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Pancreatic IPMN
Siva P. Raman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        TERMINOLOGY

        • Abbreviations

          • Intraductal papillary mucinous neoplasm (IPMN)
        • Synonyms

          • Intraductal papillary mucinous tumor, intraductal mucin-hypersecreting neoplasm, ductectatic mucinous cystadenoma/carcinoma
        • Definitions

          • Mucin-producing papillary tumor arising from epithelium of main pancreatic duct (MPD) or pancreatic duct side branches

        IMAGING

        • General Features

          • CT Findings

            • MR Findings

              • Ultrasonographic Findings

                • Radiographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Chai L et al: Assessment of malignancy potential in intraductal papillary mucinous neoplasms of the pancreas on MDCT. Acad Radiol. 28(5):679-86, 2021
                                        2. Chai L et al: Assessment of malignancy potential in intraductal papillary mucinous neoplasms of the pancreas on MDCT. Acad Radiol. 28(5):679-86, 2021
                                        3. Dbouk M et al: Guidelines on management of pancreatic cysts detected in high-risk individuals: an evaluation of the 2017 Fukuoka guidelines and the 2020 International Cancer of the Pancreas Screening (CAPS) consortium statements. Pancreatology. 21(3):613-21, 2021
                                        4. Dbouk M et al: Guidelines on management of pancreatic cysts detected in high-risk individuals: an evaluation of the 2017 Fukuoka guidelines and the 2020 International Cancer of the Pancreas Screening (CAPS) consortium statements. Pancreatology. 21(3):613-21, 2021
                                        5. Delaney FT et al: An abbreviated MRI protocol for surveillance of cystic pancreatic lesions. Abdom Radiol (NY). ePub, 2021
                                        6. Delaney FT et al: An abbreviated MRI protocol for surveillance of cystic pancreatic lesions. Abdom Radiol (NY). ePub, 2021
                                        7. D'Onofrio M et al: Magnetic resonance (MR) for mural nodule detection studying Intraductal papillary mucinous neoplasms (IPMN) of pancreas: Imaging-pathologic correlation. Pancreatology. 21(1):180-7, 2021
                                        8. D'Onofrio M et al: Magnetic resonance (MR) for mural nodule detection studying Intraductal papillary mucinous neoplasms (IPMN) of pancreas: Imaging-pathologic correlation. Pancreatology. 21(1):180-7, 2021
                                        9. Liu H et al: The diagnostic role of CT, MRI/MRCP, PET/CT, EUS and DWI in the differentiation of benign and malignant IPMN: a meta-analysis. Clin Imaging. 72:183-93, 2021
                                        10. Liu H et al: The diagnostic role of CT, MRI/MRCP, PET/CT, EUS and DWI in the differentiation of benign and malignant IPMN: a meta-analysis. Clin Imaging. 72:183-93, 2021
                                        11. Min JH et al: Intraductal papillary mucinous neoplasm of the pancreas: diagnostic performance of the 2017 international consensus guidelines using CT and MRI. Eur Radiol. ePub, 2021
                                        12. Min JH et al: Intraductal papillary mucinous neoplasm of the pancreas: diagnostic performance of the 2017 international consensus guidelines using CT and MRI. Eur Radiol. ePub, 2021
                                        13. Yoon JG et al: Pancreatic cystic neoplasms: a review of current recommendations for surveillance and management. Abdom Radiol (NY). ePub, 2021
                                        14. Yoon JG et al: Pancreatic cystic neoplasms: a review of current recommendations for surveillance and management. Abdom Radiol (NY). ePub, 2021
                                        15. Osman H et al: Pancreas cystic lesions. Surg Clin North Am. 100(3):581-8, 2020
                                        16. Osman H et al: Pancreas cystic lesions. Surg Clin North Am. 100(3):581-8, 2020
                                        17. Yadav RK et al: Differentiating benign from malignant pancreatic cysts on computed tomography. Eur J Radiol Open. 7:100278, 2020
                                        18. Yadav RK et al: Differentiating benign from malignant pancreatic cysts on computed tomography. Eur J Radiol Open. 7:100278, 2020
                                        19. Tanaka M et al: Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas. Pancreatology. 17(5):738-53, 2017
                                        20. Tanaka M et al: Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas. Pancreatology. 17(5):738-53, 2017
                                        21. Campbell NM et al: Imaging patterns of intraductal papillary mucinous neoplasms of the pancreas: an illustrated discussion of the International Consensus Guidelines for the management of IPMN. Abdom Imaging. 40(3):663-77, 2015
                                        22. Campbell NM et al: Imaging patterns of intraductal papillary mucinous neoplasms of the pancreas: an illustrated discussion of the International Consensus Guidelines for the management of IPMN. Abdom Imaging. 40(3):663-77, 2015
                                        23. Kim SH et al: Intraductal papillary mucinous neoplasms of the pancreas: evaluation of malignant potential and surgical resectability by using MR imaging with MR cholangiography. Radiology. 274(3):723-33, 2015
                                        24. Kim SH et al: Intraductal papillary mucinous neoplasms of the pancreas: evaluation of malignant potential and surgical resectability by using MR imaging with MR cholangiography. Radiology. 274(3):723-33, 2015
                                        25. Kim KW et al: Imaging features to distinguish malignant and benign branch-duct type intraductal papillary mucinous neoplasms of the pancreas: a meta-analysis. Ann Surg. 259(1):72-81, 2014
                                        26. Kim KW et al: Imaging features to distinguish malignant and benign branch-duct type intraductal papillary mucinous neoplasms of the pancreas: a meta-analysis. Ann Surg. 259(1):72-81, 2014
                                        27. Lennon AM et al: Role of a multidisciplinary clinic in the management of patients with pancreatic cysts: a single-center cohort study. Ann Surg Oncol. 21(11):3668-74, 2014
                                        28. Lennon AM et al: Role of a multidisciplinary clinic in the management of patients with pancreatic cysts: a single-center cohort study. Ann Surg Oncol. 21(11):3668-74, 2014
                                        29. Ogawa T et al: Diffusion-weighted magnetic resonance imaging for evaluating the histological degree of malignancy in patients with intraductal papillary mucinous neoplasm. J Hepatobiliary Pancreat Sci. 21(11):801-8, 2014
                                        30. Ogawa T et al: Diffusion-weighted magnetic resonance imaging for evaluating the histological degree of malignancy in patients with intraductal papillary mucinous neoplasm. J Hepatobiliary Pancreat Sci. 21(11):801-8, 2014
                                        31. Kang KM et al: Added value of diffusion-weighted imaging to MR cholangiopancreatography with unenhanced MR imaging for predicting malignancy or invasiveness of intraductal papillary mucinous neoplasm of the pancreas. J Magn Reson Imaging. 38(3):555-63, 2013
                                        32. Kang KM et al: Added value of diffusion-weighted imaging to MR cholangiopancreatography with unenhanced MR imaging for predicting malignancy or invasiveness of intraductal papillary mucinous neoplasm of the pancreas. J Magn Reson Imaging. 38(3):555-63, 2013
                                        33. Perez-Johnston R et al: Frequency and significance of calcification in IPMN. Pancreatology. 13(1):43-7, 2013
                                        34. Perez-Johnston R et al: Frequency and significance of calcification in IPMN. Pancreatology. 13(1):43-7, 2013
                                        35. Raman SP et al: Endoscopic ultrasound and pancreatic applications: what the radiologist needs to know. Abdom Imaging. 38(6):1360-72, 2013
                                        36. Raman SP et al: Endoscopic ultrasound and pancreatic applications: what the radiologist needs to know. Abdom Imaging. 38(6):1360-72, 2013
                                        37. Raman SP et al: Histopathologic findings of multifocal pancreatic intraductal papillary mucinous neoplasms on CT. AJR Am J Roentgenol. 200(3):563-9, 2013
                                        38. Raman SP et al: Histopathologic findings of multifocal pancreatic intraductal papillary mucinous neoplasms on CT. AJR Am J Roentgenol. 200(3):563-9, 2013
                                        39. Kobayashi N et al: Endoscopic ultrasonographic findings predict the risk of carcinoma in branch duct intraductal papillary mucinous neoplasms of the pancreas. Pancreatology. 12(2):141-5, 2012
                                        40. Kobayashi N et al: Endoscopic ultrasonographic findings predict the risk of carcinoma in branch duct intraductal papillary mucinous neoplasms of the pancreas. Pancreatology. 12(2):141-5, 2012
                                        41. Remotti HE et al: Intraductal papillary mucinous neoplasms of the pancreas: clinical surveillance and malignant progression, multifocality and implications of a field-defect. JOP. 13(2):135-8, 2012
                                        42. Remotti HE et al: Intraductal papillary mucinous neoplasms of the pancreas: clinical surveillance and malignant progression, multifocality and implications of a field-defect. JOP. 13(2):135-8, 2012
                                        43. Sahara S et al: Differentiation of pancreatic serous cystadenoma from endocrine tumor and intraductal papillary mucinous neoplasm based on washout pattern on multiphase CT. J Comput Assist Tomogr. 36(2):231-6, 2012
                                        44. Sahara S et al: Differentiation of pancreatic serous cystadenoma from endocrine tumor and intraductal papillary mucinous neoplasm based on washout pattern on multiphase CT. J Comput Assist Tomogr. 36(2):231-6, 2012
                                        45. Tanaka M et al: International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas. Pancreatology. 12(3):183-97, 2012
                                        46. Tanaka M et al: International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas. Pancreatology. 12(3):183-97, 2012
                                        47. Nara S et al: Preoperative evaluation of invasive and noninvasive intraductal papillary-mucinous neoplasms of the pancreas: clinical, radiological, and pathological analysis of 123 cases. Pancreas. 38(1):8-16, 2009
                                        48. Nara S et al: Preoperative evaluation of invasive and noninvasive intraductal papillary-mucinous neoplasms of the pancreas: clinical, radiological, and pathological analysis of 123 cases. Pancreas. 38(1):8-16, 2009
                                        49. Gupta R et al: Pancreatic intraductal papillary mucinous neoplasms: role of CT in predicting pathologic subtypes. AJR Am J Roentgenol. 2008 Nov;191(5):1458-64. Erratum in: AJR Am J Roentgenol. 191(6):1876, 2008
                                        50. Gupta R et al: Pancreatic intraductal papillary mucinous neoplasms: role of CT in predicting pathologic subtypes. AJR Am J Roentgenol. 2008 Nov;191(5):1458-64. Erratum in: AJR Am J Roentgenol. 191(6):1876, 2008
                                        51. Jang JY et al: Treatment guidelines for branch duct type intraductal papillary mucinous neoplasms of the pancreas: when can we operate or observe? Ann Surg Oncol. 15(1):199-205, 2008
                                        52. Jang JY et al: Treatment guidelines for branch duct type intraductal papillary mucinous neoplasms of the pancreas: when can we operate or observe? Ann Surg Oncol. 15(1):199-205, 2008
                                        53. Ogawa H et al: Intraductal papillary mucinous neoplasm of the pancreas: assessment of the likelihood of invasiveness with multisection CT. Radiology. 248(3):876-86, 2008
                                        54. Ogawa H et al: Intraductal papillary mucinous neoplasm of the pancreas: assessment of the likelihood of invasiveness with multisection CT. Radiology. 248(3):876-86, 2008
                                        55. Takeshita K et al: Differential diagnosis of benign or malignant intraductal papillary mucinous neoplasm of the pancreas by multidetector row helical computed tomography: evaluation of predictive factors by logistic regression analysis. J Comput Assist Tomogr. 32(2):191-7, 2008
                                        56. Takeshita K et al: Differential diagnosis of benign or malignant intraductal papillary mucinous neoplasm of the pancreas by multidetector row helical computed tomography: evaluation of predictive factors by logistic regression analysis. J Comput Assist Tomogr. 32(2):191-7, 2008
                                        57. Waters JA et al: CT vs MRCP: optimal classification of IPMN type and extent. J Gastrointest Surg. 12(1):101-9, 2008
                                        58. Waters JA et al: CT vs MRCP: optimal classification of IPMN type and extent. J Gastrointest Surg. 12(1):101-9, 2008
                                        59. Yamada Y et al: Intraductal papillary mucinous neoplasms of the pancreas: correlation of helical CT and dynamic MR imaging features with pathologic findings. Abdom Imaging. 33(4):474-81, 2008
                                        60. Yamada Y et al: Intraductal papillary mucinous neoplasms of the pancreas: correlation of helical CT and dynamic MR imaging features with pathologic findings. Abdom Imaging. 33(4):474-81, 2008
                                        61. Vullierme MP et al: Malignant intraductal papillary mucinous neoplasm of the pancreas: in situ versus invasive carcinoma surgical resectability. Radiology. 245(2):483-90, 2007
                                        62. Vullierme MP et al: Malignant intraductal papillary mucinous neoplasm of the pancreas: in situ versus invasive carcinoma surgical resectability. Radiology. 245(2):483-90, 2007
                                        63. Kawamoto S et al: MDCT of intraductal papillary mucinous neoplasm of the pancreas: evaluation of features predictive of invasive carcinoma. AJR Am J Roentgenol. 186(3):687-95, 2006
                                        64. Kawamoto S et al: MDCT of intraductal papillary mucinous neoplasm of the pancreas: evaluation of features predictive of invasive carcinoma. AJR Am J Roentgenol. 186(3):687-95, 2006
                                        65. Sahani DV et al: Intraductal papillary mucinous neoplasm of pancreas: multi-detector row CT with 2D curved reformations--correlation with MRCP. Radiology. 238(2):560-9, 2006
                                        66. Sahani DV et al: Intraductal papillary mucinous neoplasm of pancreas: multi-detector row CT with 2D curved reformations--correlation with MRCP. Radiology. 238(2):560-9, 2006
                                        67. Prasad SR et al: Intraductal papillary mucinous tumors of the pancreas. Abdom Imaging. 28(3):357-65, 2003
                                        68. Prasad SR et al: Intraductal papillary mucinous tumors of the pancreas. Abdom Imaging. 28(3):357-65, 2003
                                        69. Sai JK et al: Management of branch duct-type intraductal papillary mucinous tumor of the pancreas based on magnetic resonance imaging. Abdom Imaging. 28(5):694-9, 2003
                                        70. Sai JK et al: Management of branch duct-type intraductal papillary mucinous tumor of the pancreas based on magnetic resonance imaging. Abdom Imaging. 28(5):694-9, 2003
                                        71. Sugiyama M et al: Predictive factors for malignancy in intraductal papillary-mucinous tumours of the pancreas. Br J Surg. 90(10):1244-9, 2003
                                        72. Sugiyama M et al: Predictive factors for malignancy in intraductal papillary-mucinous tumours of the pancreas. Br J Surg. 90(10):1244-9, 2003
                                        73. Taouli B et al: Intraductal papillary mucinous tumors of the pancreas: features with multimodality imaging. J Comput Assist Tomogr. 26(2):223-31, 2002
                                        74. Taouli B et al: Intraductal papillary mucinous tumors of the pancreas: features with multimodality imaging. J Comput Assist Tomogr. 26(2):223-31, 2002
                                        75. Lim JH et al: Radiologic spectrum of intraductal papillary mucinous tumor of the pancreas. Radiographics. 21(2):323-37; discussion 337-40, 2001
                                        76. Lim JH et al: Radiologic spectrum of intraductal papillary mucinous tumor of the pancreas. Radiographics. 21(2):323-37; discussion 337-40, 2001
                                        77. Peters HE et al: Magnetic resonance cholangiopancreatography (MRCP) of intraductal papillary-mucinous neoplasm (IPMN) of the pancreas: case report. Magn Reson Imaging. 19(8):1139-43, 2001
                                        78. Peters HE et al: Magnetic resonance cholangiopancreatography (MRCP) of intraductal papillary-mucinous neoplasm (IPMN) of the pancreas: case report. Magn Reson Imaging. 19(8):1139-43, 2001
                                        79. Silas AM et al: Intraductal papillary mucinous tumors of the pancreas. AJR Am J Roentgenol. 176(1):179-85, 2001
                                        80. Silas AM et al: Intraductal papillary mucinous tumors of the pancreas. AJR Am J Roentgenol. 176(1):179-85, 2001
                                        81. Fukukura Y et al: Intraductal papillary mucinous tumors of the pancreas: thin-section helical CT findings. AJR Am J Roentgenol. 174(2):441-7, 2000
                                        82. Fukukura Y et al: Intraductal papillary mucinous tumors of the pancreas: thin-section helical CT findings. AJR Am J Roentgenol. 174(2):441-7, 2000
                                        Related Anatomy
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Intraductal papillary mucinous neoplasm (IPMN)
                                              • Synonyms

                                                • Intraductal papillary mucinous tumor, intraductal mucin-hypersecreting neoplasm, ductectatic mucinous cystadenoma/carcinoma
                                              • Definitions

                                                • Mucin-producing papillary tumor arising from epithelium of main pancreatic duct (MPD) or pancreatic duct side branches

                                              IMAGING

                                              • General Features

                                                • CT Findings

                                                  • MR Findings

                                                    • Ultrasonographic Findings

                                                      • Radiographic Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Staging, Grading, & Classification

                                                                • Gross Pathologic & Surgical Features

                                                                  • Microscopic Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Chai L et al: Assessment of malignancy potential in intraductal papillary mucinous neoplasms of the pancreas on MDCT. Acad Radiol. 28(5):679-86, 2021
                                                                              2. Chai L et al: Assessment of malignancy potential in intraductal papillary mucinous neoplasms of the pancreas on MDCT. Acad Radiol. 28(5):679-86, 2021
                                                                              3. Dbouk M et al: Guidelines on management of pancreatic cysts detected in high-risk individuals: an evaluation of the 2017 Fukuoka guidelines and the 2020 International Cancer of the Pancreas Screening (CAPS) consortium statements. Pancreatology. 21(3):613-21, 2021
                                                                              4. Dbouk M et al: Guidelines on management of pancreatic cysts detected in high-risk individuals: an evaluation of the 2017 Fukuoka guidelines and the 2020 International Cancer of the Pancreas Screening (CAPS) consortium statements. Pancreatology. 21(3):613-21, 2021
                                                                              5. Delaney FT et al: An abbreviated MRI protocol for surveillance of cystic pancreatic lesions. Abdom Radiol (NY). ePub, 2021
                                                                              6. Delaney FT et al: An abbreviated MRI protocol for surveillance of cystic pancreatic lesions. Abdom Radiol (NY). ePub, 2021
                                                                              7. D'Onofrio M et al: Magnetic resonance (MR) for mural nodule detection studying Intraductal papillary mucinous neoplasms (IPMN) of pancreas: Imaging-pathologic correlation. Pancreatology. 21(1):180-7, 2021
                                                                              8. D'Onofrio M et al: Magnetic resonance (MR) for mural nodule detection studying Intraductal papillary mucinous neoplasms (IPMN) of pancreas: Imaging-pathologic correlation. Pancreatology. 21(1):180-7, 2021
                                                                              9. Liu H et al: The diagnostic role of CT, MRI/MRCP, PET/CT, EUS and DWI in the differentiation of benign and malignant IPMN: a meta-analysis. Clin Imaging. 72:183-93, 2021
                                                                              10. Liu H et al: The diagnostic role of CT, MRI/MRCP, PET/CT, EUS and DWI in the differentiation of benign and malignant IPMN: a meta-analysis. Clin Imaging. 72:183-93, 2021
                                                                              11. Min JH et al: Intraductal papillary mucinous neoplasm of the pancreas: diagnostic performance of the 2017 international consensus guidelines using CT and MRI. Eur Radiol. ePub, 2021
                                                                              12. Min JH et al: Intraductal papillary mucinous neoplasm of the pancreas: diagnostic performance of the 2017 international consensus guidelines using CT and MRI. Eur Radiol. ePub, 2021
                                                                              13. Yoon JG et al: Pancreatic cystic neoplasms: a review of current recommendations for surveillance and management. Abdom Radiol (NY). ePub, 2021
                                                                              14. Yoon JG et al: Pancreatic cystic neoplasms: a review of current recommendations for surveillance and management. Abdom Radiol (NY). ePub, 2021
                                                                              15. Osman H et al: Pancreas cystic lesions. Surg Clin North Am. 100(3):581-8, 2020
                                                                              16. Osman H et al: Pancreas cystic lesions. Surg Clin North Am. 100(3):581-8, 2020
                                                                              17. Yadav RK et al: Differentiating benign from malignant pancreatic cysts on computed tomography. Eur J Radiol Open. 7:100278, 2020
                                                                              18. Yadav RK et al: Differentiating benign from malignant pancreatic cysts on computed tomography. Eur J Radiol Open. 7:100278, 2020
                                                                              19. Tanaka M et al: Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas. Pancreatology. 17(5):738-53, 2017
                                                                              20. Tanaka M et al: Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas. Pancreatology. 17(5):738-53, 2017
                                                                              21. Campbell NM et al: Imaging patterns of intraductal papillary mucinous neoplasms of the pancreas: an illustrated discussion of the International Consensus Guidelines for the management of IPMN. Abdom Imaging. 40(3):663-77, 2015
                                                                              22. Campbell NM et al: Imaging patterns of intraductal papillary mucinous neoplasms of the pancreas: an illustrated discussion of the International Consensus Guidelines for the management of IPMN. Abdom Imaging. 40(3):663-77, 2015
                                                                              23. Kim SH et al: Intraductal papillary mucinous neoplasms of the pancreas: evaluation of malignant potential and surgical resectability by using MR imaging with MR cholangiography. Radiology. 274(3):723-33, 2015
                                                                              24. Kim SH et al: Intraductal papillary mucinous neoplasms of the pancreas: evaluation of malignant potential and surgical resectability by using MR imaging with MR cholangiography. Radiology. 274(3):723-33, 2015
                                                                              25. Kim KW et al: Imaging features to distinguish malignant and benign branch-duct type intraductal papillary mucinous neoplasms of the pancreas: a meta-analysis. Ann Surg. 259(1):72-81, 2014
                                                                              26. Kim KW et al: Imaging features to distinguish malignant and benign branch-duct type intraductal papillary mucinous neoplasms of the pancreas: a meta-analysis. Ann Surg. 259(1):72-81, 2014
                                                                              27. Lennon AM et al: Role of a multidisciplinary clinic in the management of patients with pancreatic cysts: a single-center cohort study. Ann Surg Oncol. 21(11):3668-74, 2014
                                                                              28. Lennon AM et al: Role of a multidisciplinary clinic in the management of patients with pancreatic cysts: a single-center cohort study. Ann Surg Oncol. 21(11):3668-74, 2014
                                                                              29. Ogawa T et al: Diffusion-weighted magnetic resonance imaging for evaluating the histological degree of malignancy in patients with intraductal papillary mucinous neoplasm. J Hepatobiliary Pancreat Sci. 21(11):801-8, 2014
                                                                              30. Ogawa T et al: Diffusion-weighted magnetic resonance imaging for evaluating the histological degree of malignancy in patients with intraductal papillary mucinous neoplasm. J Hepatobiliary Pancreat Sci. 21(11):801-8, 2014
                                                                              31. Kang KM et al: Added value of diffusion-weighted imaging to MR cholangiopancreatography with unenhanced MR imaging for predicting malignancy or invasiveness of intraductal papillary mucinous neoplasm of the pancreas. J Magn Reson Imaging. 38(3):555-63, 2013
                                                                              32. Kang KM et al: Added value of diffusion-weighted imaging to MR cholangiopancreatography with unenhanced MR imaging for predicting malignancy or invasiveness of intraductal papillary mucinous neoplasm of the pancreas. J Magn Reson Imaging. 38(3):555-63, 2013
                                                                              33. Perez-Johnston R et al: Frequency and significance of calcification in IPMN. Pancreatology. 13(1):43-7, 2013
                                                                              34. Perez-Johnston R et al: Frequency and significance of calcification in IPMN. Pancreatology. 13(1):43-7, 2013
                                                                              35. Raman SP et al: Endoscopic ultrasound and pancreatic applications: what the radiologist needs to know. Abdom Imaging. 38(6):1360-72, 2013
                                                                              36. Raman SP et al: Endoscopic ultrasound and pancreatic applications: what the radiologist needs to know. Abdom Imaging. 38(6):1360-72, 2013
                                                                              37. Raman SP et al: Histopathologic findings of multifocal pancreatic intraductal papillary mucinous neoplasms on CT. AJR Am J Roentgenol. 200(3):563-9, 2013
                                                                              38. Raman SP et al: Histopathologic findings of multifocal pancreatic intraductal papillary mucinous neoplasms on CT. AJR Am J Roentgenol. 200(3):563-9, 2013
                                                                              39. Kobayashi N et al: Endoscopic ultrasonographic findings predict the risk of carcinoma in branch duct intraductal papillary mucinous neoplasms of the pancreas. Pancreatology. 12(2):141-5, 2012
                                                                              40. Kobayashi N et al: Endoscopic ultrasonographic findings predict the risk of carcinoma in branch duct intraductal papillary mucinous neoplasms of the pancreas. Pancreatology. 12(2):141-5, 2012
                                                                              41. Remotti HE et al: Intraductal papillary mucinous neoplasms of the pancreas: clinical surveillance and malignant progression, multifocality and implications of a field-defect. JOP. 13(2):135-8, 2012
                                                                              42. Remotti HE et al: Intraductal papillary mucinous neoplasms of the pancreas: clinical surveillance and malignant progression, multifocality and implications of a field-defect. JOP. 13(2):135-8, 2012
                                                                              43. Sahara S et al: Differentiation of pancreatic serous cystadenoma from endocrine tumor and intraductal papillary mucinous neoplasm based on washout pattern on multiphase CT. J Comput Assist Tomogr. 36(2):231-6, 2012
                                                                              44. Sahara S et al: Differentiation of pancreatic serous cystadenoma from endocrine tumor and intraductal papillary mucinous neoplasm based on washout pattern on multiphase CT. J Comput Assist Tomogr. 36(2):231-6, 2012
                                                                              45. Tanaka M et al: International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas. Pancreatology. 12(3):183-97, 2012
                                                                              46. Tanaka M et al: International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas. Pancreatology. 12(3):183-97, 2012
                                                                              47. Nara S et al: Preoperative evaluation of invasive and noninvasive intraductal papillary-mucinous neoplasms of the pancreas: clinical, radiological, and pathological analysis of 123 cases. Pancreas. 38(1):8-16, 2009
                                                                              48. Nara S et al: Preoperative evaluation of invasive and noninvasive intraductal papillary-mucinous neoplasms of the pancreas: clinical, radiological, and pathological analysis of 123 cases. Pancreas. 38(1):8-16, 2009
                                                                              49. Gupta R et al: Pancreatic intraductal papillary mucinous neoplasms: role of CT in predicting pathologic subtypes. AJR Am J Roentgenol. 2008 Nov;191(5):1458-64. Erratum in: AJR Am J Roentgenol. 191(6):1876, 2008
                                                                              50. Gupta R et al: Pancreatic intraductal papillary mucinous neoplasms: role of CT in predicting pathologic subtypes. AJR Am J Roentgenol. 2008 Nov;191(5):1458-64. Erratum in: AJR Am J Roentgenol. 191(6):1876, 2008
                                                                              51. Jang JY et al: Treatment guidelines for branch duct type intraductal papillary mucinous neoplasms of the pancreas: when can we operate or observe? Ann Surg Oncol. 15(1):199-205, 2008
                                                                              52. Jang JY et al: Treatment guidelines for branch duct type intraductal papillary mucinous neoplasms of the pancreas: when can we operate or observe? Ann Surg Oncol. 15(1):199-205, 2008
                                                                              53. Ogawa H et al: Intraductal papillary mucinous neoplasm of the pancreas: assessment of the likelihood of invasiveness with multisection CT. Radiology. 248(3):876-86, 2008
                                                                              54. Ogawa H et al: Intraductal papillary mucinous neoplasm of the pancreas: assessment of the likelihood of invasiveness with multisection CT. Radiology. 248(3):876-86, 2008
                                                                              55. Takeshita K et al: Differential diagnosis of benign or malignant intraductal papillary mucinous neoplasm of the pancreas by multidetector row helical computed tomography: evaluation of predictive factors by logistic regression analysis. J Comput Assist Tomogr. 32(2):191-7, 2008
                                                                              56. Takeshita K et al: Differential diagnosis of benign or malignant intraductal papillary mucinous neoplasm of the pancreas by multidetector row helical computed tomography: evaluation of predictive factors by logistic regression analysis. J Comput Assist Tomogr. 32(2):191-7, 2008
                                                                              57. Waters JA et al: CT vs MRCP: optimal classification of IPMN type and extent. J Gastrointest Surg. 12(1):101-9, 2008
                                                                              58. Waters JA et al: CT vs MRCP: optimal classification of IPMN type and extent. J Gastrointest Surg. 12(1):101-9, 2008
                                                                              59. Yamada Y et al: Intraductal papillary mucinous neoplasms of the pancreas: correlation of helical CT and dynamic MR imaging features with pathologic findings. Abdom Imaging. 33(4):474-81, 2008
                                                                              60. Yamada Y et al: Intraductal papillary mucinous neoplasms of the pancreas: correlation of helical CT and dynamic MR imaging features with pathologic findings. Abdom Imaging. 33(4):474-81, 2008
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