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DOI:10.2214/AJR.07.3992
AJR 2008; 191:1448-1457
© American Roentgen Ray Society


Pictorial Essay

Hilar Cholangiocarcinoma: Role of Preoperative Imaging with Sonography, MDCT, MRI, and Direct Cholangiography

Jin-Young Choi1, Myeong-Jin Kim1, Jeong Min Lee2, Ki Whang Kim1, Jae Young Lee2, Joon Koo Han2 and Byung Ihn Choi2

1 Department of Radiology, Research Institute of Radiological Science, Institute of Gastroenterology, Yonsei University Health System, Seodaemun-ku Shinchon-dong 134, Seoul, 120-752, Republic of Korea.
2 Department of Radiology, Seoul National University Hospital, Seoul, Republic of Korea.

OBJECTIVE. The purpose of this article is to describe the roles of sonography, MDCT, MRI, and direct cholangiography in the evaluation of hilar cholangiocarcinoma.

CONCLUSION. Hilar cholangiocarcinoma is a primary malignant tumor typically located at the confluence of the right and left ducts within the porta hepatis. Staging of hilar cholangiocarcinoma with various imaging techniques is crucial for management, and a comprehensive approach is needed for accurate preoperative assessment.

Keywords: cholangiography • CT • hilar cholangiocarcinoma • MRI • sonography


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