Abstract
Objective
Computerized tomography (CT) plays an important role in the diagnosis of diseases of biliary tract. Recently, three dimensions (3D) spiral CT imaging has been used in surgical diseases gradually. This study was designed to evaluate the diagnostic value of 3D spiral CT imaging of cholangiopancreatic ducts on obstructive jaundice.
Methods
Thirty patients with obstructive jaundice had received B-mode ultrasonography, CT, percutaneous transhepatic cholangiography (PTC) or endoscopic retrograde cholangiopancreatography (ERCP), and 3D spiral CT imaging of cholangiopancreatic ducts preoperatively. Then the diagnose accordance rate of these examinational methods were compared after operations.
Results
The diagnose accordance rate of 3D spiral CT imaging of cholangiopancreatic ducts was higher than those of B-mode ultrasonography, CT, or single PTC or ERCP, which showed clear images of bile duct tree and pathological changes. As to malignant obstructive jaundice, this examinational technique could clearly display the adjacent relationship between tumor and liver tissue, biliary ducts, blood vessels, and intrahepatic metastases.
Conclusion
3D spiral CT imaging of cholangiopancreatic ducts has significant value for obstructive diseases of biliary ducts, which provides effective evidence for the feasibility of tumor-resection and surgical options.
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References
Corazziari E. Biliary tract imaging. Curr Gastroenterol Rep, 1999, 1: 123–131.
Park SJ, Han JK, Kim TK, et al. Three-dimensional spiral CT cholangiography with minimum intensity projection in patients with suspected obstructive biliary disease: comparison with percutaneous transhepatic cholangiography. Abdom Imaging, 2001, 26: 281–286.
Klein HM, Wein B, Truong S, et al. Computed tomographic cholangiography using spiral scanning and 3D image processing. Br J Radiol, 1993, 66: 762–767.
Gilmore IT. MRCP: examining the obstructed bile duct. Gut, 1998, 43: 597–598.
Park MS, Kim TK, Kim KW, et al. Differentiation of extrahepatic bile duct cholangiocarcinoma from benign stricture: findings at MRCP versus ERCP. Radiology, 2004, 233: 234–240.
Raptopoulos V, Prassopoulos P, Chuttani R, et al. Multiplanar CT pancreatography and distal cholangiography with minimum intensity projections. Radiology, 1998, 207: 317–324.
Liu HB, Wang BS, Chen P, et al. Diagnostic value of spiral CT imaging of cholangiopancreatic ducts on hilar cholangiocarcinoma. J Hepatopancreatobil Surg (Chinese), 1997, 9: 21–23.
Chen Z, Yan JJ, Huang L, et al. Prognostic analysis of patients suffering from intrahepatic cholangiocarcinoma. Chinese-German J Clin Oncol, 2011, 10: 150–152.
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Supported by a grant of Jiangxi Province Scientific Technologic Foundation (No. E990611).
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Wu, L., Yin, X., Wang, Q. et al. The diagnostic value of 3D spiral CT imaging of cholangiopancreatic ducts on obstructive jaundice. Chin. -Ger. J. Clin. Oncol. 10, 659–661 (2011). https://doi.org/10.1007/s10330-011-0863-y
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DOI: https://doi.org/10.1007/s10330-011-0863-y