Primary biliary tract malignancies: MRI spectrum and mimics with histopathological correlation

Verfasser / Beitragende:
[Pardeep Mittal, Courtney Moreno, Bobby Kalb, Ankush Mittal, Juan Camacho, Kiran Maddu, Hiroumi Kitajima, Brian Quigley, Nima Kokabi, William Small]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/6(2015-08-01), 1520-1557
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-014-0300-0  |2 doi 
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245 0 0 |a Primary biliary tract malignancies: MRI spectrum and mimics with histopathological correlation  |h [Elektronische Daten]  |c [Pardeep Mittal, Courtney Moreno, Bobby Kalb, Ankush Mittal, Juan Camacho, Kiran Maddu, Hiroumi Kitajima, Brian Quigley, Nima Kokabi, William Small] 
520 3 |a Contrast-enhanced magnetic resonance imaging and magnetic resonance cholangiopancreatography (MRCP), due to their excellent soft tissue contrasts, have become first-line noninvasive tests in the characterization and detection of both hepatic and pancreaticobiliary pathologies. MRCP is also helpful in detecting the level and cause of obstruction in patients presenting with jaundice. Cholangiocarcinoma (CCA) is the most common primary malignant tumor arising from the bile duct epithelium, with extrahepatic tumors presenting more often than with intrahepatic ones. However, the diagnosis and management of CCA is made more complex by a variety of malignant and benign conditions that resemble CCA, including hepatocellular carcinoma variants such as the fibrolamellar variant of hepatocellular carcinoma, cholangiocellular carcinoma, biliary metastases, hepatic inflammatory pseudotumor, lymphoepithelioma-like carcinoma, confluent fibrosis, primary sclerosis cholangitis, and the secondary sclerosing cholangitis complex. Consequently, knowledge of the underlying risk factors and imaging characteristics of these conditions is important in differentiating between neoplastic and non-neoplastic conditions in order to reach a definite diagnosis. Endoscopic retrograde cholangiopancreatography should be reserved for those patients who require intervention or biopsy for histopathological diagnosis. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Magnetic resonance imaging (MRI)  |2 nationallicence 
690 7 |a Cholangiocarcinoma (CCA)  |2 nationallicence 
690 7 |a Primary sclerosing cholangitis (PSC)  |2 nationallicence 
700 1 |a Mittal  |D Pardeep  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
700 1 |a Moreno  |D Courtney  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
700 1 |a Kalb  |D Bobby  |u Department of Medical Imaging, University of Arizona, 85725, Tucson, AZ, USA  |4 aut 
700 1 |a Mittal  |D Ankush  |u Emory University School of Medicine, 30322, Atlanta, GA, USA  |4 aut 
700 1 |a Camacho  |D Juan  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
700 1 |a Maddu  |D Kiran  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
700 1 |a Kitajima  |D Hiroumi  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
700 1 |a Quigley  |D Brian  |u Department of Pathology, Emory University School of Medicine, 30322, Atlanta, GA, USA  |4 aut 
700 1 |a Kokabi  |D Nima  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
700 1 |a Small  |D William  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1520-1557  |x 0942-8925  |q 40:6<1520  |1 2015  |2 40  |o 261 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mittal  |D Pardeep  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Moreno  |D Courtney  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kalb  |D Bobby  |u Department of Medical Imaging, University of Arizona, 85725, Tucson, AZ, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mittal  |D Ankush  |u Emory University School of Medicine, 30322, Atlanta, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Camacho  |D Juan  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Maddu  |D Kiran  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kitajima  |D Hiroumi  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Quigley  |D Brian  |u Department of Pathology, Emory University School of Medicine, 30322, Atlanta, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kokabi  |D Nima  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Small  |D William  |u Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1365 Clifton Road NE, Building A, Suite AT-627, 30322, Atlanta, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1520-1557  |x 0942-8925  |q 40:6<1520  |1 2015  |2 40  |o 261