Magnetic resonance imaging including magnetic resonance cholangiopancreatography for tumor localization and therapy planning in malignant hilar obstructions

被引:65
作者
Hänninen, EL
Pech, M
Jonas, S
Ricke, J
Thelen, A
Langrehr, J
Hintze, R
Röttgen, R
Denecke, T
Winter, L
Neuhaus, P
Felix, R
机构
[1] Charite Med Univ Ctr, Dept Radiol, Berlin, Germany
[2] Charite Med Univ Ctr, Dept Visceral & Transplant Surg, Berlin, Germany
[3] Charite Med Univ Ctr, Dept Gastroenterol & Hepatol, Berlin, Germany
关键词
hilar cholangiocarcinoma; magnetic resonance (MR); magnetic resonance cholangiopancreatography (MRCP);
D O I
10.1080/02841850510021625
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: To assess image quality and overall accuracy of magnetic resonance imaging (MRI), including two magnetic cholangiopancreatography ( MRCP) techniques, for the diagnostics and preoperative work-up of malignant hilar obstructions. Material and Methods: Thirty-one patients with malignant hilar obstructions ( hilar cholangiocarcinoma, n=30; hepatocellular carcinoma, n=1) received MRCP by two techniques (single-shot thick-slab and multisection thin-slice MRCP) and unenhanced and contrast material-enhanced MRI. MR assessment included the evaluation of image quality and visualization of bile ducts (5-point scale), and the classification of tumor status. MR results were subsequently correlated with the results from surgery and pathology. Results: The maximum intensity projections of multisection thin-slice MRCP had significantly more artifacts compared to MRCP in the single-shot thick-slab technique, and overall image quality of single-shot thick-slab MRCP was rated significantly superior compared to multisection thin-slice MRCP (4.4 +/- 0.7 and 4.1 +/- 0.9, respectively). Moreover, ductal visualization of different parts of the biliary system was rated superior with single-shot thick-slab MRCP. In contrast, the original data from multisection thin slice MRCP facilitated visualization of periductal lesions and adjacent structures. Overall MR accuracy for the assessment of tumor status, periductal infiltration, and lymph node metastases was 90%, 87%, and 66%, respectively. Conclusion: For evaluation of malignant hilar obstructions, MRCP by the single-shot thick-slab technique had superior image quality and fewer artifacts; in contrast, besides sole biliary visualization, multisection MRCP depicted complementary adjacent parenchymal and periductal structures. We therefore recommend MRI, with a combination of both MRCP techniques, for the diagnostic work-up and therapy planning of malignant hilar obstructions.
引用
收藏
页码:462 / 470
页数:9
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