Imaging cholangiocarcinoma: CT and MRI techniques

Cross-sectional imaging plays a crucial role in the detection, diagnosis, staging, and resectability assessment of intra- and extrahepatic cholangiocarcinoma. Despite this vital function, there is a lack of standardized CT and MRI protocol recommendations for imaging cholangiocarcinoma, with substan...

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Bibliographic Details
Published in:Abdominal imaging 2025-01, Vol.50 (1), p.94-108
Main Authors: Kierans, Andrea S., Costello, James, Qayyum, Aliya, Taouli, Bachir, Venkatesh, Sudhakar K., Yoon, Jeong Hee, Bali, Maria A., Bolan, Candice W., Lee, Jeong Min, Marks, Robert M., El Homsi, Maria, Miller, Frank H.
Format: Article
Language:English
Subjects:
Abdomen
Ascites
Bile Duct Neoplasms - diagnostic imaging
Cholangiocarcinoma
Cholangiocarcinoma - diagnostic imaging
Computed tomography
Contrast agents
Contrast Media
Drug dosages
Gastroenterology
Hepatology
Humans
Image acquisition
Imaging
Liver cancer
Liver cirrhosis
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Medical imaging
Medicine
Medicine & Public Health
Metastasis
Neoplasm Staging
Optimization
Patients
Radiology
Review
Tomography, X-Ray Computed - methods
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Description
Summary:Cross-sectional imaging plays a crucial role in the detection, diagnosis, staging, and resectability assessment of intra- and extrahepatic cholangiocarcinoma. Despite this vital function, there is a lack of standardized CT and MRI protocol recommendations for imaging cholangiocarcinoma, with substantial differences in image acquisition across institutions and vendor platforms. In this review, we present standardized strategies for the optimal imaging assessment of cholangiocarcinoma including contrast media considerations, patient preparation recommendations, optimal contrast timing, and representative CT and MRI protocols with individual sequence optimization recommendations. Our recommendations are supported by expert opinion from members of the Society of Abdominal Radiology’s Disease-Focused Panel (DFP) on Cholangiocarcinoma, encompassing a broad array of institutions and practice patterns.
ISSN:2366-0058
2366-004X
2366-0058
DOI:10.1007/s00261-024-04216-9