Parenchymal changes of the liver in cholangiocarcinoma: CT evaluation.
We evaluated parenchymal changes of the liver in 92 patients (41 peripheral types and 51 hilar types) with cholangiocarcinomas studied by bolus-enhanced computed tomography (CT). In 39% of patients with the peripheral type, a wedge-shaped increased enhancement of the liver was observed peripheral to the tumor on bolus-enhanced CT. Tumor was observed in all cases. In 58.8% of patients with the hilar type, a segmental or lobar increased degree of enhancement of the liver was observed, but the tumor was demonstrated in only 58.8%. Atrophy was accompanied by areas of increased enhancement in 80% of hilar type and 25% of peripheral type. Areas of increased degree of enhancement corresponded to a wedged-shaped perfusion defect on CT during arterial portography. On magnetic resonance imaging (MRI), those lesions showed hyperintensity on T2-weighted images. Most of these changes were considered to be due to reversible hepatic parenchymal ischemia secondary to portal vein invasion by the tumor.
Yamashita
Y
Y
Department of Radiology, Kumamoto University School of Medicine, Japan.
Takahashi
M
M
Kanazawa
S
S
Charnsangavej
C
C
Wallace
S
S
D002759:Adenoma, Bile Duct / Q000000981:diagnostic imaging* / Q000453:epidemiology; D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging* / Q000453:epidemiology; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed