[肝内胆管癌的影像学:根据新的S3指南进行可靠诊断]。

4区医学 Q3 Medicine

Radiologe Pub Date : 2022-03-01 Epub Date: 2022-01-14 DOI:10.1007/s00117-021-00961-w

Tobias Geith, Philipp M Paprottka

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引用次数: 0

摘要

关于肝细胞癌的S3指南已经扩展到包括恶性胆道癌(同义胆管癌[CCA])。磁共振成像(MRI)与附加的磁共振胰胆管造影(MRCP)是评估局部发现的首选成像方式。使用钆乙氧基苄基二乙烯三胺五乙酸(Gd-EOB-DTPA)造影剂可提高其诊断价值。在诊断肝内CCA (iCCA)时总是需要组织学证实，因为单独使用影像学有与HCC亚型混淆的风险。

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[Imaging of intrahepatic cholangiocarcinoma : Reliable diagnosis according to the new S3 guideline].

The S3 guideline on hepatocellular carcinoma has been expanded to include malignant biliary carcinoma (synonym cholangiocarcinoma [CCA]). Magnetic resonance imaging (MRI) with additional magnetic resonance cholangiopancreatography (MRCP) is the imaging modality of choice to evaluate local findings. Use of gadolinium ethoxybenzyl diethylenetriamine penta-acetic acid (Gd-EOB-DTPA)-based contrast agent increases its diagnostic value. Histologic confirmation is always required when diagnosing intrahepatic CCA (iCCA) because using imaging alone there is a risk of confusion with HCC subtypes.

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来源期刊

Radiologe 医学-核医学

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Der Radiologe is an internationally recognized journal dealing with all aspects of radiology and serving the continuing medical education of radiologists in clinical and practical environments. The focus is on x-ray diagnostics, angiography computer tomography, interventional radiology, magnet resonance tomography, digital picture processing, radio oncology and nuclear medicine. Comprehensive reviews on a specific topical issue focus on providing evidenced based information on diagnostics and therapy. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.