World Journal of Surgery

, Volume 27, Issue 3, pp 278–283 | Cite as

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

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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

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

Personalised recommendations