Combined arterial and delayed enhancement patterns of MRI assist in prognostic prediction for intrahepatic mass-forming cholangiocarcinoma (IMCC)
Objectives This study valued MR delayed enhancement pattern in predicting postoperative prognosis of intrahepatic mass-forming cholangiocarcinoma (IMCC). Methods From 2011 to 2015, 231 patients of IMCC underwent DCE-MRI preoperatively. Enhancement patterns and MRI characteristics were evaluated. Rec...
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| Veröffentlicht in: | Abdominal imaging 2022-02, Vol.47 (2), p.640-650 |
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| creator | Jin, Kai-pu Sheng, Rou-fan Yang, Chun Zeng, Meng-su |
| description | Objectives
This study valued MR delayed enhancement pattern in predicting postoperative prognosis of intrahepatic mass-forming cholangiocarcinoma (IMCC).
Methods
From 2011 to 2015, 231 patients of IMCC underwent DCE-MRI preoperatively. Enhancement patterns and MRI characteristics were evaluated. Recurrence and mortality data were compared among IMCCs with different enhancement patterns. Prognostic factor analysis was performed using preoperative and postoperative clinical-pathologic factors, as well as imaging findings.
Results
Fifty-six (24.2%), 142 (61.5%) and 33 (14.3%) tumors showed hypo, peripheral rim and diffuse hyper enhancement in AP. Fifty-six (24.2%), 81 (35.1%) and 94 (40.7%) tumors showed hypo, heterogeneous and uniform enhancement in DP. Patients with arterial diffuse hyper enhancement or delayed uniform enhancement IMCCs had lower preoperative CA19-9 levels, smaller tumor sizes and minor operations than the rest patients (
p
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| doi_str_mv | 10.1007/s00261-021-03292-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2602638479</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2624603890</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-663adae43a2d6a976a7e3e5653be93c22a3219da96e4d6d26149dabe5caf6b753</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhi0EolXpC3BAlriUQ8CxYyc5oqjQlVohIZC4WRN7susqsRc7e-hj8MZMu6VIHDhYHs98M_41P2Ova_G-FqL9UISQpq6EpKNkLyv9jJ1KZUwlhO6eP8XNjxN2XsqtEKI2uq6lfslOVNNJYbr-lP0a0jKGiJ5DXjEHmDlEzz3OcEdJjDuIDheMK9_DSkQsPE385uuGQymhrDxEvs9pG1NZg6MQfXBrSJFPKVNxzbBDaqXaQh0VZZcQt9zt0gxxG5KD7EJMC_CLzc0wvHvFXkwwFzx_vM_Y90-X34ar6vrL583w8bpyqtVrZYwCD9gokN5A3xpoUaE2Wo3YKyclKFn3HnqDjTeedtXQa0TtYDJjq9UZuzjOJfU_D1hWu4TicCZVmA7FSkMLVl3T9oS-_Qe9TYccSR1RsjFCdb0gSh4pl1MpGSe7z2GBfGdrYe89s0fPLHlmHzyz9yrePI4-jAv6p5Y_DhGgjkChUtxi_vv3f8b-Bjfno6A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2624603890</pqid></control><display><type>article</type><title>Combined arterial and delayed enhancement patterns of MRI assist in prognostic prediction for intrahepatic mass-forming cholangiocarcinoma (IMCC)</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Jin, Kai-pu ; Sheng, Rou-fan ; Yang, Chun ; Zeng, Meng-su</creator><creatorcontrib>Jin, Kai-pu ; Sheng, Rou-fan ; Yang, Chun ; Zeng, Meng-su</creatorcontrib><description>Objectives
This study valued MR delayed enhancement pattern in predicting postoperative prognosis of intrahepatic mass-forming cholangiocarcinoma (IMCC).
Methods
From 2011 to 2015, 231 patients of IMCC underwent DCE-MRI preoperatively. Enhancement patterns and MRI characteristics were evaluated. Recurrence and mortality data were compared among IMCCs with different enhancement patterns. Prognostic factor analysis was performed using preoperative and postoperative clinical-pathologic factors, as well as imaging findings.
Results
Fifty-six (24.2%), 142 (61.5%) and 33 (14.3%) tumors showed hypo, peripheral rim and diffuse hyper enhancement in AP. Fifty-six (24.2%), 81 (35.1%) and 94 (40.7%) tumors showed hypo, heterogeneous and uniform enhancement in DP. Patients with arterial diffuse hyper enhancement or delayed uniform enhancement IMCCs had lower preoperative CA19-9 levels, smaller tumor sizes and minor operations than the rest patients (
p
< 0.05) and they were less associated with lymph nodes metastasis, vascular invasion, necrosis or poor tumor differentiation (
p
< 0.05), therefore with higher overall and disease-free survival rates (
p
< 0.05). The combination of AP and DP increased the detection rate of patients with good prognosis in the arterial rim enhancement group. Multivariate analysis revealed the delayed enhancement pattern (hypo HR = 6.304/10.028 for DFS/OS; heterogenous HR = 4.579/4.972 for DFS/OS), multitude of lesions (HR = 1.6/1.5 for DFS/OS) and tumor sizes (HR = 1.6 for DFS) were independent prognostic factors.
Conclusions
The uniform enhancement pattern in delayed MRI was an independent optimal prognostic factor for IMCCs and increased the detection rate of patients with good prognosis compared to the arterial diffuse hyper enhancement pattern.</description><identifier>ISSN: 2366-004X</identifier><identifier>EISSN: 2366-0058</identifier><identifier>DOI: 10.1007/s00261-021-03292-5</identifier><identifier>PMID: 34820689</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Bile Duct Neoplasms - diagnostic imaging ; Bile Duct Neoplasms - surgery ; Bile Ducts, Intrahepatic - diagnostic imaging ; Bile Ducts, Intrahepatic - pathology ; Cholangiocarcinoma ; Cholangiocarcinoma - diagnostic imaging ; Cholangiocarcinoma - surgery ; Factor analysis ; Gastroenterology ; Hepatobiliary ; Hepatology ; Humans ; Imaging ; Liver Neoplasms - pathology ; Lymph nodes ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Medical prognosis ; Medicine ; Medicine & Public Health ; Metastases ; Multivariate analysis ; Necrosis ; Patients ; Prognosis ; Radiology ; Retrospective Studies ; Survival ; Tumors</subject><ispartof>Abdominal imaging, 2022-02, Vol.47 (2), p.640-650</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-663adae43a2d6a976a7e3e5653be93c22a3219da96e4d6d26149dabe5caf6b753</citedby><cites>FETCH-LOGICAL-c375t-663adae43a2d6a976a7e3e5653be93c22a3219da96e4d6d26149dabe5caf6b753</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/s00261-021-03292-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00261-021-03292-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34820689$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jin, Kai-pu</creatorcontrib><creatorcontrib>Sheng, Rou-fan</creatorcontrib><creatorcontrib>Yang, Chun</creatorcontrib><creatorcontrib>Zeng, Meng-su</creatorcontrib><title>Combined arterial and delayed enhancement patterns of MRI assist in prognostic prediction for intrahepatic mass-forming cholangiocarcinoma (IMCC)</title><title>Abdominal imaging</title><addtitle>Abdom Radiol</addtitle><addtitle>Abdom Radiol (NY)</addtitle><description>Objectives
This study valued MR delayed enhancement pattern in predicting postoperative prognosis of intrahepatic mass-forming cholangiocarcinoma (IMCC).
Methods
From 2011 to 2015, 231 patients of IMCC underwent DCE-MRI preoperatively. Enhancement patterns and MRI characteristics were evaluated. Recurrence and mortality data were compared among IMCCs with different enhancement patterns. Prognostic factor analysis was performed using preoperative and postoperative clinical-pathologic factors, as well as imaging findings.
Results
Fifty-six (24.2%), 142 (61.5%) and 33 (14.3%) tumors showed hypo, peripheral rim and diffuse hyper enhancement in AP. Fifty-six (24.2%), 81 (35.1%) and 94 (40.7%) tumors showed hypo, heterogeneous and uniform enhancement in DP. Patients with arterial diffuse hyper enhancement or delayed uniform enhancement IMCCs had lower preoperative CA19-9 levels, smaller tumor sizes and minor operations than the rest patients (
p
< 0.05) and they were less associated with lymph nodes metastasis, vascular invasion, necrosis or poor tumor differentiation (
p
< 0.05), therefore with higher overall and disease-free survival rates (
p
< 0.05). The combination of AP and DP increased the detection rate of patients with good prognosis in the arterial rim enhancement group. Multivariate analysis revealed the delayed enhancement pattern (hypo HR = 6.304/10.028 for DFS/OS; heterogenous HR = 4.579/4.972 for DFS/OS), multitude of lesions (HR = 1.6/1.5 for DFS/OS) and tumor sizes (HR = 1.6 for DFS) were independent prognostic factors.
Conclusions
The uniform enhancement pattern in delayed MRI was an independent optimal prognostic factor for IMCCs and increased the detection rate of patients with good prognosis compared to the arterial diffuse hyper enhancement pattern.</description><subject>Bile Duct Neoplasms - diagnostic imaging</subject><subject>Bile Duct Neoplasms - surgery</subject><subject>Bile Ducts, Intrahepatic - diagnostic imaging</subject><subject>Bile Ducts, Intrahepatic - pathology</subject><subject>Cholangiocarcinoma</subject><subject>Cholangiocarcinoma - diagnostic imaging</subject><subject>Cholangiocarcinoma - surgery</subject><subject>Factor analysis</subject><subject>Gastroenterology</subject><subject>Hepatobiliary</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Imaging</subject><subject>Liver Neoplasms - pathology</subject><subject>Lymph nodes</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metastases</subject><subject>Multivariate analysis</subject><subject>Necrosis</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Survival</subject><subject>Tumors</subject><issn>2366-004X</issn><issn>2366-0058</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kcFu1DAQhi0EolXpC3BAlriUQ8CxYyc5oqjQlVohIZC4WRN7susqsRc7e-hj8MZMu6VIHDhYHs98M_41P2Ova_G-FqL9UISQpq6EpKNkLyv9jJ1KZUwlhO6eP8XNjxN2XsqtEKI2uq6lfslOVNNJYbr-lP0a0jKGiJ5DXjEHmDlEzz3OcEdJjDuIDheMK9_DSkQsPE385uuGQymhrDxEvs9pG1NZg6MQfXBrSJFPKVNxzbBDaqXaQh0VZZcQt9zt0gxxG5KD7EJMC_CLzc0wvHvFXkwwFzx_vM_Y90-X34ar6vrL583w8bpyqtVrZYwCD9gokN5A3xpoUaE2Wo3YKyclKFn3HnqDjTeedtXQa0TtYDJjq9UZuzjOJfU_D1hWu4TicCZVmA7FSkMLVl3T9oS-_Qe9TYccSR1RsjFCdb0gSh4pl1MpGSe7z2GBfGdrYe89s0fPLHlmHzyz9yrePI4-jAv6p5Y_DhGgjkChUtxi_vv3f8b-Bjfno6A</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Jin, Kai-pu</creator><creator>Sheng, Rou-fan</creator><creator>Yang, Chun</creator><creator>Zeng, Meng-su</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><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>20220201</creationdate><title>Combined arterial and delayed enhancement patterns of MRI assist in prognostic prediction for intrahepatic mass-forming cholangiocarcinoma (IMCC)</title><author>Jin, Kai-pu ; Sheng, Rou-fan ; Yang, Chun ; Zeng, Meng-su</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-663adae43a2d6a976a7e3e5653be93c22a3219da96e4d6d26149dabe5caf6b753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Bile Duct Neoplasms - diagnostic imaging</topic><topic>Bile Duct Neoplasms - surgery</topic><topic>Bile Ducts, Intrahepatic - diagnostic imaging</topic><topic>Bile Ducts, Intrahepatic - pathology</topic><topic>Cholangiocarcinoma</topic><topic>Cholangiocarcinoma - diagnostic imaging</topic><topic>Cholangiocarcinoma - surgery</topic><topic>Factor analysis</topic><topic>Gastroenterology</topic><topic>Hepatobiliary</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Imaging</topic><topic>Liver Neoplasms - pathology</topic><topic>Lymph nodes</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metastases</topic><topic>Multivariate analysis</topic><topic>Necrosis</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>Survival</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jin, Kai-pu</creatorcontrib><creatorcontrib>Sheng, Rou-fan</creatorcontrib><creatorcontrib>Yang, Chun</creatorcontrib><creatorcontrib>Zeng, Meng-su</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</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>Jin, Kai-pu</au><au>Sheng, Rou-fan</au><au>Yang, Chun</au><au>Zeng, Meng-su</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combined arterial and delayed enhancement patterns of MRI assist in prognostic prediction for intrahepatic mass-forming cholangiocarcinoma (IMCC)</atitle><jtitle>Abdominal imaging</jtitle><stitle>Abdom Radiol</stitle><addtitle>Abdom Radiol (NY)</addtitle><date>2022-02-01</date><risdate>2022</risdate><volume>47</volume><issue>2</issue><spage>640</spage><epage>650</epage><pages>640-650</pages><issn>2366-004X</issn><eissn>2366-0058</eissn><abstract>Objectives
This study valued MR delayed enhancement pattern in predicting postoperative prognosis of intrahepatic mass-forming cholangiocarcinoma (IMCC).
Methods
From 2011 to 2015, 231 patients of IMCC underwent DCE-MRI preoperatively. Enhancement patterns and MRI characteristics were evaluated. Recurrence and mortality data were compared among IMCCs with different enhancement patterns. Prognostic factor analysis was performed using preoperative and postoperative clinical-pathologic factors, as well as imaging findings.
Results
Fifty-six (24.2%), 142 (61.5%) and 33 (14.3%) tumors showed hypo, peripheral rim and diffuse hyper enhancement in AP. Fifty-six (24.2%), 81 (35.1%) and 94 (40.7%) tumors showed hypo, heterogeneous and uniform enhancement in DP. Patients with arterial diffuse hyper enhancement or delayed uniform enhancement IMCCs had lower preoperative CA19-9 levels, smaller tumor sizes and minor operations than the rest patients (
p
< 0.05) and they were less associated with lymph nodes metastasis, vascular invasion, necrosis or poor tumor differentiation (
p
< 0.05), therefore with higher overall and disease-free survival rates (
p
< 0.05). The combination of AP and DP increased the detection rate of patients with good prognosis in the arterial rim enhancement group. Multivariate analysis revealed the delayed enhancement pattern (hypo HR = 6.304/10.028 for DFS/OS; heterogenous HR = 4.579/4.972 for DFS/OS), multitude of lesions (HR = 1.6/1.5 for DFS/OS) and tumor sizes (HR = 1.6 for DFS) were independent prognostic factors.
Conclusions
The uniform enhancement pattern in delayed MRI was an independent optimal prognostic factor for IMCCs and increased the detection rate of patients with good prognosis compared to the arterial diffuse hyper enhancement pattern.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34820689</pmid><doi>10.1007/s00261-021-03292-5</doi><tpages>11</tpages></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Bile Duct Neoplasms - diagnostic imaging Bile Duct Neoplasms - surgery Bile Ducts, Intrahepatic - diagnostic imaging Bile Ducts, Intrahepatic - pathology Cholangiocarcinoma Cholangiocarcinoma - diagnostic imaging Cholangiocarcinoma - surgery Factor analysis Gastroenterology Hepatobiliary Hepatology Humans Imaging Liver Neoplasms - pathology Lymph nodes Magnetic resonance imaging Magnetic Resonance Imaging - methods Medical prognosis Medicine Medicine & Public Health Metastases Multivariate analysis Necrosis Patients Prognosis Radiology Retrospective Studies Survival Tumors |
| title | Combined arterial and delayed enhancement patterns of MRI assist in prognostic prediction for intrahepatic mass-forming cholangiocarcinoma (IMCC) |
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