Pancreatic Adenocarcinoma: Diagnostic Errors, Contributing Factors and Solutions

Acad Radiol. 2022 Jul;29(7):967-976. doi: 10.1016/j.acra.2021.10.025. Epub 2021 Nov 24.

Abstract

The purpose of this article is to review diagnostic errors in preoperative and post-operative imaging for pancreatic ductal adenocarcinoma (PDAC), discuss contributing factors, and provide solutions that minimize errors. Accurate radiological staging and restaging of PDAC dictates surgical management and errors can have significant negative effects on patient care, such as missed vessel involvement or metastatic disease that would preclude surgery. Familiarity with these errors and their contributing factors improves diagnostic accuracy and ultimately leads to improved patient outcomes.

Keywords: Diagnostic errors; Pancreatic ductal adenocarcinoma; Staging.

Publication types

  • Review

MeSH terms

  • Adenocarcinoma* / diagnostic imaging
  • Adenocarcinoma* / pathology
  • Carcinoma, Pancreatic Ductal* / diagnostic imaging
  • Carcinoma, Pancreatic Ductal* / pathology
  • Carcinoma, Pancreatic Ductal* / surgery
  • Diagnostic Errors / prevention & control
  • Humans
  • Neoplasm Staging
  • Pancreatic Neoplasms* / diagnostic imaging
  • Pancreatic Neoplasms* / surgery