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Biliary ductal involvement of hilar cholangiocarcinoma: Multidetector computed tomography versus magnetic resonance cholangiography

Authors
 Eun-Suk Cho  ;  Mi-Suk Park  ;  Ki Whang Kim  ;  Myeong-Jin Kim  ;  Jeong-Sik Yu 
Citation
 JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, Vol.31(1) : 72-78, 2007 
Journal Title
 JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY 
ISSN
 0363-8715 
Issue Date
2007
MeSH
Adult ; Aged ; Aged, 80 and over ; Bile Duct Neoplasms/diagnosis* ; Bile Ducts, Intrahepatic* ; Cholangiocarcinoma/diagnosis* ; Cholangiography/methods* ; Female ; Humans ; Magnetic Resonance Imaging* ; Male ; Middle Aged ; Reproducibility of Results ; Retrospective Studies ; Tomography, X-Ray Computed*
Keywords
cholangiocarcinoma ; CT ; magnetic resonance imaging
Abstract
OBJECTIVE: To compare the diagnostic accuracy of multidetector computed tomography (MDCT) and magnetic resonance cholangiography (MRC) in evaluating the extent of biliary involvement of hilar cholangiocarcinoma. METHODS: Images of 16-detector MDCT, MRC, and direct cholangiography of 33 patients with pathologically proven hilar cholangiocarcinoma were retrospectively interpreted independently by 2 radiologists according to the Bismuth classification. In the operated 14 patients, the diagnostic accuracies of MDCT and MRC were calculated according to surgical and pathological records. In nonoperated 19 patients, the agreement of MDCT and MRC with direct cholangiography was calculated. RESULTS: In the operated patients, the diagnostic accuracy of MDCT was 64.3%, and that of MRC was 71.4%, without statistical difference (P = 0.93). In nonoperated patients, the agreement of MDCT with direct cholangiography was 73.7%, and that of MRC was 94.7%, without statistical difference (P = 0.58). CONCLUSIONS: In evaluating the biliary ductal extension of hilar cholangiocarcinoma, MDCT and MRC showed similar accuracies and agreements.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00004728-200701000-00012&LSLINK=80&D=ovft
DOI
10.1097/01.rct.0000230013.24091.8e
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ki Whang(김기황)
Kim, Myeong Jin(김명진) ORCID logo https://orcid.org/0000-0001-7949-5402
Park, Mi-Suk(박미숙) ORCID logo https://orcid.org/0000-0001-5817-2444
Yu, Jeong Sik(유정식) ORCID logo https://orcid.org/0000-0002-8171-5838
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96277
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