Pancreatic carcinoma coexisting with chronic pancreatitis versus tumor-forming pancreatitis:Diagnostic utility of the time-signal intensity curve from dynamic contrast-enhanced MR imaging

AIM: To evaluate the ability of the time-signal intensity curve (TIC) of the pancreas obtained from dynamic contrast-enhanced magnetic resonance imaging (MRI) for differentiation of focal pancreatic masses, especially pancreatic carcinoma coexisting with chronic pancreatitis and tumor-forming pancreatitis. METHODS: Forty-eight consecutive patients who underwent surgery for a focal pancreatic mass, including pancreatic ductal carcinoma (n = 33), tumor-forming pancreatitis (n = 8), and islet cell tumor (n = 7), were reviewed. Five pancreatic carcinomas coexisted with longstanding chronic pancreatitis. The pancreatic TICs were obtained from the pancreatic mass and the pancreatic parenchyma both proximal and distal to the mass lesion in each patient, prior to surgery, and were classified into 4 types according to the time to a peak: 25 s and 1, 2, and 3 min after the bolus injection of contrast material, namely, type-Ⅰ, Ⅱ, Ⅲ, and Ⅳ, respectively, and were then compared to the corresponding histological pancreatic conditions. RESULTS: Pancreatic carcinomas demonstrated type-Ⅲ (n = 13) or Ⅳ (n = 20) TIC. Tumor-forming pancreatitis showed type-Ⅱ (n = 5) or Ⅲ (n = 3) TIC. All islet cell tumors revealed type-Ⅰ. The type-Ⅳ TIC was only recognized in pancreatic carcinoma, and the TIC of carcinoma always depicted the slowest rise to a peak among the 3 pancreatic TICs measured in each patient, even in patients with chronic pancreatitis.CONCLUSION: Pancreatic TIC from dynamic MRI provides reliable information for distinguishing pancreatic carcinoma from other pancreatic masses, and may enable us to avoid unnecessary pancreatic surgery and delays in making a correct diagnosis of pancreatic carcinoma, especially, in patients with longstanding chronic pancreatitis.

Macro-physical field of large diameter magnesium alloy billet electromagnetic direct-chill casting:A comparative study

A comprehensive two-dimensional axisymmetric mathematical model that couples transient electromagnetic force with fluid flow,heat transfer,and solidification was established to describe the interaction of multiphysics field during DC casting.The melt flow,heat transfer,and solidification characteristics under differential phase pulse magnetic field and differential phase low-frequency electromagnetic field(DP-PMF and DP-LFEF)were numerically investigated by means of numerical simulation during electromagnetic direct-chill(DC)casting of AZ31 alloy at the same casting conditions.The effects of differential phase electromagnetic fields on Lorentz forces distributions,melt flow,heat transfer,and liquid sump shape were discussed systematically.Based on measured current waveform,the results were compared with those obtained without magnetic field(MF)and under conventional pulse magnetic field(PMF)and low-frequency electromagnetic field(LFEF)under the same conditions.The results show that the application of magnetic fields can significantly change the solidification process of DC casting.Differential phase magnetic fields(DP-LFEF and DP-PMF)can effectively reduce the temperature of the melt in the liquid sump,and the shallower liquid sump depth can be obtained under the differential phase magnetic fields.A large velocity vibration amplitude and a lower temperature are available simultaneously under DP-PMF,resulting in more uniform temperature distribution.