International Journal of Clinical Research

Objective To compare the value of multi-slice spiral CT (MSCT) and magnetic resonance imaging (MRI) in the diagnosis of pancreatic neoplastic lesions. Methods The imaging data of 100 patients with pancreatic neoplastic lesions confirmed by surgery and pathology in our hospital from January 2019 to December 2022 were retrospectively analyzed. Among them, 50 cases received MSCT examination and 50 cases received MRI examination. The accuracy, sensitivity and specificity of the two methods in the diagnosis of pancreatic neoplastic lesions were compared with the surgical pathological results as the gold standard. Results The diagnostic accuracy of MSCT and MRI for pancreatic neoplastic lesions was 86.7%(52/60) and 90.0%(54/60), respectively, with no statistical significance (P > 0.05). The sensitivity of MSCT and MRI for pancreatic neoplastic lesions was 75.0% (45/60) and 83.3% (50/60), respectively, with no statistical significance (P > 0.05). The specificity of MSCT and MRI for pancreatic neoplastic lesions was 80.0% (8/10) and 81.8% (9/11), respectively, with no statistical significance (P > 0.05). Conclusion MSCT and MRI are equally valuable in the diagnosis of pancreatic neoplastic lesions. Both have their own advantages and can complement each other. However, in some cases, MRI may be more advantageous, such as for the diagnosis of small pancreatic cancer, pancreatic cystadenoma, etc.

Multi-slice spiral CT; Magnetic resonance imaging; Neoplastic lesions of pancreas; Diagnosis