Liver Imaging and Data System (LI-RADS) Version 2018 and Other Imaging Features in Intrahepatic Cholangiocarcinoma in Chinese Adults with vs. without Chronic Hepatitis B Viral Infection

被引:3
|
作者
Liang, Ying-ying [1 ,2 ]
Shao, Shuo [3 ,4 ]
Kuang, Sichi [1 ]
Chen, Jingbiao [1 ]
Zhou, Jing [1 ]
He, Bingjun [1 ]
Zhang, Linqi [1 ]
Zhang, Yao [1 ]
Fowler, Kathryn J. [5 ]
Wang, Jin [1 ]
机构
[1] Sun Yat Sen Univ, Dept Radiol, Affiliated Hosp 1, 600 Tianhe Rd, Guangzhou 510630, Guangdong, Peoples R China
[2] South China Univ Technol, Guangzhou First Peoples Hosp, Sch Med, Dept Radiol, Guangzhou, Peoples R China
[3] Shandong Univ, Shandong Med Imaging Res Inst, Jinan, Shandong, Peoples R China
[4] Jining 1 Peoples Hosp, Dept Radiol, Jining, Shandong, Peoples R China
[5] Univ Calif San Diego, Dept Radiol, Liver Imaging Grp, La Jolla, CA 92093 USA
基金
中国国家自然科学基金;
关键词
D O I
10.1155/2021/6639600
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Purpose. To describe liver imaging reporting and data system (LI-RADS) version 2018 and other MRI imaging features in intrahepatic mass-forming cholangiocarcinoma (iCCA) in Chinese adults with vs. without chronic hepatitis B viral (HBV) infection. Methods. We retrospectively enrolled 89 patients with pathologically proven iCCA after multiphase imaging performed between 2004 and 2017 at a tertiary medical center in southern China. Based on whether patients had chronic HBV, iCCA was divided into two subgroups: HBV-positive (n = 50 patients, including 9 with cirrhosis) vs. HBV-negative (n = 39 patients, including 14 with hepatolithiasis and 25 with no identifiable risk factor for iCCA; none had cirrhosis). Two independent abdominal radiologists in consensus reviewed the largest mass in each patient to assign LI-RADS v2018 features; they also scored each observation's shape and location. Imaging features were compared using chi-square or Fisher's exact tests. Results. Most iCCAs in HBV-positive (88% (44/50)) and HBV-negative (97% (38/39)) patients had at least one LR-M feature. Compared to iCCAs in HBV-negative patients, iCCAs in HBV-positive patients were more likely to have at least one major feature of HCC (46% (23/50) vs. 8% (3/39), P < 0.001) and more likely to be smooth (42% (21/50) vs. 10% (4/39), P = 0.001). Six of 50 (12%) iCCAs in HBV-positive patients and 1/39 (3%) iCCAs in HBV-negative patients had at least one major feature of HCC without any LR-M feature. Conclusions. In this retrospective single-center study in Chinese adults, iCCAs in HBV-positive patients were more likely to resemble HCCs than iCCAs in HBV-negative patients.
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页数:10
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