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.	赵闯, 戴朝六. 提高壶腹周围癌术前定性诊断的方法及意义. 肝胆外科杂志, 2018, 26(4): 245-250.
3.	李逢生, 霍兴隆, 马社荣, 等. 彩色多普勒超声显像技术对胰头和壶腹周围癌可切除性的研究. 中国超声医学杂志, 2002, 18(8): 65-68.
4.	王艳, 林礼务, 高上达, 等. 超声胃十二指肠水窗法对壶腹癌分型诊断的价值. 中国医学影像技术, 2006, 22(7): 1048-1050.
5.	朱冬梅, 刘刚, 朱林, 等. 壶腹部良恶性病变患者双重超声造影的特征分析. 西部医学, 2019, 31(12): 1930-1934.
6.	吴涛, 苏中振, 郑荣琴, 等. 常规超声、胃肠水对比超声、双重对比超声造影显示壶腹周围癌的比较. 中华医学超声杂志(电子版), 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.	许建兴, 郑建刚, 龚波, 等. 64层螺旋CT增强扫描对较小壶腹周围癌的诊断价值探讨. 中国临床医学影像杂志, 2014, 25(2): 133-135.
9.	周占文. 多层螺旋CT曲面重建技术在临床胆总管扩张诊断中的使用价值分析. 肝胆外科杂志, 2016, 24(4): 282-284, 297.
10.	韦炜, 余永强, 李小虎, 等. 双能量能谱CT成像对壶腹周围癌诊断价值. 放射学实践, 2015, 30(10): 1026-1030.
11.	王丽萍, 谢光辉, 殷信道, 等. 多层螺旋CT增强扫描对壶腹周围癌诊断价值探讨. 医学影像学杂志, 2009, 19(7): 870-872.
12.	唐平, 滑炎卿, 王巍, 等. 胰头癌和壶腹癌的多层螺旋CT诊断. 中国临床医学影像杂志, 2007, 18(5): 311-314.
13.	向立勇, 郭子强, 韩国武, 等. 低张后螺旋CT增强对胆总管壶腹癌的诊断价值. 中国CT和MRI杂志, 2008, 6(2): 72-73.
14.	韦炜, 邓克学, 赵英明, 等. 腹部双能量能谱CT成像中混合能量模式与单能量模式重建图像的比较研究. 安徽医科大学学报, 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, 张川. 胰胆管定量分析对壶腹周围癌的鉴别诊断价值. 中华临床医师杂志(电子版), 2018, 12(7): 400-404.
18.	张海青, 李传亭, 蒋延伟, 等. 3.0T 磁共振多模态成像在壶腹周围癌诊断及鉴别诊断中的价值. 医学影像学杂志, 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.	刘芳芳, 沈丹华, 王汉林, 等. 联合应用蛋白标志物鉴定壶腹癌病理亚型及其临床意义. 中华病理学杂志, 2019, 48(2): 92-97.
24.	Radojkovic M, Stojanovic M, Radojković 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.	祝琼洁, 张冰, 黎琪, 等. MRI术前鉴别诊断肠型和胰胆管型壶腹周围癌的价值研究. 南京医科大学学报(自然科学版), 2021, 41(6): 892-898.
26.	谭诗云, 覃丽佳. Vater壶腹部周围癌的影像学诊断方法及价值. 腹部外科, 2010, 23(6): 330-331.
27.	蒋慧蓉, 杨燕. 壶腹癌诊断中超声、CT、ERCP的临床价值评价. 华南国防医学杂志, 2003, 17(5): 41-43.
28.	陆静瑜. DWI容积直方图分析在壶腹周围癌组织学亚型中的诊断价值. 武汉: 华中科技大学, 2019.
29.	项楠. 胰头和壶腹周围肿瘤三维可视化诊治平合构建及临床应用研究. 广州: 南方医科大学, 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. 赵闯, 戴朝六. 提高壶腹周围癌术前定性诊断的方法及意义. 肝胆外科杂志, 2018, 26(4): 245-250.
3. 李逢生, 霍兴隆, 马社荣, 等. 彩色多普勒超声显像技术对胰头和壶腹周围癌可切除性的研究. 中国超声医学杂志, 2002, 18(8): 65-68.
4. 王艳, 林礼务, 高上达, 等. 超声胃十二指肠水窗法对壶腹癌分型诊断的价值. 中国医学影像技术, 2006, 22(7): 1048-1050.
5. 朱冬梅, 刘刚, 朱林, 等. 壶腹部良恶性病变患者双重超声造影的特征分析. 西部医学, 2019, 31(12): 1930-1934.
6. 吴涛, 苏中振, 郑荣琴, 等. 常规超声、胃肠水对比超声、双重对比超声造影显示壶腹周围癌的比较. 中华医学超声杂志(电子版), 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. 许建兴, 郑建刚, 龚波, 等. 64层螺旋CT增强扫描对较小壶腹周围癌的诊断价值探讨. 中国临床医学影像杂志, 2014, 25(2): 133-135.
9. 周占文. 多层螺旋CT曲面重建技术在临床胆总管扩张诊断中的使用价值分析. 肝胆外科杂志, 2016, 24(4): 282-284, 297.
10. 韦炜, 余永强, 李小虎, 等. 双能量能谱CT成像对壶腹周围癌诊断价值. 放射学实践, 2015, 30(10): 1026-1030.
11. 王丽萍, 谢光辉, 殷信道, 等. 多层螺旋CT增强扫描对壶腹周围癌诊断价值探讨. 医学影像学杂志, 2009, 19(7): 870-872.
12. 唐平, 滑炎卿, 王巍, 等. 胰头癌和壶腹癌的多层螺旋CT诊断. 中国临床医学影像杂志, 2007, 18(5): 311-314.
13. 向立勇, 郭子强, 韩国武, 等. 低张后螺旋CT增强对胆总管壶腹癌的诊断价值. 中国CT和MRI杂志, 2008, 6(2): 72-73.
14. 韦炜, 邓克学, 赵英明, 等. 腹部双能量能谱CT成像中混合能量模式与单能量模式重建图像的比较研究. 安徽医科大学学报, 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, 张川. 胰胆管定量分析对壶腹周围癌的鉴别诊断价值. 中华临床医师杂志(电子版), 2018, 12(7): 400-404.
18. 张海青, 李传亭, 蒋延伟, 等. 3.0T 磁共振多模态成像在壶腹周围癌诊断及鉴别诊断中的价值. 医学影像学杂志, 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. 刘芳芳, 沈丹华, 王汉林, 等. 联合应用蛋白标志物鉴定壶腹癌病理亚型及其临床意义. 中华病理学杂志, 2019, 48(2): 92-97.
24. Radojkovic M, Stojanovic M, Radojković 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. 祝琼洁, 张冰, 黎琪, 等. MRI术前鉴别诊断肠型和胰胆管型壶腹周围癌的价值研究. 南京医科大学学报(自然科学版), 2021, 41(6): 892-898.
26. 谭诗云, 覃丽佳. Vater壶腹部周围癌的影像学诊断方法及价值. 腹部外科, 2010, 23(6): 330-331.
27. 蒋慧蓉, 杨燕. 壶腹癌诊断中超声、CT、ERCP的临床价值评价. 华南国防医学杂志, 2003, 17(5): 41-43.
28. 陆静瑜. DWI容积直方图分析在壶腹周围癌组织学亚型中的诊断价值. 武汉: 华中科技大学, 2019.
29. 项楠. 胰头和壶腹周围肿瘤三维可视化诊治平合构建及临床应用研究. 广州: 南方医科大学, 2016.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Research status and progress of imaging diagnosis of periampullary carcinoma

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