Comparison of sclerosing cholangitis with autoimmune pancreatitis and infiltrative extrahepatic cholangiocarcinoma: multidetector-row computed tomography findings View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2010-04

AUTHORS

Shunji Arikawa, Masafumi Uchida, Yukiko Kunou, Jun Uozumi, Toshi Abe, Naofumi Hayabuchi, Yusuke Ishida, Ryohei Kaji, Yoshinobu Okabe, Kenta Murotani

ABSTRACT

PurposeThe aim of this study was to compare multidetector-row computed tomography (MDCT) findings between cases of sclerosing cholangitis with autoimmune pancreatitis (SC-AIP) and infiltrative extrahepatic cholangiocarcinoma (IEC).Materials and methodsWe retrospectively assessed MDCT findings from 16 IEC cases and 13 SC-AIP cases. MDCT findings were analyzed with regard to location, length, wall thickness, contour, stricture wall enhancement pattern, proximal duct diameter, and the presence of diffuse concentric thickening in the proximal duct and gallbladder wall thickness.ResultsStricture length, stricture wall thickness, and proximal duct diameter were significantly smaller for SC-AIP than for IEC: 19.3 ± 8.7 vs. 31.8 ± 12.0 mm (P = 0.004), 2.1 ± 1.3 vs. 4.1 ± 1.3 mm (P < 0.001), and 9.2 ± 3.9 vs. 13.3 ± 5.0 mm (P = 0.012), respectively. SC-AIP was correlated with stricture location in both the intrapancreatic and hilar hepatic bile ducts, concentric stricture contour (P < 0.001), and diffuse concentric thickening of the proximal bile duct (P = 0.010). Overall values of sensitivity, specificity, and accuracy used to distinguish between SC-AIP and IEC for stricture wall thickness of <3.0 mm and concentric contour were 76.9%, 93.8%, and 86.2%, respectively, and 100%, 87.5%, 93.1%, respectively.ConclusionConcentric contour and stricture wall thicknesses of <3.0 mm may help distinguish between SC-AIP and IEC. More... »

PAGES

205-213

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11604-009-0410-8

DOI

http://dx.doi.org/10.1007/s11604-009-0410-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1047742095

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20437131


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