公益財団法人田附興風会 医学研究所北野病院

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Visitor Guide

Pancreatic Cancer Options

Inspection Overview

Test name Pancreatic Cancer Options
This test is available as an optional test for day checkups and overnight checkups.It is not performed as a stand-alone test.
Day of the week Every Monday and Wednesday
Fee 40,700 yen (tax included)
Points to note
  • For the one-day dock option, other options (such as the lung option) cannot be added due to time constraints.
  • If you choose the overnight dock option, you cannot add the brain option.
  • Since MRCP requires oral contrast medium to be ingested, gastric fluoroscopy is not an option.
  • MRCP is an MRI,Magnetic NailsorGel nailsThis must be taken by the day of the checkup.
  • If you have a pacemaker inside your body, this is not possible.

Inspection procedure (example)

  1. Chest X-ray
    The first step in the examination is a chest X-ray.
  2. Medical interview and doctor's examination
    You will be examined by a doctor based on the medical questionnaire.
  3. Physical measurement/blood sampling
    A blood sample containing tumor markers (APOA2 protein, SPAN-1, CA19-9) will be taken.
  4. Ophthalmology, hearing tests, electrocardiogram tests
    We will perform tests such as vision and fundus examinations, hearing tests, and electrocardiograms.
  5. Abdominal ultrasound
    An abdominal ultrasound will be performed.
  6. MRCP
    You will be given an oral contrast agent (Bosdel) and your pancreatic and bile ducts will be photographed using an MRI machine.
  7. Stomach examination
    A stomach examination (gastroscope) will be performed.
  8. lunch
    You will be asked to have lunch after the examination.
  9. Result explanation
    We will explain the test results that will be available on the day. The results of MRCP and APOA2 protein will be announced at a later date when the result notification is mailed to you.

*The order of tests may change depending on the situation on the day.

In case of combined use with colonic optionwill start taking laxatives after MRCP and undergo a colonoscopy.

MRCP examination

MRCP is a useful test for early detection of pancreatic cancer and is the core test of this option. By combining it with tumor marker testing, more accurate screening is possible.

What is MRCP (Magnetic Resonance Cholangiopancreatography)?

MRCP is an abbreviation for Magnetic Resonance Cholangiopancreatography, and is a test method that uses an MRI device to non-invasively capture images of the pancreatic and bile ducts. By using a contrast agent, it is possible to observe in detail abnormalities such as strictures, dilation, and compression by tumors in the pancreatic and bile ducts.

This test involves taking an oral contrast agent (Bosdel) and then taking an MRI of the abdomen. This test does not involve radiation exposure and can be completed in a relatively short time.

Significance of the test

Pancreatic cancer is considered one of the most difficult cancers to detect early, but MRCP increases the chances of detecting abnormalities in the pancreatic duct early. The presence of pancreatic cancer can cause changes in the pancreatic duct, such as narrowing, obstruction, or dilation, and these changes can be detected by MRCP.

Tumor marker testing

The following tumor marker tests, when combined with MRCP imaging, are expected to improve the rate of early detection of pancreatic cancer. Each marker has its own characteristics, and combining multiple markers enables more accurate screening.

APOA2 protein

APOA2 protein is attracting attention as a useful biomarker for the early detection of pancreatic cancer. This test is performed at the same time as a regular blood draw, but because this test is outsourced, it takes about 5 to 7 days for the results to be available.

Since the blood concentration changes depending on the presence of pancreatic cancer, it is considered effective for screening for early-stage pancreatic cancer.

SPAN-1

SPAN-1 is a tumor marker associated with pancreatic cancer. It is a carbohydrate antigen produced by pancreatic cancer cells, and its blood concentration increases in the presence of pancreatic cancer.

Combining this with other tumor markers improves diagnostic accuracy. This test is performed at the same time as regular blood sampling.

CA19-9

CA19-9 is the most widely used tumor marker for diagnosing pancreatic cancer, and its blood concentration is known to increase in the presence of pancreatic cancer.

However, since levels may rise even in benign diseases, a comprehensive judgment is made in conjunction with other test results. This is performed at the same time as regular blood sampling.

About the test results

A gastroenterologist will evaluate the MRCP images and tumor marker results and make a judgment.

If any abnormal findings are found in the test results, we will refer you to a gastroenterologist if necessary.

Information