2008Chongqing Yike Daxue xuebaoRequires access

MRI findings and preoperative evaluation of hepatic hilum cholangiocarcinoma

Feng Xu

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Abstract

Objective:To study MRI findings of hepatic hilum cholangiocarcinoma and evaluate its diagnostic value and preop-erative evaluation value.Methods:MRI findings in 21 patients of hepatic hilum cholangiocarcinoma proved pathologically were retrospectively analyzed;MRCP classification and clinical classification were compared;preoperative evaluations and operative re-sults were compared.Results:All patients were found to have intrahepatic biliary duct dilation and discontinuity of hilar ducts,with soft tissue mass at porta hepatis in 16 cases;delayed enhancement was found.The classification is of no significant differ-ence between MRCP and operation findings(P0.05).The accuracy of preoperative evaluation in all patients of hepatic hilum cholangiocarcinoma was 81%(17/21).Conclusion:MRI is a valid method in the diagnosis of hilar cholangiocarcinoma and its preoperative evaluation.

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Objective:To study MRI findings of hepatic hilum cholangiocarcinoma and evaluate its diagnostic value and preop-erative evaluation value.Methods:MRI findings in 21 patients of hepatic hilum cholangiocarcinoma proved pathologically were retrospectively analyzed;MRCP classification and clinical classification were compared;preoperative evaluations and operative re-sults were compared.Results:All patients were found to have intrahepatic biliary duct dilation and discontinuity of hilar ducts,with soft tissue mass at porta hepatis in 16 cases;delayed enhancement was found.The classification is of no significant differ-ence between MRCP and operation findings(P0.05).The accuracy of preoperative evaluation in all patients of hepatic hilum cholangiocarcinoma was 81%(17/21).Conclusion:MRI is a valid method in the diagnosis of hilar cholangiocarcinoma and its preoperative evaluation.

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Available abstract

Objective:To study MRI findings of hepatic hilum cholangiocarcinoma and evaluate its diagnostic value and preop-erative evaluation value.Methods:MRI findings in 21 patients of hepatic hilum cholangiocarcinoma proved pathologically were retrospectively analyzed;MRCP classification and clinical classification were compared;preoperative evaluations and operative re-sults were compared.Results:All patients were found to have intrahepatic biliary duct dilation and discontinuity of hilar ducts,with soft tissue mass at porta hepatis in 16 cases;delayed enhancement was found.The classification is of no significant differ-ence between MRCP and operation findings(P0.05).The accuracy of preoperative evaluation in all patients of hepatic hilum cholangiocarcinoma was 81%(17/21).Conclusion:MRI is a valid method in the diagnosis of hilar cholangiocarcinoma and its preoperative evaluation.

Key concepts: Hilum (anatomy), Porta hepatis, Medicine, Radiology, Bile duct, Common hepatic duct, Internal medicine

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