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PurposeThe purpose of this study is to evaluate the ability of multidetector CT (MDCT) in predicting resectability of pancreatic tumors.Patients and methodsThirty-nine patients were included in this study, there were 29 males and 10 females, and their age range was 44–73years with a mean age of 58.3years. All the patients were subjected to contrast enhanced biphasic examinations on 64-slice CT machine.ResultsTwenty-one patients (53.8%) were considered inoperable with unresected tumor, the remaining 18 patients (46.2%) were considered suitable for tumor resection according to MDCT criteria. 15 out of the 18 patients (83.3) had a successful tumor resection while the remaining 3 (16.7%) showed unresectable tumor during operation. On the basis of pathology results 12 patients out of the 18 (66.7%) had successful surgery with negative tumor margin, and a positive predictive value of 66.7% and accuracy of 66.7%.ConclusionsThere is better prediction of resectability of pancreatic tumors with the development of MDCT technology. As compared to Helical computed tomography (HCT) studies, there is a rise in the rate of successful surgical resection. The positive predictive value of multidetector computed tomography for resectable pancreatic tumors is decreased when pathologic results are used as a reference standard

Resectability of pancreatic tumors: Correlation of multidetector CT with surgical and pathologic results