Computed Tomography versus Endoscopic Ultrasonography for Staging of Pancreatic Cancer
Authors: John M. DeWitt, Thomas F. Imperiale, Stuart Sherman
Journal: Annals of Internal Medicine (2005)

Letters5 April 2005Computed Tomography versus Endoscopic Ultrasonography for Staging of Pancreatic CancerJohn M. DeWitt, MD, Thomas F. Imperiale, MD, and Stuart Sherman, MDJohn M. DeWitt, MDFrom Indiana University Medical Center, Indianapolis, IN 46202-5121.Search for more papers by this author, Thomas F. Imperiale, MDFrom Indiana University Medical Center, Indianapolis, IN 46202-5121.Search for more papers by this author, and Stuart Sherman, MDFrom Indiana University Medical Center, Indianapolis, IN 46202-5121.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-142-7-200504050-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We thank Drs. Tierney, Kochman, and Scheiman for their interest in our article. We apologize for the incorrect reference cited.We agree that CT and magnetic resonance imaging (MRI) are superior to endoscopic ultrasonography for detection of hepatic metastases from pancreatic cancer, since most of the right lobe of the liver cannot be seen by the latter test. Therefore, endoscopic ultrasonography clearly cannot replace other methods for staging of the liver but may supplement them. However, endoscopic ultrasonography and endoscopic ultrasonography–guided fine-needle aspiration may detect and accurately sample small metastatic liver lesions missed by other imaging methods (1). ...References1. DeWitt J, LeBlanc J, McHenry L, Ciaccia D, Imperiale T, Chappo J, et al. Endoscopic ultrasound-guided fine needle aspiration cytology of solid liver lesions: a large single-center experience. Am J Gastroenterol. 2003;98:1976-81. [PMID: 14499774] MedlineGoogle Scholar2. Romagnuolo J, Scott J, Hawes RH, Hoffman BJ, Reed CE, Aithal GP, et al. Helical CT versus EUS with fine needle aspiration for celiac nodal assessment in patients with esophageal cancer. Gastrointest Endosc. 2002;55:648-54. [PMID: 11979245] CrossrefMedlineGoogle Scholar3. Nguyen PT, Chang KJ. EUS in the detection of ascites and EUS-guided paracentesis. Gastrointest Endosc. 2001;54:336-9. [PMID: 11522974] CrossrefMedlineGoogle Scholar4. Soriano A, Castells A, Ayuso C, Ayuso JR, de Caralt MT, Ginès MA, et al. Preoperative staging and tumor resectability assessment of pancreatic cancer: prospective study comparing endoscopic ultrasonography, helical computed tomography, magnetic resonance imaging, and angiography. Am J Gastroenterol. 2004;99:492-501. [PMID: 15056091] CrossrefMedlineGoogle Scholar5. Ahmad NA, Lewis JD, Siegelman ES, Rosato EF, Ginsberg GG, Kochman ML. Role of endoscopic ultrasound and magnetic resonance imaging in the preoperative staging of pancreatic adenocarcinoma. Am J Gastroenterol. 2000;95:1926-31. [PMID: 10950037] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Indiana University Medical Center, Indianapolis, IN 46202-5121. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoComparison of Endoscopic Ultrasonography and Multidetector Computed Tomography for Detecting and Staging Pancreatic Cancer John DeWitt , Benedict Devereaux , Melissa Chriswell , Kathleen McGreevy , Thomas Howard , Thomas F. Imperiale , Donato Ciaccia , Kathleen A. Lane , Dean Maglinte , Kenyon Kopecky , Julia LeBlanc , Lee McHenry , James Madura , Alex Aisen , Harvey Cramer , Oscar Cummings , and Stuart Sherman Computed Tomography versus Endoscopic Ultrasonography for Staging of Pancreatic Cancer William M. Tierney , Michael L. Kochman , and James M. Scheiman Metrics 5 April 2005Volume 142, Issue 7Page: 590-591KeywordsComputed axial tomographyLiverPancreatic cancerPatient advocacySurgerySurgical resectionUltrasound imagingVascular surgeryVeins ePublished: 5 April 2005 Issue Published: 5 April 2005 Copyright & PermissionsCopyright © 2005 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...