The Auxiliary Diagnosis and Imaging Characteristics of MRI Combined with CT in Patients with Cholangiocarcinoma

Abstract

Background. Patients with cholangiocarcinoma (CCA) have poor prognosis and high mortality. Therefore, early detection and early diagnosis are extremely important to control the development of CCA. This study aims to explore the diagnostic effect in patients with CCA and imaging characteristics of MRI combined with CT. Methods. 109 patients with suspected CCA underwent CT and MRI before diagnosis. The examination results were compared with the “gold standard.” ROC curve was drawn to analyze the diagnostic efficacy of MRI combined with CT for CCA patients. Results. The diagnosis rate of suspected CCA patients was 95.41%. The diagnostic coincidence rate of CT and MRI examination was 89.42% and 92.31%, respectively. The diagnostic coincidence rate of MRI combined with CT examination was 100.00%. The number of CT delayed enhancement, peripheral bile duct dilatation, and hepatic capsular depression were more than those of MRI. The number of circular enhancement cases in the CT group was less than that in the MRI group. ROC curve results showed that the sensitivity and specificity of MRI combined with CT for the diagnosis of CCA patients were higher than those of MRI or CT alone. Conclusion. MRI combined with CT has high diagnostic sensitivity and specificity and can provide imaging evidence for the clinical diagnosis and treatment of CCA.

Delayed Metastatic Cholangiocarcinoma to the Stomach With Imaging Characteristics Resembling Gastrointestinal Stromal Tumor: A Case Report and Review of the Literature

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Intrahepatic cholangiocarcinoma with gastric metastasis misdiagnosed as primary gastric cancer: A case report and literature review

“…MRI is of high value in preoperative staging, resectable evaluation, selection of surgical methods, and evaluation of prognosis of cholangiocarcinoma. Li reported that the combination of enhanced CT and MRI in the diagnosis of cholangiocarcinoma has high sensitivity and specificity, which can provide an imaging basis for clinical diagnosis and treatment ( 12 ). In addition, studies have reported the dense accumulation of the nucleotide tracer 18-fluorodeoxyglucose ( 18 F-FDG) in cholangiocarcinoma ( 13 ).…”

Role of endoscopic ultrasound in the evaluation of unexplained extrahepatic bile duct dilatation

“…Although it is an important imaging technique commonly used to examine abdominal disease, CT also shows relatively low accuracy in detecting biliary disorders. According to recent studies, we estimated that the specificity was 67.1–88.2%, sensitivity was 79.4–90.4%, and accuracy was 74.6–89.3% in the differentiation of benign and malignant bile duct strictures [7,8]. MRCP is a valuable tool in the investigation of biliary duct dilatation with relatively high sensitivity and specificity [9,10].…”