From the Department of Radiology (I.J., J.M.L., J.H.Y.) and Institute of Radiation Medicine (J.M.L.), Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Korea; and Department of Radiology, Seoul National University College of Medicine, Seoul, Korea (I.J., J.M.L., J.H.Y.).
Radiology. 2018 Jul;288(1):7-13. doi: 10.1148/radiol.2018171187. Epub 2018 Jun 5.
Cholangiocarcinoma, the second most common hepatobiliary malignancy after hepatocellular carcinoma, is a heterogeneous disease entity with widely varying radiologic features, clinical behavior, and treatment approaches. In the detection, characterization, staging, and resectability assessment of cholangiocarcinoma, imaging studies are indispensable. Herein, an overview of the state-of-the-art imaging techniques is presented for the evaluation of intrahepatic and perihilar cholangiocarcinoma, as well as complementary multimodality and multiparametric imaging approaches for a more comprehensive evaluation. In addition, classification systems, new pathologic concepts in cholangiocarcinogenesis and premalignant lesions, and current trends in treatment approaches, which are vital to the imaging interpretation of cholangiocarcinoma, will be discussed. RSNA, 2018.
胆管癌是继肝细胞癌之后第二常见的肝胆恶性肿瘤，是一种具有广泛不同影像学特征、临床行为和治疗方法的异质性疾病实体。在胆管癌的检测、特征描述、分期和可切除性评估中，影像学检查是不可或缺的。本文就用于评估肝内和肝门部胆管癌的最新影像学技术进行了综述，同时还介绍了用于更全面评估的补充性多模态和多参数成像方法。此外，还讨论了与胆管癌影像学解读密切相关的分类系统、胆管癌发生和癌前病变的新病理概念以及治疗方法的现状。 RSNA，2018 年。
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