Research status and progress of imaging diagnosis of periampullary carcinoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHAO Jing ¹ ,  SONG Bin ^1,2

1. Department of Radiology, West China Hospital, Sichuan University & Functional and Molecular Imaging Key Laboratory of Sichuan Province, Chengdu 610041, P. R. China;
2. Department of Radiology, Sanya People’s Hospital, Sanya, Hainan 572000, P. R. China;

Corresponding?author：

SONG Bin, Email: songlab_radiology@163.com

Keywords：

periampullary carcinoma; imaging diagnosis; computed tomography; magnetic resonance imaging

DOI：

10.7507/1007-9424.202112085

Video：

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Objective To summarize the research status and progress of imaging diagnosis of periampullary carcinoma. Methods The literatures on imaging diagnosis of periampullary carcinoma were reviewed. Results At present, the commonly used imaging diagnosis methods for periampullary carcinoma mainly include ultrasound, CT, MRI, and endoscopic retrograde cholangiopancreatography. Some other new imaging techniques had also been applied in the diagnosis and evaluation of periampullary carcinoma. Conclusions Different imaging methods have their own advantages and disadvantages in the diagnosis of periampullary carcinoma. Therefore, the detection rate and diagnostic accuracy of periampullary carcinoma can be improved by rational selection of imaging techniques or combined application of multiple techniques.

Citation： ZHAO Jing, SONG Bin. Research status and progress of imaging diagnosis of periampullary carcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(2): 239-242. doi: 10.7507/1007-9424.202112085 Copy

1.	Sugita R, Furuta A, Ito K, et al. Periampullary tumors: high-spatial-resolution MR imaging and histopathologic findings in ampullary region specimens. Radiology, 2004, 231(3): 767-774.
2.	趙闖, 戴朝六. 提高壺腹周圍癌術前定性診斷的方法及意義. 肝膽外科雜志, 2018, 26(4): 245-250.
3.	李逢生, 霍興隆, 馬社榮, 等. 彩色多普勒超聲顯像技術對胰頭和壺腹周圍癌可切除性的研究. 中國超聲醫學雜志, 2002, 18(8): 65-68.
4.	王艷, 林禮務, 高上達, 等. 超聲胃十二指腸水窗法對壺腹癌分型診斷的價值. 中國醫學影像技術, 2006, 22(7): 1048-1050.
5.	朱冬梅, 劉剛, 朱林, 等. 壺腹部良惡性病變患者雙重超聲造影的特征分析. 西部醫學, 2019, 31(12): 1930-1934.
6.	吳濤, 蘇中振, 鄭榮琴, 等. 常規超聲、胃腸水對比超聲、雙重對比超聲造影顯示壺腹周圍癌的比較. 中華醫學超聲雜志(電子版), 2010, 7(12): 2075-2081.
7.	Chen CH, Tseng LJ, Yang CC, et al. Preoperative evaluation of periampullary tumors by endoscopic sonography, transabdominal sonography, and computed tomography. J Clin Ultrasound, 2001, 29(6): 313-321.
8.	許建興, 鄭建剛, 龔波, 等. 64層螺旋CT增強掃描對較小壺腹周圍癌的診斷價值探討. 中國臨床醫學影像雜志, 2014, 25(2): 133-135.
9.	周占文. 多層螺旋CT曲面重建技術在臨床膽總管擴張診斷中的使用價值分析. 肝膽外科雜志, 2016, 24(4): 282-284, 297.
10.	韋煒, 余永強, 李小虎, 等. 雙能量能譜CT成像對壺腹周圍癌診斷價值. 放射學實踐, 2015, 30(10): 1026-1030.
11.	王麗萍, 謝光輝, 殷信道, 等. 多層螺旋CT增強掃描對壺腹周圍癌診斷價值探討. 醫學影像學雜志, 2009, 19(7): 870-872.
12.	唐平, 滑炎卿, 王巍, 等. 胰頭癌和壺腹癌的多層螺旋CT診斷. 中國臨床醫學影像雜志, 2007, 18(5): 311-314.
13.	向立勇, 郭子強, 韓國武, 等. 低張后螺旋CT增強對膽總管壺腹癌的診斷價值. 中國CT和MRI雜志, 2008, 6(2): 72-73.
14.	韋煒, 鄧克學, 趙英明, 等. 腹部雙能量能譜CT成像中混合能量模式與單能量模式重建圖像的比較研究. 安徽醫科大學學報, 2016, 51(11): 1650-1653.
15.	Lu JY, Yu H, Zou XL, et al. Apparent diffusion coefficient-based histogram analysis differentiates histological subtypes of periampullary adenocarcinoma. World J Gastroenterol, 2019, 25(40): 6116-6128.
16.	Wu DS, Chen WX, Wang XD, et al. Pancreaticobiliary duct changes of periampullary carcinomas: quantitative analysis at MR imaging. Eur J Radiol, 2012, 81(9): 2112-2117.
17.	王姚, 張川. 胰膽管定量分析對壺腹周圍癌的鑒別診斷價值. 中華臨床醫師雜志(電子版), 2018, 12(7): 400-404.
18.	張海青, 李傳亭, 蔣延偉, 等. 3.0T 磁共振多模態成像在壺腹周圍癌診斷及鑒別診斷中的價值. 醫學影像學雜志, 2019, 29(3): 439-444.
19.	Chu PG, Schwarz RE, Lau SK, et al. Immunohistochemical staining in the diagnosis of pancreatobiliary and ampulla of Vater adenocarcinoma: application of CDX2, CK17, MUC1, and MUC2. Am J Surg Pathol, 2005, 29(3): 359-367.
20.	Kang SP, Saif MW. Ampullary and periampullary tumors: translational efforts to meet a challenge in diagnosis and treatment. Highlights from the “2011 ASCO Gastrointestinal Cancers Symposium”. San Francisco, CA, USA. January 20-22, 2011. JOP, 2011, 12(2): 123-125.
21.	Westgaard A, Pomianowska E, Clausen OP, et al. Intestinal-type and pancreatobiliary-type adenocarcinomas: how does ampullary carcinoma differ from other periampullary malignancies? Ann Surg Oncol, 2013, 20(2): 430-439.
22.	Westgaard A, Tafjord S, Farstad IN, et al. Pancreatobiliary versus intestinal histologic type of differentiation is an independent prognostic factor in resected periampullary adenocarcinoma. BMC Cancer, 2008, 8: 170. doi: 10.1186/1471-2407-8-170.
23.	劉芳芳, 沈丹華, 王漢林, 等. 聯合應用蛋白標志物鑒定壺腹癌病理亞型及其臨床意義. 中華病理學雜志, 2019, 48(2): 92-97.
24.	Radojkovic M, Stojanovic M, Radojkovi? D, et al. Histopathologic differentiation as a prognostic factor in patients with carcinoma of the hepatopancreatic ampulla of Vater. J Int Med Res, 2018, 46(11): 4634-4639.
25.	祝瓊潔, 張冰, 黎琪, 等. MRI術前鑒別診斷腸型和胰膽管型壺腹周圍癌的價值研究. 南京醫科大學學報(自然科學版), 2021, 41(6): 892-898.
26.	譚詩云, 覃麗佳. Vater壺腹部周圍癌的影像學診斷方法及價值. 腹部外科, 2010, 23(6): 330-331.
27.	蔣慧蓉, 楊燕. 壺腹癌診斷中超聲、CT、ERCP的臨床價值評價. 華南國防醫學雜志, 2003, 17(5): 41-43.
28.	陸靜瑜. DWI容積直方圖分析在壺腹周圍癌組織學亞型中的診斷價值. 武漢: 華中科技大學, 2019.
29.	項楠. 胰頭和壺腹周圍腫瘤三維可視化診治平合構建及臨床應用研究. 廣州: 南方醫科大學, 2016.

1. Sugita R, Furuta A, Ito K, et al. Periampullary tumors: high-spatial-resolution MR imaging and histopathologic findings in ampullary region specimens. Radiology, 2004, 231(3): 767-774.
2. 趙闖, 戴朝六. 提高壺腹周圍癌術前定性診斷的方法及意義. 肝膽外科雜志, 2018, 26(4): 245-250.
3. 李逢生, 霍興隆, 馬社榮, 等. 彩色多普勒超聲顯像技術對胰頭和壺腹周圍癌可切除性的研究. 中國超聲醫學雜志, 2002, 18(8): 65-68.
4. 王艷, 林禮務, 高上達, 等. 超聲胃十二指腸水窗法對壺腹癌分型診斷的價值. 中國醫學影像技術, 2006, 22(7): 1048-1050.
5. 朱冬梅, 劉剛, 朱林, 等. 壺腹部良惡性病變患者雙重超聲造影的特征分析. 西部醫學, 2019, 31(12): 1930-1934.
6. 吳濤, 蘇中振, 鄭榮琴, 等. 常規超聲、胃腸水對比超聲、雙重對比超聲造影顯示壺腹周圍癌的比較. 中華醫學超聲雜志(電子版), 2010, 7(12): 2075-2081.
7. Chen CH, Tseng LJ, Yang CC, et al. Preoperative evaluation of periampullary tumors by endoscopic sonography, transabdominal sonography, and computed tomography. J Clin Ultrasound, 2001, 29(6): 313-321.
8. 許建興, 鄭建剛, 龔波, 等. 64層螺旋CT增強掃描對較小壺腹周圍癌的診斷價值探討. 中國臨床醫學影像雜志, 2014, 25(2): 133-135.
9. 周占文. 多層螺旋CT曲面重建技術在臨床膽總管擴張診斷中的使用價值分析. 肝膽外科雜志, 2016, 24(4): 282-284, 297.
10. 韋煒, 余永強, 李小虎, 等. 雙能量能譜CT成像對壺腹周圍癌診斷價值. 放射學實踐, 2015, 30(10): 1026-1030.
11. 王麗萍, 謝光輝, 殷信道, 等. 多層螺旋CT增強掃描對壺腹周圍癌診斷價值探討. 醫學影像學雜志, 2009, 19(7): 870-872.
12. 唐平, 滑炎卿, 王巍, 等. 胰頭癌和壺腹癌的多層螺旋CT診斷. 中國臨床醫學影像雜志, 2007, 18(5): 311-314.
13. 向立勇, 郭子強, 韓國武, 等. 低張后螺旋CT增強對膽總管壺腹癌的診斷價值. 中國CT和MRI雜志, 2008, 6(2): 72-73.
14. 韋煒, 鄧克學, 趙英明, 等. 腹部雙能量能譜CT成像中混合能量模式與單能量模式重建圖像的比較研究. 安徽醫科大學學報, 2016, 51(11): 1650-1653.
15. Lu JY, Yu H, Zou XL, et al. Apparent diffusion coefficient-based histogram analysis differentiates histological subtypes of periampullary adenocarcinoma. World J Gastroenterol, 2019, 25(40): 6116-6128.
16. Wu DS, Chen WX, Wang XD, et al. Pancreaticobiliary duct changes of periampullary carcinomas: quantitative analysis at MR imaging. Eur J Radiol, 2012, 81(9): 2112-2117.
17. 王姚, 張川. 胰膽管定量分析對壺腹周圍癌的鑒別診斷價值. 中華臨床醫師雜志(電子版), 2018, 12(7): 400-404.
18. 張海青, 李傳亭, 蔣延偉, 等. 3.0T 磁共振多模態成像在壺腹周圍癌診斷及鑒別診斷中的價值. 醫學影像學雜志, 2019, 29(3): 439-444.
19. Chu PG, Schwarz RE, Lau SK, et al. Immunohistochemical staining in the diagnosis of pancreatobiliary and ampulla of Vater adenocarcinoma: application of CDX2, CK17, MUC1, and MUC2. Am J Surg Pathol, 2005, 29(3): 359-367.
20. Kang SP, Saif MW. Ampullary and periampullary tumors: translational efforts to meet a challenge in diagnosis and treatment. Highlights from the “2011 ASCO Gastrointestinal Cancers Symposium”. San Francisco, CA, USA. January 20-22, 2011. JOP, 2011, 12(2): 123-125.
21. Westgaard A, Pomianowska E, Clausen OP, et al. Intestinal-type and pancreatobiliary-type adenocarcinomas: how does ampullary carcinoma differ from other periampullary malignancies? Ann Surg Oncol, 2013, 20(2): 430-439.
22. Westgaard A, Tafjord S, Farstad IN, et al. Pancreatobiliary versus intestinal histologic type of differentiation is an independent prognostic factor in resected periampullary adenocarcinoma. BMC Cancer, 2008, 8: 170. doi: 10.1186/1471-2407-8-170.
23. 劉芳芳, 沈丹華, 王漢林, 等. 聯合應用蛋白標志物鑒定壺腹癌病理亞型及其臨床意義. 中華病理學雜志, 2019, 48(2): 92-97.
24. Radojkovic M, Stojanovic M, Radojkovi? D, et al. Histopathologic differentiation as a prognostic factor in patients with carcinoma of the hepatopancreatic ampulla of Vater. J Int Med Res, 2018, 46(11): 4634-4639.
25. 祝瓊潔, 張冰, 黎琪, 等. MRI術前鑒別診斷腸型和胰膽管型壺腹周圍癌的價值研究. 南京醫科大學學報(自然科學版), 2021, 41(6): 892-898.
26. 譚詩云, 覃麗佳. Vater壺腹部周圍癌的影像學診斷方法及價值. 腹部外科, 2010, 23(6): 330-331.
27. 蔣慧蓉, 楊燕. 壺腹癌診斷中超聲、CT、ERCP的臨床價值評價. 華南國防醫學雜志, 2003, 17(5): 41-43.
28. 陸靜瑜. DWI容積直方圖分析在壺腹周圍癌組織學亞型中的診斷價值. 武漢: 華中科技大學, 2019.
29. 項楠. 胰頭和壺腹周圍腫瘤三維可視化診治平合構建及臨床應用研究. 廣州: 南方醫科大學, 2016.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Research status and progress of imaging diagnosis of periampullary carcinoma

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