IMAGING OF PANCREAS TRANSPLANTS

The pancreas transplant is difficult to monitor both clinically and by imaging. Complications such as thrombosis, infection, pancreatitis, b leeding, anastomotic leak, or rejection may quickly progress to transp lant failure. Ultrasound, CT, MR imaging, fluoroscopy, nuclear scintig raphy, and angiography may be used to help define the etiology of tran splant compromise; however, all have marked limitations, and none has proved to be the study of choice. The surgeon and radiologist must car efully coordinate clinical suspicion with the strengths of the various modalities to optimize a timely diagnosis.