World Journal of Surgery

, Volume 27, Issue 3, pp 278–283

Preoperative Evaluation of Hilar Cholangiocarcinoma with Contrast-enhanced Three-dimensional Fast Imaging with Steady-state Precession Magnetic Resonance Angiography: Comparison with Intraarterial Digital Subtraction Angiography

  • Moon-Gyu Lee
  • Kwang Bo Park
  • Yong Moon Shin
  • Hyun Ki Yoon
  • Kyu Bo Sung
  • Myung Hwan Kim
  • Sung Gyu Lee
  • Eun Mee Kang
Original Scientific Reports

DOI: 10.1007/s00268-002-6701-1

Cite this article as:
Lee, MG., Park, K., Shin, Y. et al. World J. Surg. (2003) 27: 278. doi:10.1007/s00268-002-6701-1

Abstract

We sought to evaluate the image quality of double-dose, contrast-enhanced 3D fast imaging with steady-state precession (FISP) magnetic resonance (MR) angiography in patients with hilar cholangiocarcinoma, and to compare its efficacy with intraarterial digital subtraction angiography (DSA). Thirty-six patients were studied to determine the visibility of the hepatic artery and portal vein with contrast-enhanced MR angiography. Determination of hepatic arterial and/or portal invasion from cholangiocarcinoma was compared between MR angiography and DSA as well. 0.2 mmol/kg gadolinium chelates were administrated at a rate of 4ml/s. The hepatic artery was diagnostically visible in 28 patients (78%); the portal vein, in 34 patients (94%). The sensitivities, specificities, and accuracies in distinguishing arterial invasion, were 58%, 93%, and 89%, respectively, with MR angiography; 75%, 99%, and 96%, respectively, with DSA. In distinguishing portal venous invasion, these were 78%, 91%, and 89%, respectively, with MR angiography; 78%, 92%, and 90%, respectively, with DSA. There were no significant differences between imaging methods (p > .05); however, DSA was superior in specificity regarding hepatic arterial invasion (p = .0143). The data presented here indicate that noninvasive contrast-enhanced 3D FISP MR angiography has the potential to replace DSA in the preoperative evaluation of hilar cholangiocarcinoma.

Copyright information

© Société Internationale de Chirurgie 2003

Authors and Affiliations

  • Moon-Gyu Lee
    • 1
  • Kwang Bo Park
    • 1
  • Yong Moon Shin
    • 1
  • Hyun Ki Yoon
    • 1
  • Kyu Bo Sung
    • 1
  • Myung Hwan Kim
    • 2
  • Sung Gyu Lee
    • 3
  • Eun Mee Kang
    • 4
  1. 1.Department of Radiology, University of Ulsan—Asan Medical Center, 388-1, Pungnap-dong, 138-736, Songpa-gu, Seoul, Korea
  2. 2.Department of Gastroenterology, University of Ulsan—Asan Medical Center, 388-1, Pungnap-dong, 138-736, Songpa-gu, Seoul, Korea
  3. 3.Department of General Surgery, University of Ulsan—Asan Medical Center, 388-1, Pungnap-dong, 138-736, Songpa-gu, Seoul, Korea
  4. 4.Department of Statistics, Sungshin Women’s University, 249-1, 3-Ka, Dongsun-dong, 136-743, Sungbuk-gu, Seoul, Korea