Multimodality Imaging Approach to Cholangiocarcinoma: A Comprehensive Case Review

Abstract

Abstract This educational module reviews the epidemiology, pathophysiology, clinical features, radiographic findings, and treatment of cholangiocarcinoma using imaging examples from endoscopic retrograde cholangiopancreatograms (ERCPs), CTs, and MRIs. This resource was created because cholangiocarcinoma is the second most common primary hepatobiliary malignancy. Once the diagnosis of cholangiocarcinoma is suspected, radiographic imaging can play an important role in characterizing the type of cholangiocarcinoma and the extent of involvement, which will ultimately help determine prognosis and treatment options. It is essential for clinicians to be familiar with the different types of cholangiocarcinoma. Through this presentation, readers will gain a thorough understanding of cholangiocarcinoma, including the radiographic features and various treatment options. Identifying cholangiocarcinoma and its extent of involvement accurately and in a timely manner is important in determining the proper options for management, which will ultimately affect the patient's prognosis and help to improve the patient's quality of life. The target audience for this presentation is medical students, residents, fellows, and attending physicians, particularly in the fields of internal medicine, gastroenterology, oncology, and radiology. It takes approximately 20 minutes to review and does not require any preparation or materials ahead of time. Also included is a posttest with answers so learners can conduct a self-evaluation.

Keywords

• CT
• MRI
• Radiograph
• Cholangiocarcinoma
• ERCP