Masoom A. Haider1, Wigdan Al-Sukhni2,
Kartik S. Jhaveri1, Heidi Rothenmund2, Spring Holter2,
Steven Narod3, Malcolm Moore4, Stephanie Wilson5,
Steven Gallinger2
1Medical Imaging, Princess Margaret
Hospital, University of Toronto, Toronto, Ontario, Canada; 2Department
of Surgery, University Health Network,
University of Toronto, Toronto, Ontario, Canada; 3Women's
College Research Institute, University
of Toronto, Toronto, Ontario, Canada; 4Department of Medicine,
Princess Margaret Hospital, University of Toronto, Toronto, Ontario, Canada; 5Medical
Imaging, University Health Network, University of Toronto, Toronto, Ontario,
Canada
High risk patients were screened annually with non-contrast 20 minute MRI protocol from 2003-2010. Pancreatic cancer was found in 2 of the 259 patients (0.7%): 57 yo female with a 1.5cm adenocarcinoma and a concomitant IPMN, stage IIB ; 80 yo male with unresectable pancreatic adenocarcinoma. IPMNs were seen in 14 patients (5.4%).Seven significant incidental findings (2.7%) were detected by MRI. MRI has the potential to detect pancreatic cancer in a high risk screening populations but frequent scanning and IV contrast and may be required to impact survival. IPMNs are a common finding.