
Objective: To report our cancer centre experience in the biliary tumours incidence other than cholangiocellular-carcinoma, emphasizing the radiological features. Methods: 197 patients with biliary disease undergoing Gd-EOB-DTPA-enhanced MRI were reviewed. Four radiologists evaluated retrospectively size, structure, anatomical site and signal intensity of lesions on MRI. Enhancement-pattern during the arterial-, portal- and late-phase on ultrasound, CT and MR study was assessed as well as the enhancement pattern during the hepatobiliary-phase on MRI. Results: 23 patients were selected. The lesion was intraductal in 5 cases, periductal in 14 and intrahepatic in 4. 16 lesions were solid, 5 uniloculated cystic and 2 complex cystic. In five patients the lesion was simple cyst, with a signal intensity in T 1 weighted (T1W) and T 2 weighted (T2W) similar to the gallbladder. In two patients with complex cystic lesion, the solid component was heterogeneously hypointense in T 1 W, hyperintense in T 2 W with a restricted diffusion. The solid component showed heterogeneous contrast-enhancement on CT, MR and ultrasound. The tumour was intrahepatic in two patients, with signal hypointense in T 1 W and hyperintense in T 2 W. Diffusion was restricted. The lesions showed heterogeneous contrast-enhancement. The periductal lesions were hypointense in T 1 W, hyperintense in T 2 W with restricted diffusion. The lesion showed progressive contrast-enhancement. Peribiliary melanoma was hyperintense in T 1 W, hyperintense in T 2 W with restricted diffusion and progressively contrast-enhanced. Conclusion: Biliary tumours can have a wide spectrum of radiologic appearances and consequently represent a diagnostic challenge for the radiologist. Advances in knowledge: MRI is the technique of choice in diagnosing biliary tumours, including rare (non-CCC) tumours.
Adult, Aged, 80 and over, Male, Incidence, Middle Aged, Magnetic Resonance Imaging, Biliary Tract Neoplasms, Adult; Aged; Aged, 80 and over; Biliary Tract Neoplasms; Female; Humans; Incidence; Magnetic Resonance Imaging; Male; Middle Aged; Retrospective Studies; Tomography, X-Ray Computed; Ultrasonography; Radiology, Nuclear Medicine and Imaging, Humans, Female, Tomography, X-Ray Computed, Aged, Retrospective Studies, Ultrasonography
Adult, Aged, 80 and over, Male, Incidence, Middle Aged, Magnetic Resonance Imaging, Biliary Tract Neoplasms, Adult; Aged; Aged, 80 and over; Biliary Tract Neoplasms; Female; Humans; Incidence; Magnetic Resonance Imaging; Male; Middle Aged; Retrospective Studies; Tomography, X-Ray Computed; Ultrasonography; Radiology, Nuclear Medicine and Imaging, Humans, Female, Tomography, X-Ray Computed, Aged, Retrospective Studies, Ultrasonography
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 15 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
