A 41-year-old patient has severe abdominal pain with no
speci;c history. CT revealed an enlarged corporeo-caudal
portion of the pancreas, with a nodular lesion of 17 mm in
the long axis. Referred for an MR exam of the pancreas to
rule out pancreatitis.
The hyposignal of the tail of the pancreas on the LAVA series
is in favor of a pancreatitis. The MRCP reveals a discrete
dilatation of the Wirsung canal upstream the nodular lesion.
With the LAVA Turbo Mode option, we are able to increase the
spatial resolution from 1.33 x 1.56 x 2. 4 mm3 (matrix 300 x 256)
to 1.25 x 1.38 x 2 mm3 (matrix 320 x 288) on the arterial
phase while reducing the breath-hold time from 28 seconds
to 23-24 seconds for dynamics. With this sequence, we were
able to obtain CT-quality images with the added bene;t of MR
contrast, enabling a con;dent diagnosis of pancreatitis.
1. Kamisawa T, Chari ST, Lerch MM, Kim MH, Gress TM, Shimosegawa T. Recent advances in
autoimmune pancreatitis: Type 1 and Type 2. Gut, 2013 Sep; 62( 9):1373-80. doi: 10.1136/
gutjnl-2012-304224. Epub 2013 Jun 8.
2. Sugumar A, Chari A. Autoimmune Pancreatitis: An Update. Available at:
Marc Zins, MD, is Chief Radiologist at the Fondation Hôpital Saint-Joseph in Paris, France.
Saint Joseph Hospital is a 746-bed, private, non-pro;t public service hospital. In January 2006, Saint Michel Hospital and Notre Dame de Bon Secours
Hospital joined Saint-Joseph to form the Paris Saint-Joseph Hospital Group. Today, the three hospitals provide a full range of heath services for patients
south of Paris.
Figure 2. FOCUS with
increased spatial resolution
allows a clear depiction
of the pancreas from the
Figure 3. (A) CT revealed an
portion of the pancreas,
with a nodular lesion of
17 mm in the long axis.
(B) The MRCP reveals a
discrete dilatation of the
Wirsung canal upstream
the nodular lesion.