Abstract:
OBJECTIVE:The objective of this study was to determine the accuracy of contrast-enhanced multidetector row computed tomography (MDCT) in classifying the morphological subtype and revealing the longitudinal extent of extrahepatic cholangiocarcinomas (EHCs). METHODS:Our institutional review board approved this retrospective study, and informed consent was waived. Two radiologists reviewed the preoperative MDCT images of 56 patients who had undergone surgical treatment of EHCs from 2000 to 2006. The reviewers classified the morphological subtypes and measured the enhancing segment of the bile duct with wall thickening on axial images; they then reviewed the axial and multiplanar reconstruction images of 39 patients. The image analysis results were compared with the pathological findings. RESULTS:The accuracy of MDCT for morphological classification was 78.6% (44/56). The differences between the radiological and pathological measurements of the longitudinal extent of the tumors ranged from 0 to 53.5 mm, with a mean (SD) of 5.89 mm (11.42 mm). There was moderate correlation between the 2 measurements of the longitudinal extent of the tumors (P < 0.05, gamma = 0.4455). In 35 patients, MDCT measurements did not differ significantly from the pathological measurements (62.5%). In 18 patients, computed tomography (CT) underestimated the longitudinal extent of the tumor by more than 6 mm (32.1%). In the 39 patients with multiplanar reconstruction images, the correlation between the CT and the pathological measurements of the longitudinal extent was better in the combined interpretation of the axial and coronal images (P < 0.05, gamma = 0.4153) than that in the interpretation of only the axial images (P > 0.05, gamma = 0.2652). CONCLUSIONS:Our results demonstrate that MDCT can correctly classify the morphological subtype of EHC. Nevertheless, CT has a strong tendency to underestimate the longitudinal tumor extent compared with the pathological results.
journal_name
J Comput Assist Tomogrjournal_title
Journal of computer assisted tomographyauthors
Seo H,Lee JM,Kim IH,Han JK,Kim SH,Jang JY,Kim SW,Choi BIdoi
10.1097/RCT.0b013e318184f3f7subject
Has Abstractpub_date
2009-05-01 00:00:00pages
376-82issue
3eissn
0363-8715issn
1532-3145pii
00004728-200905000-00010journal_volume
33pub_type
杂志文章abstract::We report a patient with gas in the pancreatic duct due to a gastropancreatic fistula resulting from gastric ulcer. No mass or pseudocyst was demonstrated. This entity should be considered when patients with gas in the pancreas are encountered. ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198707000-00031
更新日期:1987-07-01 00:00:00
abstract::Thirty-three patients with rheumatoid arthritis had computed tomographic examination of the craniocervical junction. This demonstrated soft tissue features which have not previously been described in published reports. A low attenuation lesion between the odontoid and the transverse ligament shown in 11 patients was c...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198302000-00006
更新日期:1983-02-01 00:00:00
abstract:PURPOSE:To assess radiation dose reduction and image quality for weight-based chest computed tomographic (CT) examination results reconstructed using adaptive statistical iterative reconstruction (ASIR) technique. MATERIALS AND METHODS:With local ethical committee approval, weight-adjusted chest CT examinations were p...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0b013e3181b26c67
更新日期:2010-01-01 00:00:00
abstract::Mean lung density (MLD), as determined by a chest computed tomographic sector method, was evaluated in 12 patients with sarcoidosis and diffuse interstitial lung disease. The results demonstrate that MLD in sarcoidosis was -610.9 +/- 57.3 Hounsfield units (HU), significantly different (p less than 0.001) from a contro...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198306000-00003
更新日期:1983-06-01 00:00:00
abstract::We aim to review the imaging appearance of peripheral nerve sheath tumors (PNSTs) of head and neck according to updated fourth edition of World Health Organization classification. Peripheral nerve sheath tumor can be sporadic or associated with neurofibromatosis type 1, neurofibromatosis type 2, and schwannomatosis. S...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章,评审
doi:10.1097/RCT.0000000000001109
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:To determine the differences in enhancement of hepatocellular carcinoma during the first 5 minutes of postcontrast phases with gadoxetic acid (Gd-EOB-DTPA) vs gadobenate dimeglumine. METHODS:Ninety-five cirrhotic patients with hepatocellular carcinoma were examined on a 1.5-T scanner: 74 patients with Gd-BOP...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0000000000000234
更新日期:2015-07-01 00:00:00
abstract::The use of CT in the documentation of ancient Egyptian mummified human remains has previously been described in this and other journals. We recently applied this technique to a collection of ancient Egyptian mummified fauna and sarcophagi. We selected an example to illustrate that CT is also uniquely suitable for the ...
journal_title:Journal of computer assisted tomography
pub_type: 历史文章,杂志文章
doi:10.1097/00004728-198707000-00044
更新日期:1987-07-01 00:00:00
abstract:PURPOSE:The purpose of this work was to evaluate patients with carpal tunnel syndrome (CTS) using a low-field extremity MR system (E-MRI: 0.2 T). METHOD:Twenty-two patients with typical findings of CTS and 30 control persons were imaged on an E-MRI. Axial T2-weighted turbo SE (TSE), T1-weighted SE sequences, and 2D GR...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200101000-00026
更新日期:2001-01-01 00:00:00
abstract::In vivo attenuation values of 19 fluid collections in 17 patients were compared with in vitro values obtained on examination of the aspirated fluids within the calibration phantom of an EMI CT5005 body scanner. While the in vitro values showed a 5.2 Hounsfield unit (HU:1,000 scale). difference between cysts and absces...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198004000-00002
更新日期:1980-04-01 00:00:00
abstract::Benign hepatic neoplasms constitute a heterogeneous group of neoplasms with characteristic histology and variable tumor biology. Based on the cell of origin, benign hepatic neoplasms are classified into epithelial, nonepithelial, and miscellaneous categories according to the 2000 World Health Organization classificati...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章,评审
doi:10.1097/RCT.0b013e31815a5748
更新日期:2008-11-01 00:00:00
abstract::We report a unique case of early-phase Takayasu arteritis in which the vessels demonstrated accumulation of [18F]fluorodeoxyglucose (FDG) on PET scanning. This observation suggests the possible use of FDG-PET for the diagnosis of vasculitis. Early diagnosis of Takayasu arteritis may permit early treatment and possibly...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199901000-00004
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVE:To determine the incremental detection rate of clinically significant prostate cancer (csPCa) provided by sequential cores during in-bore magnetic resonance imaging (MRI)-guided prostate biopsies. METHODS:Single-center, retrospective interpretation of prospectively acquired data in men without previous diagn...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0000000000001115
更新日期:2020-12-02 00:00:00
abstract:PURPOSE:To evaluate the usefulness of CT in the differentiation of ruptured endometrial cysts and corpus luteal cysts. METHODS:Sixteen patients (mean age, 26 years) with a surgically proven ruptured endometrial cyst and 19 patients (mean age, 28 years) with a surgically proven corpus luteal cyst were included in this ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0b013e31821f4bd2
更新日期:2011-07-01 00:00:00
abstract::To evaluate the performance of our elastic matching system, we have created a digitized atlas from the brain of a normal young man, using 135 myelin-stained sections at 700 microns spacing. Software was written to enter and edit regional anatomic contours, which were stacked and aligned to create a three-dimensional a...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198907000-00009
更新日期:1989-07-01 00:00:00
abstract::The orbital lesions in six patients with Wegener's granulomatosis were studied by computer assisted tomography (CAT). Four patients had active orbital disease and proptosis, and each was found to have orbital masses accompanied by varying degrees of bone and sinus destruction. Two additional patients with histories of...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-197801000-00006
更新日期:1978-01-01 00:00:00
abstract::Computed tomographic and magnetic resonance (MR) findings in a case of pseudomyxoma peritonei arising from a mucoid cystadenoma of the ovary are presented. The possible diagnostic aid of MR is discussed. ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198511000-00025
更新日期:1985-11-01 00:00:00
abstract:PURPOSE:Our goal was to determine the predictive value of coronary artery calcification (CAC) on preoperative CT of the thorax for cardiac complications of noncardiac thoracic surgery. METHOD:Of 117 patients undergoing noncardiac thoracic surgical procedures between January 1, 1993, and June 1, 1995, at our institutio...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199707000-00018
更新日期:1997-07-01 00:00:00
abstract::Hepatocellular carcinoma and cholangiocarcinoma are the most common primary liver malignancies in adults (comprising >85%); however, liver is also host to some unusual primary malignant tumors. Some of these tumors show distinct demographic, clinicopathologic, and imaging features. Imaging features of these uncommon p...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章,评审
doi:10.1097/RCT.0000000000000382
更新日期:2016-05-01 00:00:00
abstract::The inhalation of small quantities of carbon-11 labeled carbon monoxide results in a useful red cell label to identify vascular structures in the body and quantitate red cell concentration in tissues. Transverse section images are obtained using PC-II, the Massachusetts General Hospital (MGH) Positron Camera. Attenuat...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-197811000-00001
更新日期:1978-11-01 00:00:00
abstract::Collagen vascular disease (CVD) can cause a variety of lung abnormalities, including usual interstitial pneumonia, nonspecific interstitial pneumonia, organizing pneumonia, diffuse alveolar damage, lymphoid interstitial pneumonia, bronchiectasis, constrictive bronchiolitis, follicular bronchiolitis, alveolar hemorrhag...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200405000-00009
更新日期:2004-05-01 00:00:00
abstract::The primitive trigeminal artery is the most common of the persistent carotid-basilar anastomoses with an angiographic incidence of 0.6%. Fifteen cases of aneurysms of a persistent primitive trigeminal artery have been reported in the literature. A 16th patient is presented in whom an incidental trigeminal artery aneur...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章,评审
doi:10.1097/00004728-198809010-00022
更新日期:1988-09-01 00:00:00
abstract::The magnetic resonance (MR) demonstration of a pituitary adenoma associated with McCune-Albright syndrome is presented. A useful role for routine MR imaging of the sella turcica in all cases of clinically suspected McCune-Albright syndrome is suggested. This is especially important in patients with leontiasis ossea se...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198907000-00026
更新日期:1989-07-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to classify the types of medial synovial fold of the posterior cruciate ligament (PCL) on magnetic resonance imaging (MRI) and to identify the relationships between fold type and impingement of the PCL on arthroscopy. SUBJECTS AND METHODS:Ninety-nine patients who underwent knee ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0000000000000429
更新日期:2016-09-01 00:00:00
abstract::The authors describe a technique for automated analysis of lesions demonstrated by computed tomography. A seed circle may be superimposed on a lesion by an operator controlled program. By selecting density limits, the program will then automatically outline a particular area of abnormal density and calculate the stati...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:
更新日期:1977-07-01 00:00:00
abstract:OBJECTIVE:The goal of this study was twofold: first, to quantify the influence of magnetic field strength (B0) on T2* and T2susceptibility relaxation rates in vertebral bone marrow; and second, to determine the significance of in-phase/out-of-phase phenomena in GE MRI as a function of TEs at different B0 values. MATER...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199505000-00023
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVES:Pelvic organ prolapse is a common debilitating condition affecting women. Cross-sectional imaging with magnetic resonance imaging (MRI) depicts pelvic floor anatomy as well as organ prolapse and can complement or replace fluoroscopy. Occasionally, patients cannot tolerate MRI, but multiplanar visualization o...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200309000-00016
更新日期:2003-09-01 00:00:00
abstract:PURPOSE:The purpose of this study was to compare the preoperative detectability of hepatocellular carcinomas (HCCs) using combined T2-weighted and dynamic gadolinium-enhanced MRI and combined CT during arterial portography (CTAP) and CT hepatic arteriography (CTHA). METHOD:Thirty-three patients with 43 HCCs underwent ...
journal_title:Journal of computer assisted tomography
pub_type: 临床试验,杂志文章
doi:10.1097/00004728-200109000-00018
更新日期:2001-09-01 00:00:00
abstract::Although computed tomography (CT) delineation of normal white matter of the cerebral hemispheres has been well documented, there has been no description of white matter within the cerebellum. Through the use of phantom studies, CT number correlations between cerebellum and cerebral hemispheres, and anatomic correlatio...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-197804000-00005
更新日期:1978-04-01 00:00:00
abstract::Pick's disease is a rare cause of dementia. It often shows a characteristic pattern of atrophy affecting primarily the anterior portions of the frontal and temporal lobes. This pattern, as shown by computed tomography, may suggest the diagnosis. ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-197902000-00021
更新日期:1979-02-01 00:00:00
abstract::Distinctive plain X-ray and computer assisted tomography (CAT) findings led to the diagnosis in a case of teratoma in the pineal region and helped avoid invasive investigations. The demonstration by CAT of the location and size of the tumor as well as the presence of marked hydrocephalus directed the patient's therapy...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-197809000-00022
更新日期:1978-09-01 00:00:00