カミヤ コウヘイ   Kamiya Kohei
  神谷 昂平
   所属   東邦大学  医学部 医学科(大森病院)
   職種   講師
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Comparison of CT findings of biliary tract changes with autoimmune pancreatitis and extrahepatic bile duct cholangiocarcinoma.
掲載誌名 正式名:Japanese journal of radiology
ISSNコード:18671071
出版社 SPRINGER
巻・号・頁 30(3),pp.227-34
著者・共著者 Eriko Maeda,Masaaki Akahane,Naoki Yoshioka,Hidemasa Takao,Izuru Matsuda,Kouhei Kamiya,Kenji Hirano,Minoru Tada,Hiroshi Ohtsu,Noriyoshi Fukushima,Kuni Ohtomo
発行年月 2012/04
概要 PURPOSE: To retrospectively evaluate criteria for differentiating biliary tract changes in autoimmune pancreatitis (AIP-BTC) from extrahepatic cholangiocarcinoma (ECCA) based on CT findings and to determine predictors for differentiation between the two disorders. MATERIALS AND METHODS: CT findings of 22 patients with AIP-BTC and 45 patients with ECCA, both with positive CT findings in the biliary system, were retrospectively assessed. The images were assessed for presence of biliary obstruction, diameter of the maximally dilated biliary duct, maximum thickness of the involved duct, presence of masses inside or around the involved ducts, lengths of the biliary lesions, concentricity of wall thickening, multifocality of the lesion, and degree of lesion enhancement. RESULTS: Compared with AIP-BTC, ECCA was significantly more frequently associated with biliary obstruction (p = 0.0037), shorter lengths of the biliary lesions (p = 0.0036), and masses (p<0.001). No significant differences were found for other items. CONCLUSION: Presence of obstructive dilatation of the bile ducts and intraluminal or peri-ductal masses and length of the thickened wall may help differentiate between AIP-
DOI 10.1007/s11604-011-0035-6
PMID 22200917