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Cross-Sectional Imaging of Intrahepatic Cholangiocarcinoma: Development, Growth, Spread, and Prognosis

Authors
 Nieun Seo  ;  Do Young Kim  ;  Jin-Young Choi 
Citation
 AMERICAN JOURNAL OF ROENTGENOLOGY, Vol.209(2) : W64-W75, 2017 
Journal Title
AMERICAN JOURNAL OF ROENTGENOLOGY
ISSN
 0361-803X 
Issue Date
2017
MeSH
Bile Duct Neoplasms/diagnostic imaging* ; Bile Duct Neoplasms/pathology* ; Bile Ducts, Intrahepatic/pathology* ; Cholangiocarcinoma/diagnostic imaging* ; Cholangiocarcinoma/pathology* ; Diagnosis, Differential ; Diagnostic Imaging/methods* ; Humans ; Prognosis
Keywords
CT ; MRI ; intrahepatic cholangiocarcinoma ; prognosis
Abstract
OBJECTIVE: Intrahepatic cholangiocarcinoma (ICC) is a malignant tumor that arises from the intrahepatic bile ducts. Although the pathologic and imaging features of ICC have been clearly identified, recent updates have addressed the pathologic classification and imaging features of ICC using new imaging techniques. First, a proposed new pathologic ICC subclassification includes perihilar large duct and peripheral small duct ICCs. Second, advanced MR-based imaging features of ICC, such as hepatobiliary phase imaging using hepatocytespecific contrast material and DWI, have recently been described. These imaging features are important when differentiating ICCs from hepatocellular carcinomas. Finally, some imaging features of ICC, such as prominent arterial enhancement or degree of delayed enhancement, exhibit potential as prognostic imaging biomarkers.

CONCLUSION: Comprehensive and updated knowledge of ICC is necessary for accurate diagnosis and could facilitate prediction of clinical outcomes for patients with ICC.
Full Text
https://www.ajronline.org/doi/abs/10.2214/AJR.16.16923
DOI
10.2214/AJR.16.16923
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Do Young(김도영)
Seo, Nieun(서니은) ORCID logo https://orcid.org/0000-0001-8745-6454
Choi, Jin Young(최진영) ORCID logo https://orcid.org/0000-0002-9025-6274
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/160460
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