Magnetic resonance imaging of cholangiocarcinoma

Vanderveen, Katrina A.

doi:10.1102/1470-7330.2004.0018

Cited by 49 publications

(47 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Due to its intrinsic high tissue contrast and multiplanar ability, MRI with MRCP is capable of examining all the structures involved, such as bile ducts, vessels and hepatic parenchyma, and a precise preoperative assessment of the tumour can therefore be achieved. [26][27][28][29] There are no major differences between CT and MRI for preoperative appraisal for patients with CCA, 30 and these imaging techniques play complementary roles in the process of clinical diagnosis and preoperative assessment. PET using the radiotracer […”

Section: Diagnosismentioning

confidence: 99%

A review of the clinical diagnosis and therapy of cholangiocarcinoma

2013

View full text Add to dashboard Cite

Cholangiocarcinoma (CCA) is the second most common primary hepatic malignancy worldwide. The incidence of intrahepatic CCA is increasing, whereas that of extrahepatic CCA is decreasing. This review looks at the new advances that have been made in the management of CCA, based on a PubMed and Science Citation Index search of results from randomized controlled trials, reviews, and cohort, prospective and retrospective studies. Aggressive interventional approaches and new histopathological techniques have been developed to make a histological diagnosis in patients with high risk factors or suspected CCA. Resectability of the tumour can now be assessed using multiple radiological imaging studies; the main prognostic factor after surgery is a histologically negative resection margin. Biliary drainage and/or portal vein embolization may be performed before extended radical resection, or liver transplantation may be undertaken in combination with neoadjuvant chemotherapy or chemoradiotherapy. Though many advances have been made in the management of CCA, the standard modality of treatment has not yet been established. This review focuses on the clinical options for different stages of CCA.

show abstract

Section: Diagnosismentioning

confidence: 99%

A review of the clinical diagnosis and therapy of cholangiocarcinoma

2013

View full text Add to dashboard Cite

show abstract

“…Gadoxetic acid is a widely-used hepatocyte-specific MR contrast agent, which has characteristics of both extracellular and liver-specific contrast agents with approximately 50% of the intravenously injected gadoxetic acid being excreted via the bile duct (11). abling contrast uptake, or 2) the presence of severe fibrosis with abundant extracellular space causing pooling of the contrast agent (12,13). However, the latter mechanism is usually seen in solid tumors such as intrahepatic massforming type cholangiocarcinomas (14).…”

Section: Discussionmentioning

confidence: 99%

A Hepatic Cyst Complicated by Hemorrhage with Secondary Revascularization Mimicking Mucin-Producing Cystic Neoplasm: Radiologic-Pathologic Correlations

2018

View full text Add to dashboard Cite

Cystic hepatic lesions are commonly encountered in clinical practice. Most of them are simple hepatic cysts such as biliary cysts. However, complicated biliary cysts with hemorrhage, necrosis, and organization pose diagnostic challenges since imaging findings overlap with those of neoplastic cystic lesions. Here, we report a case of biliary cyst complicated by hemorrhage with secondary revascularization with ultrasound, computed tomography, and gadoxetic acid-enhanced magnetic resonance imaging findings mimicking mucin-producing cystic neoplasm.

show abstract

“…It is more common in men, occurring commonly between the 6 th and 7 th decades [14]. The prognosis has been considered worse for lesions affecting the confluence of the bile ducts and better for lesions close to the papilla [12].…”

Section: Discussionmentioning

confidence: 99%

CT Evaluation of Disease Pattern in Hilar Cholangiocarcinoma

Mahajan

Moorthy

Karumathil

et al. 2017

IJRRT

View full text Add to dashboard Cite

Purpose: The objectives of our study were to map the various imaging patterns of hilar cholangiocarcinoma and identify commonest pattern. Material and methods:In this retrospective study a search of the case records of the hospital using the key word cholangiocarcinoma in hospital information system and morphology code M-8160/3 yielded 288 patients of cholangiocarcinoma in the period April 2001 to June 2016. One hundred and fifty nine patients of intrahepatic and distal cholangiocarcinoma were excluded. Out of the remaining 129 patients with diagnosis of hilar cholangiocarcinoma, nine patients were excluded because available records were not complete. The remaining 120 patients formed the study sample.Results: All the 120 (100%) patients showed dilated intrahepatic biliary radicals. Periductal-infiltrating tumor was present in 117 (97.50%) cases. According to Bismuth-Corlette classification on imaging, type I tumor was present in three (02.50%), type II in 13 (10.83%), type IIIa in 32 (26.66%), type IIIb in 39 (32.50%), and type IV in 33 (27.50%) patients. The involvement of adjacent liver parenchyma was present in 60 (50.00%) patients. Atrophy of a lobe was present in 75 (62.50%) patients. Portal vein was involved in 91 (75.83%) patients. These findings were common in mass-forming tumor.Conclusion: Diagnosis of this rare entity can be done on imaging by identifying its typical pattern. In the majority cases tumor appears to be centered on the right or left hepatic duct with involvement of the ipsilateral portal vein, atrophy of hepatic lobe on that side and invasion of adjacent liver parenchyma. Periductalinfiltrating tumor was commonest morphological form and type IIIb was the commonest pattern.

show abstract

Magnetic resonance imaging of cholangiocarcinoma

Cited by 49 publications

References 51 publications

A review of the clinical diagnosis and therapy of cholangiocarcinoma

A review of the clinical diagnosis and therapy of cholangiocarcinoma

A Hepatic Cyst Complicated by Hemorrhage with Secondary Revascularization Mimicking Mucin-Producing Cystic Neoplasm: Radiologic-Pathologic Correlations

CT Evaluation of Disease Pattern in Hilar Cholangiocarcinoma

Contact Info

Product

Resources

About