Modification and comparison of CT criteria in the preoperative assessment of hepatic arterial invasion by hilar cholangiocarcinoma
Objective To compare the diagnostic performance of three CT criteria and two signs in evaluating hepatic arterial invasion by hilar cholangiocarcinoma. Methods In this study, we retrospectively reviewed the CT images of 85 patients with hilar cholangiocarcinoma. Modified Loyer ’s, Lu ’s, and Li ’s s...
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| Veröffentlicht in: | Abdominal imaging 2021-05, Vol.46 (5), p.1922-1930 |
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| container_title | Abdominal imaging |
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| creator | Zhou, Qun Dong, Guoqiang Zhu, Qiongjie Qiu, Yudong Mao, Liang Chen, Jun Zhou, Kefeng Hu, Anning He, Jian |
| description | Objective
To compare the diagnostic performance of three CT criteria and two signs in evaluating hepatic arterial invasion by hilar cholangiocarcinoma.
Methods
In this study, we retrospectively reviewed the CT images of 85 patients with hilar cholangiocarcinoma. Modified
Loyer
’s,
Lu
’s, and
Li
’s standards were used to evaluate hepatic arterial invasion by hilar cholangiocarcinoma with the reference of intraoperative findings and/or the postoperative pathological diagnosis. Arterial tortuosity and contact length were also evaluated.
Results
Loyer
’s,
Lu
’s, and
Li
’s standards showed sensitivities of 91.7%, 90.3%, and 72.2%, specificities of 94.0%, 94.5%, and 95.6%, and accuracies of 93.3%, 93.3%, and 89.0%, respectively, in evaluating hepatic arterial invasion by hilar cholangiocarcinoma.
Loyer
’s and
Lu
’s standards and contact length performed better than
Li
’s standard (
P
|
| doi_str_mv | 10.1007/s00261-020-02849-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2458724802</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2458724802</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-925f63cf51d502fd7b7d1b330533a3b95f71bdd846eb419b971ea73f9142b16c3</originalsourceid><addsrcrecordid>eNp9kU9rGzEQxUVpaUyaL9BDEeTSy7YjabV_jsE0TSAllwRyE5J2FMvsrjbS2uBrPnnlOHWghxzEaDS_9zTwCPnK4AcDqH8mAF6xAjjk05RtAR_IgouqKgBk8_F4Lx9OyFlKawBglWSMy8_kRAgmWynbBXn-EzrvvNWzDyPVY0dtGCYdfcptcHR5R230M0avqR_pvEI6RQwTxqzYItUpYUoDjvOeXuGUny3V8UXRZ8lWp72z2dGV73WkdhV6PT76YHW0fgyD_kI-Od0nPHutp-T-8tfd8qq4uf19vby4Kayo5Vy0XLpKWCdZJ4G7rjZ1x4wQIIXQwrTS1cx0XVNWaErWmrZmqGvhWlZywyorTsn3g-8Uw9MG06wGnyz2eR0Mm6R4KZualw3wjJ7_h67DJo55O8UlbyrRlHxP8QNlY0gpolNT9IOOO8VA7UNSh5BUDkm9hKQgi769Wm_MgN1R8i-SDIgDkPJofMT49vc7tn8BW2Wd_w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2528638422</pqid></control><display><type>article</type><title>Modification and comparison of CT criteria in the preoperative assessment of hepatic arterial invasion by hilar cholangiocarcinoma</title><source>SpringerNature Journals</source><creator>Zhou, Qun ; Dong, Guoqiang ; Zhu, Qiongjie ; Qiu, Yudong ; Mao, Liang ; Chen, Jun ; Zhou, Kefeng ; Hu, Anning ; He, Jian</creator><creatorcontrib>Zhou, Qun ; Dong, Guoqiang ; Zhu, Qiongjie ; Qiu, Yudong ; Mao, Liang ; Chen, Jun ; Zhou, Kefeng ; Hu, Anning ; He, Jian</creatorcontrib><description>Objective
To compare the diagnostic performance of three CT criteria and two signs in evaluating hepatic arterial invasion by hilar cholangiocarcinoma.
Methods
In this study, we retrospectively reviewed the CT images of 85 patients with hilar cholangiocarcinoma. Modified
Loyer
’s,
Lu
’s, and
Li
’s standards were used to evaluate hepatic arterial invasion by hilar cholangiocarcinoma with the reference of intraoperative findings and/or the postoperative pathological diagnosis. Arterial tortuosity and contact length were also evaluated.
Results
Loyer
’s,
Lu
’s, and
Li
’s standards showed sensitivities of 91.7%, 90.3%, and 72.2%, specificities of 94.0%, 94.5%, and 95.6%, and accuracies of 93.3%, 93.3%, and 89.0%, respectively, in evaluating hepatic arterial invasion by hilar cholangiocarcinoma.
Loyer
’s and
Lu
’s standards and contact length performed better than
Li
’s standard (
P
< 0.001). Arterial tortuosity performed worse than other criteria (
P
< 0.001). The CT criteria performed best in evaluating proper hepatic arterial invasion compared with the left and right hepatic artery. When the cut-off contact length of 6.73 mm was combined with
Loyer
’s standard, 4 false-negative cases could be avoided.
Conclusions
Loyer
’s and
Lu
’s standards and the contact length performed best in evaluating hepatic arterial invasion by hilar cholangiocarcinoma on preoperative CT images, particularly in assessing the proper hepatic artery. Arterial tortuosity could serve as an important supplement. The combination of the contact length and
Loyer
’s standard could improve the diagnostic performance.</description><identifier>ISSN: 2366-004X</identifier><identifier>EISSN: 2366-0058</identifier><identifier>DOI: 10.1007/s00261-020-02849-0</identifier><identifier>PMID: 33159559</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Cancer ; Cholangiocarcinoma ; Computed tomography ; Contact length ; Criteria ; Diagnostic systems ; Gallbladder diseases ; Gastroenterology ; Hepatic artery ; Hepatobiliary ; Hepatology ; Imaging ; Liver ; Medical diagnosis ; Medical imaging ; Medicine ; Medicine & Public Health ; Radiology ; Tomography ; Tortuosity</subject><ispartof>Abdominal imaging, 2021-05, Vol.46 (5), p.1922-1930</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-925f63cf51d502fd7b7d1b330533a3b95f71bdd846eb419b971ea73f9142b16c3</citedby><cites>FETCH-LOGICAL-c375t-925f63cf51d502fd7b7d1b330533a3b95f71bdd846eb419b971ea73f9142b16c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00261-020-02849-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00261-020-02849-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33159559$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhou, Qun</creatorcontrib><creatorcontrib>Dong, Guoqiang</creatorcontrib><creatorcontrib>Zhu, Qiongjie</creatorcontrib><creatorcontrib>Qiu, Yudong</creatorcontrib><creatorcontrib>Mao, Liang</creatorcontrib><creatorcontrib>Chen, Jun</creatorcontrib><creatorcontrib>Zhou, Kefeng</creatorcontrib><creatorcontrib>Hu, Anning</creatorcontrib><creatorcontrib>He, Jian</creatorcontrib><title>Modification and comparison of CT criteria in the preoperative assessment of hepatic arterial invasion by hilar cholangiocarcinoma</title><title>Abdominal imaging</title><addtitle>Abdom Radiol</addtitle><addtitle>Abdom Radiol (NY)</addtitle><description>Objective
To compare the diagnostic performance of three CT criteria and two signs in evaluating hepatic arterial invasion by hilar cholangiocarcinoma.
Methods
In this study, we retrospectively reviewed the CT images of 85 patients with hilar cholangiocarcinoma. Modified
Loyer
’s,
Lu
’s, and
Li
’s standards were used to evaluate hepatic arterial invasion by hilar cholangiocarcinoma with the reference of intraoperative findings and/or the postoperative pathological diagnosis. Arterial tortuosity and contact length were also evaluated.
Results
Loyer
’s,
Lu
’s, and
Li
’s standards showed sensitivities of 91.7%, 90.3%, and 72.2%, specificities of 94.0%, 94.5%, and 95.6%, and accuracies of 93.3%, 93.3%, and 89.0%, respectively, in evaluating hepatic arterial invasion by hilar cholangiocarcinoma.
Loyer
’s and
Lu
’s standards and contact length performed better than
Li
’s standard (
P
< 0.001). Arterial tortuosity performed worse than other criteria (
P
< 0.001). The CT criteria performed best in evaluating proper hepatic arterial invasion compared with the left and right hepatic artery. When the cut-off contact length of 6.73 mm was combined with
Loyer
’s standard, 4 false-negative cases could be avoided.
Conclusions
Loyer
’s and
Lu
’s standards and the contact length performed best in evaluating hepatic arterial invasion by hilar cholangiocarcinoma on preoperative CT images, particularly in assessing the proper hepatic artery. Arterial tortuosity could serve as an important supplement. The combination of the contact length and
Loyer
’s standard could improve the diagnostic performance.</description><subject>Cancer</subject><subject>Cholangiocarcinoma</subject><subject>Computed tomography</subject><subject>Contact length</subject><subject>Criteria</subject><subject>Diagnostic systems</subject><subject>Gallbladder diseases</subject><subject>Gastroenterology</subject><subject>Hepatic artery</subject><subject>Hepatobiliary</subject><subject>Hepatology</subject><subject>Imaging</subject><subject>Liver</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Radiology</subject><subject>Tomography</subject><subject>Tortuosity</subject><issn>2366-004X</issn><issn>2366-0058</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU9rGzEQxUVpaUyaL9BDEeTSy7YjabV_jsE0TSAllwRyE5J2FMvsrjbS2uBrPnnlOHWghxzEaDS_9zTwCPnK4AcDqH8mAF6xAjjk05RtAR_IgouqKgBk8_F4Lx9OyFlKawBglWSMy8_kRAgmWynbBXn-EzrvvNWzDyPVY0dtGCYdfcptcHR5R230M0avqR_pvEI6RQwTxqzYItUpYUoDjvOeXuGUny3V8UXRZ8lWp72z2dGV73WkdhV6PT76YHW0fgyD_kI-Od0nPHutp-T-8tfd8qq4uf19vby4Kayo5Vy0XLpKWCdZJ4G7rjZ1x4wQIIXQwrTS1cx0XVNWaErWmrZmqGvhWlZywyorTsn3g-8Uw9MG06wGnyz2eR0Mm6R4KZualw3wjJ7_h67DJo55O8UlbyrRlHxP8QNlY0gpolNT9IOOO8VA7UNSh5BUDkm9hKQgi769Wm_MgN1R8i-SDIgDkPJofMT49vc7tn8BW2Wd_w</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Zhou, Qun</creator><creator>Dong, Guoqiang</creator><creator>Zhu, Qiongjie</creator><creator>Qiu, Yudong</creator><creator>Mao, Liang</creator><creator>Chen, Jun</creator><creator>Zhou, Kefeng</creator><creator>Hu, Anning</creator><creator>He, Jian</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20210501</creationdate><title>Modification and comparison of CT criteria in the preoperative assessment of hepatic arterial invasion by hilar cholangiocarcinoma</title><author>Zhou, Qun ; Dong, Guoqiang ; Zhu, Qiongjie ; Qiu, Yudong ; Mao, Liang ; Chen, Jun ; Zhou, Kefeng ; Hu, Anning ; He, Jian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-925f63cf51d502fd7b7d1b330533a3b95f71bdd846eb419b971ea73f9142b16c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cancer</topic><topic>Cholangiocarcinoma</topic><topic>Computed tomography</topic><topic>Contact length</topic><topic>Criteria</topic><topic>Diagnostic systems</topic><topic>Gallbladder diseases</topic><topic>Gastroenterology</topic><topic>Hepatic artery</topic><topic>Hepatobiliary</topic><topic>Hepatology</topic><topic>Imaging</topic><topic>Liver</topic><topic>Medical diagnosis</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Radiology</topic><topic>Tomography</topic><topic>Tortuosity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhou, Qun</creatorcontrib><creatorcontrib>Dong, Guoqiang</creatorcontrib><creatorcontrib>Zhu, Qiongjie</creatorcontrib><creatorcontrib>Qiu, Yudong</creatorcontrib><creatorcontrib>Mao, Liang</creatorcontrib><creatorcontrib>Chen, Jun</creatorcontrib><creatorcontrib>Zhou, Kefeng</creatorcontrib><creatorcontrib>Hu, Anning</creatorcontrib><creatorcontrib>He, Jian</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Computer Science Collection</collection><collection>Computer Science Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Abdominal imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhou, Qun</au><au>Dong, Guoqiang</au><au>Zhu, Qiongjie</au><au>Qiu, Yudong</au><au>Mao, Liang</au><au>Chen, Jun</au><au>Zhou, Kefeng</au><au>Hu, Anning</au><au>He, Jian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modification and comparison of CT criteria in the preoperative assessment of hepatic arterial invasion by hilar cholangiocarcinoma</atitle><jtitle>Abdominal imaging</jtitle><stitle>Abdom Radiol</stitle><addtitle>Abdom Radiol (NY)</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>46</volume><issue>5</issue><spage>1922</spage><epage>1930</epage><pages>1922-1930</pages><issn>2366-004X</issn><eissn>2366-0058</eissn><abstract>Objective
To compare the diagnostic performance of three CT criteria and two signs in evaluating hepatic arterial invasion by hilar cholangiocarcinoma.
Methods
In this study, we retrospectively reviewed the CT images of 85 patients with hilar cholangiocarcinoma. Modified
Loyer
’s,
Lu
’s, and
Li
’s standards were used to evaluate hepatic arterial invasion by hilar cholangiocarcinoma with the reference of intraoperative findings and/or the postoperative pathological diagnosis. Arterial tortuosity and contact length were also evaluated.
Results
Loyer
’s,
Lu
’s, and
Li
’s standards showed sensitivities of 91.7%, 90.3%, and 72.2%, specificities of 94.0%, 94.5%, and 95.6%, and accuracies of 93.3%, 93.3%, and 89.0%, respectively, in evaluating hepatic arterial invasion by hilar cholangiocarcinoma.
Loyer
’s and
Lu
’s standards and contact length performed better than
Li
’s standard (
P
< 0.001). Arterial tortuosity performed worse than other criteria (
P
< 0.001). The CT criteria performed best in evaluating proper hepatic arterial invasion compared with the left and right hepatic artery. When the cut-off contact length of 6.73 mm was combined with
Loyer
’s standard, 4 false-negative cases could be avoided.
Conclusions
Loyer
’s and
Lu
’s standards and the contact length performed best in evaluating hepatic arterial invasion by hilar cholangiocarcinoma on preoperative CT images, particularly in assessing the proper hepatic artery. Arterial tortuosity could serve as an important supplement. The combination of the contact length and
Loyer
’s standard could improve the diagnostic performance.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33159559</pmid><doi>10.1007/s00261-020-02849-0</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Abdominal imaging, 2021-05, Vol.46 (5), p.1922-1930 |
| issn | 2366-004X 2366-0058 |
| language | eng |
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| source | SpringerNature Journals |
| subjects | Cancer Cholangiocarcinoma Computed tomography Contact length Criteria Diagnostic systems Gallbladder diseases Gastroenterology Hepatic artery Hepatobiliary Hepatology Imaging Liver Medical diagnosis Medical imaging Medicine Medicine & Public Health Radiology Tomography Tortuosity |
| title | Modification and comparison of CT criteria in the preoperative assessment of hepatic arterial invasion by hilar cholangiocarcinoma |
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