging of the pancreas occurs in three phases.
  • The early arterial phase takes place around 20 seconds after contrast administration begins.
  • During this phase, contrast uptake is visible in the arterial tree.
  • There is minimal enhancement of the pancreatic parenchyma during the early arterial phase.
  • This phase is useful when CT angiography is needed.
  • The arterial phase helps in identifying pancreatic hormone-producing tumors due to their hypervascular nature.
  • Hypervascular metastatic deposits in the pancreas can also be detected in this phase.

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