Imaging Diagnosis of Intrahepatic and Perihilar Cholangiocarcinoma: Recent Advances and Challenges

Radiology. 2018 Jul;288(1):7-13. doi: 10.1148/radiol.2018171187. Epub 2018 Jun 5.

Abstract

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.

Publication types

  • Review

MeSH terms

  • Bile Duct Neoplasms / diagnostic imaging*
  • Bile Ducts, Intrahepatic / diagnostic imaging*
  • Cholangiocarcinoma / diagnostic imaging*
  • Contrast Media
  • Hepatic Duct, Common / diagnostic imaging*
  • Humans
  • Klatskin Tumor / diagnostic imaging
  • Radiographic Image Enhancement / methods
  • Tomography, X-Ray Computed / methods*

Substances

  • Contrast Media