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Clinical Article
Preoperative evaluation of hepatic hilar cholangiocarcinoma with enhanced MRI and MR cholangiopancreatography
ZHANG Shui-xing  LIANG Chang-hong  LUO Hai-ying  JIN Hao-sheng 

DOI:10.3969/j.issn.1674-8034.2010.03.008.


[Abstract] Objective: To study enhanced MRI and MR cholangiopancreatography (MRCP) findings of hepatic hilar cholangiocarcinoma and evaluate the preoperative evaluation value of MRI and MRCP.Materials and Methods: Enhanced MRI and MRCP findings in 30 patients with hepatic hilar cholangiocarcinoma proved pathologically were retrospectively analyzed, the preoperative evaluations and operative results were compared.Results: All patients were found to have soft tissue mass at porta hepatis with delayed enhancement in MRI, and intrahepatic biliary duct dilation was seen. Enhanced MRI and MRCP could find infiltrated bile duct and blood vessels objectively, metastatic tumor also could be seen availably. The sensitivity, specificity and accuracy of preoperative evaluation in all patients were 82.4%, 84.6% and 83.3% respectively.Conclusion: Enhanced MRI and MRCP were valid method in the preoperative evaluation of hilar cholangiocarcinoma.
[Keywords] Cholangiocarcinoma;Hepatic hilum;Magnetic resonance imaging

ZHANG Shui-xing Department of Radiology, Guangdong General Hospital Guangdong Academy of Medical Sciences, Guangzhou 510080, China

LIANG Chang-hong* Department of Radiology, Guangdong General Hospital Guangdong Academy of Medical Sciences, Guangzhou 510080, China

LUO Hai-ying Department of Radiology, Guangdong General Hospital Guangdong Academy of Medical Sciences, Guangzhou 510080, China

JIN Hao-sheng Department of Hepatobiliary Surgery, Guangdong General Hospital Guangdong Academy of Medical Sciences, Guangzhou 510080, China

*Correspondence to: Liang CH, E-mail: dr_liang62@hotmail.com

Conflicts of interest   None.

Received  2010-02-03
Accepted  2010-03-21
DOI: 10.3969/j.issn.1674-8034.2010.03.008
DOI:10.3969/j.issn.1674-8034.2010.03.008.

[1]
Bismuth H, Nakache R, Diamond T. Management strategies in resection for hilar cholangiocarcinoma. Ann Surg, 1992, 215(1):31-38.
[2]
Burke EC, Jarnagin WR, Hochwald SN, et al. Hilar cholangiocarcinoma: patterns of spread, the importance of hepatic resection for curative operation, and a presurgical clinical staging system. Ann Surg, 1998, 228(3):385-394.
[3]
Lee HY, Kim SH, Lee JM, et al.Preoperative assessment of resectability of hepatic hilar cholangiocarcinoma: combined CT and cholangiography with revised criteria. Radiology, 2006, 239(1): 113-121.
[4]
Webster G, Pereira S. Mesh-metal stents for hilar cholangiocarcinoma. Gastrointest Endosc, 2009, 70(4):817-818.
[5]
Vogl TJ, Schwarz WO, Heller M, et al. Staging of Klatskin tumours (hilar cholangiocarcinomas): comparison of MR cholangiography, MR imaging, and endoscopic retrograde cholangiography. Eur Radiol, 2006, 16(10):2317-2325.
[6]
Kim HJ, Lee JM, Kim SH, et al. Evaluation of the longitudinal tumor extent of bile duct cancer: value of adding Gadolinium-enhanced dynamic imaging to unenhanced images and magnetic resonance cholangiography. J Comput Assist Tomogr, 2007, 31(3):469-474.
[7]
Otto G. Diagnostic and surgical approaches in hilar cholangiocarcinoma. Int J Colorectal Dis, 2007, 22(2):101-108.

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