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Gastrointestinal Imaging

E3315. Imaging of Cholangiocarcinoma; Multidisciplinary Approach

Duran A,  Morani A,  Kang H,  Koay E,  Javle M,  Elsayes K. MD Andeson Cancer Center, Houston, Texas

Address correspondence to K. Elsayes (KMElsayes@mdanderson.org)

Background Information: The purpose of this exhibit is to review the imaging characteristics of Cholangiocarcinoma with emphasis on the imaging workup following a multidisciplinary approach by correlation on medical, radiation and surgical oncology perspectives.

Educational Goals/Teaching Points: 1. Review epidemiology and pathology of Cholangiocarcinoma 2. List various types and subtypes of Cholangiocarcinoma 3. Illustrate spectrum of imaging features, with pathologic and surgical correlation. 4. Describe various surgical, interventional and radiation procedures for the different types of pathologic correlation. 5. Discuss the perspectives of surgical, medical and radiation oncologists and explain what they want to know

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques: 1. Pathology and epidemiology of cholangiocarcinoma. 2. Anatomical and morphological classifications of cholangiocarcinoma. 3. Imaging workup and utility of various imaging modalities. 4. Typical Imaging features of intrahepatic, perihilar and extrahepatic cholangiocarcinoma. 5. Bismuth-Corlette classification of perihilar cholangiocarcinomas; - Surgical perspective - Role of Imaging and Impact on selection of surgical procedure. 6. Role of interventional radiology 7. Radiation oncology perspective and role of imaging 8. Medical oncology perspective in the era of targeted therapy: prognostic value of enhancement patterns.

Conclusion: In this exhibit, we illustrated various cases which guided the management of Cholangiocarcinoma and provided an algorithmic approach based on important findings by correlation with medical, radiation and surgical oncology.