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Imaging of Common Biliary Tract Diseases

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Biliary Tract Surgery

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Abstract

Both CT and MR imaging can be crucial for the final diagnosis of most biliary diseases, with both modalities allowing localization diagnosis, qualitative diagnosis, and detailed evaluation of the biliary tract (Yeh et al. 2009). Three-dimensional reconstruction represented by CT and MRI plays a significant role in guiding precision surgery, providing important information for tumor infiltration characteristics, adjacent important vascular structures, variations, and quantitative evaluation. This chapter focuses on the imaging features of these two examination techniques in the diagnosis of biliary system diseases.

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References

  • Albores-Saavedra JHD. Atlas of tumor pathology, second series fascicle 22: Tumors of the gallbladder and extrahepatic biliary ducts: Armed Forces Institute of Pathology; 1986. p. 28–123.

    Google Scholar 

  • al-Jaberi T, al-Masri N, Tbukhi A. Adult rhabdomyosarcoma of the gall bladder: case report and review of published works. Gut. 1994;35(6):854–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bang S, Lee J, Woo H, et al. Differentiating between adenomyomatosis and gallbladder cancer: revisiting a comparative study of high-resolution ultrasound, multidetector CT, and MR imaging. Korean J Radiol. 2014;15(2):226–34.

    Article  PubMed  PubMed Central  Google Scholar 

  • Batur A, Odev K. Primary lymphoma of the gallbladder accompanied by cirrhosis: CT and MRI findings. BMJ Case Rep. 2014;2014.

    Google Scholar 

  • Caroli J. Diseases of the intrahepatic biliary tree. Clin Gastroenterol. 1973;2(1):147–61.

    Google Scholar 

  • Chae YJ, Choi CY, Kim JY, et al. Caroli’s disease combined with colon cancer and polycystic kidney disease. Korean J Gastrointest Endosc. 2006;32:71–4.

    Google Scholar 

  • Chai J, Wang X, Li X, et al. Presentation of gallbladder torsion at an abnormal position: a case report. World J Clin Cases. 2020;8(12):2667–73.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chan FL, Man SW, Leong LLY, et al. Evaluation of recurrent pyogenic cholangitis with CT: analysis of 50 patients. Radiology. 1989;170:165–9.

    Article  CAS  PubMed  Google Scholar 

  • Chan K, Tsai C, Yeh C, et al. Characterization of intrahepatic cholangiocarcinoma after curative resection: outcome, prognostic factor, and recurrence. BMC Gastroenterol. 2018;18:180. https://doi.org/10.1186/s12876-018-0912-x.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cheng N, Khoo N, Chung AYF, et al. Pre-operative imaging characteristics in histology-proven resected intrahepatic cholangiocarcinoma. World J Surg. 2020;44(11):3862–7.

    Article  PubMed  Google Scholar 

  • Choi BW, Kim MJ, Chung JJ, et al. Radiologic findings of Mirizzi syndrome with emphasis on MRI. Yonsei Med J. 2000;41(1):144–6. https://doi.org/10.3349/ymj.2000.41.1.144.

  • Chong YS, Kim YK, Lee MW, et al. Differentiating mass-forming intrahepatic cholangiocarcinoma from atypical hepatocellular carcinoma using gadoxetic acid-enhanced MRI. Clin Radiol. 2012;67(8):766–73.

    Article  CAS  PubMed  Google Scholar 

  • Chun K, Ha H, Yu E, et al. Xanthogranulomatous cholecystitis: CT features with emphasis on differentiation from gallbladder carcinoma. Radiology. 1997;203(1):93–7.

    Article  CAS  PubMed  Google Scholar 

  • Dave M, Elmunzer BJ, Dwamena BA, et al. Primary sclerosing cholangitis: meta-analysis of diagnostic performance of MR cholangiopancreatography. Radiology. 2010;256(2):387–96.

    Article  PubMed  Google Scholar 

  • David R, Traeger L, McDonald C. Gall bladder torsion: a disease of the elderly. BMJ Case Rep. 2019;12(10):e227324.

    Article  PubMed  PubMed Central  Google Scholar 

  • Deshmukh SD, Johnson PT, Sheth S, et al. CT of gallbladder cancer and its mimics: a pattern-based approach. Abdom Imaging. 2013;38(3):527–36.

    Article  PubMed  Google Scholar 

  • Desmet VJ. Congenital diseases of intrahepatic bile ducts: variations on the theme “ductal plate malformation”. Hepatology. 1992;16:1069–83.

    Article  CAS  PubMed  Google Scholar 

  • Fang CH, Li G, Wang P, et al. Computer-aided rigid choledochoscopy lithotripsy for hepatolithiasis. J Surg Res. 2015;195(1):105–12.

    Article  PubMed  Google Scholar 

  • Federle MP, Cello JP, Laing FC, et al. Recurrent pyogenic cholangitis in Asian immigrants. Radiology. 1982;143:151–6.

    Article  CAS  PubMed  Google Scholar 

  • Ganapathi AM, Speicher PJ, Englum BR, et al. Gangrenous cholecystitis: a contemporary review. J Surg Res. 2015;197(1):18–24.

    Article  PubMed  Google Scholar 

  • Girometti R, Brondani G, Cereser L, et al. Post-cholecystectomy syndrome: spectrum of biliary findings at magnetic resonance cholangiopancreatography. Br J Radiol. 2010;83(988):351–61.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Goodman Z, Ishak K. Xanthogranulomatous cholecystitis. Am J Surg Pathol. 1981;5(7):653–9.

    Article  CAS  PubMed  Google Scholar 

  • Grand D, Horton KM, Fishman EK. CT of the gallbladder: spectrum of disease. AJR. 2004;183:163–70.

    Article  PubMed  Google Scholar 

  • Halefoglu AM. Magnetic resonance cholangiopancreatography: a useful tool in the evaluation of pancreatic and biliary disorders. World J Gastroenterol. 2007;13(18):2529–34.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hartley JL, Davenport M, Kelly DA. Biliary atresia. Lancet. 2009;374:1704–13.

    Article  PubMed  Google Scholar 

  • Hashimoto M, Koide K, Arita M, et al. Acute acalculous cholecystitis due to breast cancer metastasis to the cystic duct. Surg Case Rep. 2016;2(1):111. https://doi.org/10.1186/s40792-016-0239-1.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hundal R, Shaffer EA. Gallbladder cancer: epidemiology and outcome. Clin Epidemiol. 2014;6:99–109. https://doi.org/10.2147/CLEP.S37357.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hwang J, Chou Y, Tsay S, et al. Radiologic and pathologic correlation of adenomyomatosis of the gallbladder. Abdom Imaging. 1998;23(1):73–7.

    Article  CAS  PubMed  Google Scholar 

  • Hwang H, Marsh I, Doyle J. Does ultrasonography accurately diagnose acute cholecystitis? Improving diagnostic accuracy based on a review at a regional hospital. Can J Surg. 2014;57(3):162–8. https://doi.org/10.1503/cjs.027312.

    Article  PubMed  PubMed Central  Google Scholar 

  • Isherwood J, Oakland K, Khanna A. A systematic review of the aetiology and management of post cholecystectomy syndrome. Surgeon. 2019;17(1):33–42.

    Article  PubMed  Google Scholar 

  • Itai Y, Araki T, Furui S, et al. Computed tomography and ultrasound in the diagnosis of intrahepatic calculi. Radiology. 1980;136:399–405.

    Article  CAS  PubMed  Google Scholar 

  • Jarnagin WR, Weber S, Tickoo SK, et al. Combined hepatocellular and cholangiocarcinoma: demographic, clinical, and prognostic factors. Cancer. 2002;94:2040–6.

    Article  PubMed  Google Scholar 

  • Kane RA, Jacobs R, Katz J, et al. Porcelain gallbladder: ultrasound and CT appearance. Radiology. 1984;152(1):137–41.

    Article  CAS  PubMed  Google Scholar 

  • Katabathina VS, Dasyam AK, Dasyam N, et al. Adult bile duct strictures: role of MR imaging and MR cholangiopancreatography in characterization. Radiographics. 2014;34(3):565–86.

    Article  PubMed  Google Scholar 

  • Kim YH. Extrahepatic cholangiocarcinoma associated with clonorchiasis: CT evaluation. Abdom Imaging. 2003;28:68.

    Article  CAS  PubMed  Google Scholar 

  • Kim SH, Park YN, Lim JH, et al. Characteristics of combined hepatocellular-cholangiocarcinoma and comparison with intrahepatic cholangiocarcinoma. Eur J Surg Oncol. 2014;40:976–81.

    Article  CAS  PubMed  Google Scholar 

  • Kimura Y, Takada T, Kawarada Y, Nimura Y, Hirata K, Sekimoto M, et al. Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo Guidelines. J Hepato-Biliary-Pancreat Surg. 2007;14(1):15–26.

    Article  Google Scholar 

  • Kowalski A, Kashyap S, Mathew G, et al. Clostridial cholecystitis. [Updated 2020 Sep 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020.

    Google Scholar 

  • Lazcano-Ponce EC, Miquel JF, Muñoz N, et al. Epidemiology and molecular pathology of gallbladder cancer. CA Cancer J Clin. 2001;51:349–64.

    Article  CAS  PubMed  Google Scholar 

  • Liu CL, Fan ST, Lo CM, et al. Hepatic resection for combined hepatocellular and cholangiocarcinoma. Arch Surg. 2003;138:86–90.

    Article  PubMed  Google Scholar 

  • Longmire WP Jr, Mandiola SA, Gordon HE. Congenital cystic disease of the liver and biliary system. Ann Surg. 1971;174:711–26.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mitchell D, Alam F. Mangafodipir trisodium: effects on T2- and T1-weighted MR cholangiography. J Magn Reson Imaging. 1999;9(2):366–8.

    Article  CAS  PubMed  Google Scholar 

  • Munir K, Bari V, Yaqoob J, et al. The role of magnetic resonance cholangiopancreatography (MRCP) in obstructive jaundice. J Pak Med Assoc. 2004;54(3):128–32.

    CAS  PubMed  Google Scholar 

  • Ng IO, Shek TW, Nicholls J, Ma LT. Combined hepatocellular-cholangiocarcinoma: a clinicopathological study. J Gastroenterol Hepatol. 1998;13:34–40.

    Article  CAS  PubMed  Google Scholar 

  • Oliveria IS, Kilcoyne A, Everett JM, et al. Cholangiocarcinoma: classification, diagnosis, staging, imaging features, and management. Abdom Radiol. 2017;42:1637–49.

    Article  Google Scholar 

  • Paasch C, Salak M, Mairinger T, et al. Leiomyosarcoma of the gallbladder - a case report and a review of literature. Int J Surg Case Rep. 2020;66:182–6.

    Article  PubMed  Google Scholar 

  • 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(1):234–40.

    Article  PubMed  Google Scholar 

  • Pavone P, Laghi A, Catalano C, et al. Caroli’s disease: evaluation with MR cholangiopancreatography (MRCP). Abdom Imaging. 1996;21(2):117–9.

    Article  CAS  PubMed  Google Scholar 

  • Perlmutter DH, Shepherd RW. Extrahepatic biliary atresia: a disease or a phenotype? Hepatology. 2002;35:1297–304.

    Article  PubMed  Google Scholar 

  • Reilly DJ, Kalogeropoulos G, Thiruchelvam D. Torsion of the gallbladder: a systematic review. HPB (Oxford). 2012;14(10):669–72.

    Article  Google Scholar 

  • Saluja SS, Sharma R, Pal S, et al. Differentiation between benign and malignant hilar obstructions using laboratory and radiological investigations: a prospective study. HPB. 2007;9(5):373–82.

    Article  PubMed  Google Scholar 

  • Savlania A, Behera A, Vaiphei K, et al. Primary leiomyosarcoma of gallbladder: a rare diagnosis. Case Rep Gastrointest Med. 2012;2012:287012.

    PubMed  PubMed Central  Google Scholar 

  • Shaffer EA. Gallbladder sludge: What is its clinical significance? Curr Gastroenterol Rep. 2001;3(2):166–73.

    Article  CAS  PubMed  Google Scholar 

  • Shuto R, Kiyosue H, Komatsu E, et al. CT and MR imaging findings of xanthogranulomatous cholecystitis: correlation with pathologic findings. Eur Radiol. 2004;14(3):440–6.

    Article  PubMed  Google Scholar 

  • Singh A, Mann HS, Thukral CL, et al. Diagnostic accuracy of MRCP as compared to Ultrasound/CT in patients with obstructive jaundice. J Clin Diagn Res. 2014;8(3):103–7.

    PubMed  PubMed Central  Google Scholar 

  • Solmaz Tuncer A, Gürel S, Coşgun Z, Büber A, Cakmaz R, Hasdemir OA. A rare presentation of xanthogranulomatous cholecystitis as Bouveret’s syndrome. Case Rep Radiol. 2012;2012:402768. https://doi.org/10.1155/2012/402768.

    Article  PubMed  PubMed Central  Google Scholar 

  • Stephen AE, Berger DL. Carcinoma in the porcelain gallbladder: a relationship revisited. Surgery. 2001;129(6):699–703.

    Article  CAS  PubMed  Google Scholar 

  • Suthar M, Purohit S, Bhargav V, et al. Role of MRCP in differentiation of benign and malignant causes of biliary obstruction. J Clin Diagn Res. 2015;9(11):TC08–12.

    PubMed  PubMed Central  Google Scholar 

  • Todani T, Watanabe Y, Toki A, et al. Classification of congenital biliary cystic disease: special reference to type Ic and IVA cysts with primary ductal stricture. J Hepato-Biliary-Pancreat Surg. 2003;10(5):340–4.

    Article  Google Scholar 

  • Varadarajulu S, Zakko SF. Porcelain Gallbladder. UpToDate. Literature review current through: May 2013. &#124 This topic last updated: Nov 09, 2012.

    Google Scholar 

  • Watanabe Y, Nagayama M, Okumura A, et al. MR imaging of acute biliary disorders. Radiographics. 2007;27:477–95.

    Article  PubMed  Google Scholar 

  • Willén R. Primary sarcoma of the gallbladder. A light and electronmicroscopical study. Virchows Arch A Pathol Anat Histol. 1982;396(1):91–102.

    Article  PubMed  Google Scholar 

  • Yamaguchi M. Congenital choledochal cyst. Analysis of 1,433 patients in the Japanese literature. Am J Surg. 1980;140(5):653–7.

    Article  CAS  PubMed  Google Scholar 

  • Yang H, Lee J, Yu M, et al. CT diagnosis of gallbladder adenomyomatosis: importance of enhancing mucosal epithelium, the “cotton ball sign”. Eur Radiol. 2018;28(9):3573–82.

    Article  PubMed  Google Scholar 

  • Yano Y, Yamamoto J, Kosuge T, et al. Combined hepatocellular and cholangiocarcinoma: a clinicopathologic study of 26 resected cases. Jpn J Clin Oncol. 2003;33:283–7.

    Article  PubMed  Google Scholar 

  • Yee K, Sheppard BC, Domreis J, et al. Cancers of the gallbladder and biliary ducts. Oncology. 2002;16:939–46.

    PubMed  Google Scholar 

  • Yeh BM, Liu PS, Soto JA, Corvera CA, et al. MR imaging and CT of the biliary tract. Radiol Clin N Am. 2009;29(6):1669–8.

    Google Scholar 

  • Yonem O, Bayraktar Y. Clinical characteristics of Caroli’s disease. World J Gastroenterol. 2007;13:1930–3.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Zhujiang Hospital, Southern Medical University, Guangzhou, China

    Xianyue Quan, Shuping Qian, Zhendong Qi, Jingjing Huang, Liying Han & Chihua Fang

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  1. Xianyue Quan
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  2. Shuping Qian
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  3. Zhendong Qi
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  4. Jingjing Huang
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  5. Liying Han
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  6. Chihua Fang
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Editors and Affiliations

  1. Hepatobiliary Surgery, Zhujiang Hospital of Southern Medical University, Guangzhou, China

    Chihua Fang

  2. Chinese University of Hong Kong, Princecss of Wales Hospital, Hong Kong, China

    Wan Yee Lau

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Quan, X., Qian, S., Qi, Z., Huang, J., Han, L., Fang, C. (2021). Imaging of Common Biliary Tract Diseases. In: Fang, C., Lau, W.Y. (eds) Biliary Tract Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-33-6769-2_3

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  • DOI: https://doi.org/10.1007/978-981-33-6769-2_3

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