Radiological assessment of secondary biliary tree lesions: an update

Objective To conduct a systematic literature review of imaging techniques and findings in patients with peribiliary liver metastasis. Methods Several electronic datasets were searched from January 1990 to June 2017 to identify studies assessing the use of different imaging techniques for the detecti...

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Main Authors: Vincenza Granata, Roberta Fusco, Sergio Venanzio Setola, Antonio Avallone, Raffaele Palaia, Roberto Grassi, Francesco Izzo, Antonella Petrillo
Format: Article
Language:English
Published: SAGE Publishing 2020-06-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060519850398
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author Vincenza Granata
Roberta Fusco
Sergio Venanzio Setola
Antonio Avallone
Raffaele Palaia
Roberto Grassi
Francesco Izzo
Antonella Petrillo
author_facet Vincenza Granata
Roberta Fusco
Sergio Venanzio Setola
Antonio Avallone
Raffaele Palaia
Roberto Grassi
Francesco Izzo
Antonella Petrillo
author_sort Vincenza Granata
collection DOAJ
description Objective To conduct a systematic literature review of imaging techniques and findings in patients with peribiliary liver metastasis. Methods Several electronic datasets were searched from January 1990 to June 2017 to identify studies assessing the use of different imaging techniques for the detection and staging of peribiliary metastases. Results The search identified 44 studies, of which six met the inclusion criteria and were included in the systematic review. Multidetector computed tomography (MDCT) is the technique of choice in the preoperative setting and during the follow-up of patients with liver tumors. However, the diagnostic performance of MDCT for the assessment of biliary tree neoplasms was low compared with magnetic resonance imaging (MRI). Ultrasound (US), without and with contrast enhancement (CEUS), is commonly employed as a first-line tool for evaluating focal liver lesions; however, the sensitivity and specificity of US and CEUS for both the detection and characterization are related to operator expertise and patient suitability. MRI has thus become the gold standard technique because of its ability to provide morphologic and functional data. MRI showed the best diagnostic performance for the detection of peribiliary metastases. Conclusions MRI should be considered the gold standard technique for the radiological assessment of secondary biliary tree lesions.
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spelling doaj.art-444d4105685f4d4e98b94c4ba35dc0312022-12-21T22:41:49ZengSAGE PublishingJournal of International Medical Research1473-23002020-06-014810.1177/0300060519850398Radiological assessment of secondary biliary tree lesions: an updateVincenza GranataRoberta FuscoSergio Venanzio SetolaAntonio AvalloneRaffaele PalaiaRoberto GrassiFrancesco IzzoAntonella PetrilloObjective To conduct a systematic literature review of imaging techniques and findings in patients with peribiliary liver metastasis. Methods Several electronic datasets were searched from January 1990 to June 2017 to identify studies assessing the use of different imaging techniques for the detection and staging of peribiliary metastases. Results The search identified 44 studies, of which six met the inclusion criteria and were included in the systematic review. Multidetector computed tomography (MDCT) is the technique of choice in the preoperative setting and during the follow-up of patients with liver tumors. However, the diagnostic performance of MDCT for the assessment of biliary tree neoplasms was low compared with magnetic resonance imaging (MRI). Ultrasound (US), without and with contrast enhancement (CEUS), is commonly employed as a first-line tool for evaluating focal liver lesions; however, the sensitivity and specificity of US and CEUS for both the detection and characterization are related to operator expertise and patient suitability. MRI has thus become the gold standard technique because of its ability to provide morphologic and functional data. MRI showed the best diagnostic performance for the detection of peribiliary metastases. Conclusions MRI should be considered the gold standard technique for the radiological assessment of secondary biliary tree lesions.https://doi.org/10.1177/0300060519850398
spellingShingle Vincenza Granata
Roberta Fusco
Sergio Venanzio Setola
Antonio Avallone
Raffaele Palaia
Roberto Grassi
Francesco Izzo
Antonella Petrillo
Radiological assessment of secondary biliary tree lesions: an update
Journal of International Medical Research
title Radiological assessment of secondary biliary tree lesions: an update
title_full Radiological assessment of secondary biliary tree lesions: an update
title_fullStr Radiological assessment of secondary biliary tree lesions: an update
title_full_unstemmed Radiological assessment of secondary biliary tree lesions: an update
title_short Radiological assessment of secondary biliary tree lesions: an update
title_sort radiological assessment of secondary biliary tree lesions an update
url https://doi.org/10.1177/0300060519850398
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